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Background Obesity levels have been increasing rapidly worldwide for the past two decades. The WHO has estimated the UK to be among the most overweight countries in the world, and according to government figures, the UK is now the fattest country in Europe with one in four adults obese. Obesity levels continue to rise within upcoming generations and if current trends continue, the forecast for the future health of today’s children is bleak. Methods We aim to evaluate the body mass index (BMI) of children seen at the paediatric physiotherapy team. All new patients seen by a paediatric physiotherapist during the one month period June 2019 had their heights and weight measured at the first visit. The heights and weights of children were measured for all the children attending one physiotherapist’s clinic. The BMI was calculated for these children using NHS BMI child calculator. Results A total of 28 new children attended the physiotherapist clinic. Of these, only 11 children were in the healthy BMI range and 17 were above the 90th centile. Among these 17 children, 12 were on the 98/99th centile. Ankle pain, lower back pain, knee or hip pain appeared to be the most common presenting symptoms of these children. Among the 28 children seen, 61% were above the 90th centile and 43% were on 98-99th centile. This data reflects only the children seen be one general paediatric physiotherapist. Children known to rheumatology team were seen by the therapists attached to the rheumatology team. Conclusion This audit highlights that children who are overweight and obese, experience more mechanical musculoskeletal symptoms. We conclude that further studies are needed to determine the epidemiology of musculoskeletal symptoms in children who are obese and overweight. The limitations of this project are small size and no collection of comorbidity data. As the trend of obesity is increasing, these issues should be addressed at every opportunity of contact with the health professionals. It is important, linking the weight issues to the conditions we are treating, and raising awareness to patient and carers. Conflicts of Interest The authors declare no conflicts of interest.

P63 Evaluation of new patients seen by physiotherapy for obesity