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Background: Education and self-management awareness are established components of multidisciplinary (MDT) care for IJD. The format and delivery of such a programme varies according to local circumstance. There is little evidence to support any specific model of delivery. Previously in this unit, patients attended a two hour session held at three monthly intervals. Members of the MDT addressed aspects of IJD management, such as clarification of team and patient roles, symptoms, and self-management strategies including activity modifications and joint protection. Consultation with patient groups revealed this format, delivery and content was too rigid and inhibited full engagement. The programme was therefore re-designed to improve patient involvement from just participation to full engagement. Methods: From August 2012, a modified weekly group education and exercise programme of 90 minute sessions has been provided for up to 8 participants led by two rheumatology physiotherapists experienced in delivering self-management and coping strategies for IJD. New patients, established cases with disease flares and annual reviews were included. Thus frequency of attendance at the sessions varied, depending on patient circumstance and therapist’s perception of need for knowledge and support. The sessions always included an educational review followed by basic stretching and strengthening exercises, with emphasis on specific areas such as posture, hands and feet, relevant to the individual. Participants were also invited to suggest topics for discussion or further explanation and a record of this was kept. A patient experience questionnaire was completed. Results: In 12 months from August 2012, 78 patients with IJD were enrolled; 10 patients failed to attend. There were 285 attendances out of a possible total 392 (73%) with an average of 5.8 patients per session. The mean attendance per patient was 4.4. In all, 47 patients (69%) completed the questionnaire which reviewed the programme in 10 domains each scored on a 10-point satisfaction scale clustered into two sets of 5 domains covering patient experience and educational merit. Mean patient experience and educational merit scores were 9.004 and 8.881 respectively and ranged from 8.553 to 9.298. Conclusion: This audit of a new physiotherapy programme for IJD assessed patient experience and educational merit. There was 100% participation in the new programme (scores of 5–10) with 72% of patients reporting complete satisfaction and engagement in it (scores of 9 & 10). The new programme scored highest for its patient-friendly, flexible structure and practical training sessions. It is central to the continued delivery of high quality care for IJD and provides a platform for further development of both the MDT care package and the formalized assessment of disease outcome. Disclosure statement: The authors have declared no conflicts of interest.

136. Participation or Engagement? Audit of an Education and Exercise Programme for Inflammatory Joint Disease