The high standard of bowel preparation achieved with IPBP was maintained when delivered at home, despite some children travelling &gt;100 miles and having travelling times of &gt;3 hours Delivering all doses of drugs on the day before procedure did not affect the quality of bowel preparation for afternoon lists There is a trend to a higher proportion of children with HBP receiving IV fluids during anaesthetic which may suggest that some are dehydrated The proportion of day case procedures has increased from 0% to 72%, which since March 2020, has saved NHS Grampian £18,000 ConclusionHome bowel preparation delivered on day prior to procedure is well tolerated and as effective as inpatient delivered, even for children with long travelling times to hospital Covid-19 distancing measures have reduced the number of available inpatient beds so HBP has aided bed management in addition to providing a cost saving The risk of dehydration may be higher for HBP and guidance will be changed to increase the emphasis on oral fluid intake, including during travelling time, on day of procedure
P18 Effectiveness of home bowel preparation for children living long distances from endoscopy centre