G618 Carer survey and audit of diet/nutrition and eating in children and young people (cyp) on adhd medication as per adhd nice standards

Aims/Objectives Establish if diet and nutritional history taken by Clinicians at the initial consultation is in line with ADHD NICE guidelines and explore dietary and nutritional difficulties in children and young people on ADHD medication with the aim of providing evidence based quality dietary/nutritional information for patients/carers. Methodology A retrospective and prospective audit of 85 case notes was conducted over a 4 month period on record of growth measurements, outcomes following concerns in CYP with appetite suppression/weight/growth issues on ADHD medication and quality of diet and nutritional history when the CYP was first seen in clinic as per NICE Guidelines. A survey was also carried in carers seen in clinics over the same period to explore eating habits in CYP on ADHD medication. Results were analysed with the help of the clinical audit department. Results There was poor evidence of recording of importance of balanced diets/good nutrition(7%), physical exercise (3%) and exploration of diets (3%) causing hyperactivity in history taken at the initial consultation as per ADHD NICE guidelines recommendations ( 2008, 2016). Growth charts were present in notes (90%) with evidence of record of height/weight (99%) and height/weight centiles (98%). BMI was recorded in only 14% of cases if there were concerns about weight. Carer survey in clinic showed that 60% were never given information on diet and nutrition in ADHD at the first appointment, 34% of carers stated that their child had appetite suppression on medication and sleep was affected by appetite suppression in 8%. 22% of carers said their child never had breaks off medication and 21% wanted more information on diet and nutrition in ADHD. Conclusion Following the audit/survey we have updated our ADHD clinic assessment forms with key questions to remind Clinicians discuss eating/diet/nutrition issues as recommended by the ADHD NICE guidelines and record BMI if there are concerns regarding weight issues. We have also worked in partnership with our paediatric dieticians to develop evidence based diet/nutritional information for CYP on ADHD medication.