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Patients with learning disability and autism (PwLDA) are a priority group for care quality and outcomes improvement in the NHS Long Term Plan. The aim of this project was to establish a new standard of care for PwLDA in our otology department. Method We first conducted a retrospective analysis of PwLDA who accessed routine adult otology clinics (RCs) between August-October 2020. We assessed achievement in four broad outcome domains: i) documentation of patient-specific special needs; ii) examination of ears; iii) assessment of hearing; iv) completion of hospital passport. We then formed a multidisciplinary team (MDT), which introduced specialised MDT-clinics (SCs) for PwLDA with otology conditions. These SCs were continuously improved by incorporating reasonable adjustments. We subsequently performed a retrospective analysis of PwLDA reviewed in the initial four months of SCs. This enabled a comparison between the type of clinic, RCs or SCs, and the achievement of specific outcomes. This interaction was statistically analysed using Chi-squared test. Results A mean of 7.7 and 5.0 PwLDA per month were booked into RCs and SCs respectively. Type of clinic had a significant effect on achievement of outcomes in domains i. and iv. (χ2 (1)&amp;gt;10.3; p&amp;lt;0.005) favouring attendance at SCs. There was no significant interaction for these variables in domains ii. and iii. Conclusions This is the first dedicated otology MDT service for PwLDA in the UK. Overall, these results demonstrate an improvement following implementation of the SCs. This innovative work establishes a new MDT-clinic outpatient model for PwLDA who suffer with ear- and hearing-related conditions.

295 Ear Conditions in Adult Patients with Learning Disabilities and Autism: A New Approach to Outpatient Management