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Aim To compare current practice at the local Plastic Surgery Department to national Standard British Society for Surgery of the Hand BSSH guidelines recommend for closed hand fractures. Method Retrospective data collection All procedures done within one month June 2021, compare it to previous audit done in Feb 2021 and close the audit loop Electronic data records Results June 2021 (90.5 %) meet the standard of time to presentation compared to 76% in Feb 2021 June 2021 62% meeting the standard for time to surgery compared to 46% in Feb 2021 Main reasons for delay unavailable dedicated Plastic Surgery theatre lists, busy emergency theatre lists. Conclusions Documentation of delays in presentation/Management has improved. More theatre capacity is required to avoid cancelation and delayed management.

226 Management of Closed Fractures of the Hand; Single Centre Audit