P172 Figure 1ConclusionThis early experience of a new service has highlighted 5 learning points:Virtual review is not necessarily quicker than clinic review in person, with holistic review taking 15 minutes per patient (excluding phone calls) Patients appreciate clinical contact and this is particularly relevant in the post-Covid era of restricted healthcare attendance All patients who attend for face to face review are extremely grateful A multidisciplinary team is necessary bringing together respiratory, cardiology, rheumatology, radiology, psychology and immunology in one holistic review Patients benefit from therapy input, with 13 of 49 patients assessed by the physiotherapist in clinic diagnosed with breathing pattern disorders Medical staff redeployment during the pandemic, and the extreme pressures at that time, meant aspects of planned care were not arranged at discharge Virtual review of medical records has addressed this, for example, re-arranging a referral for a pacemaker and arranging haematological review of a patient newly diagnosed with chronic lymphocytic leukaemia Regular multi-disciplinary strategy meetings have allowed guidelines to be revised weekly, based on increasing evidence, and experience disseminated
P172 Early clinical experience of a large hospital trust virtual Covid-19 follow up clinic