Background
Although viewed as minor procedures, nail bed repairs take up a significant amount of time and resources. Our aim was to assess service delivery from referral to discharge.

Materials and Methods
This was a retrospective review of patients with nail bed injuries identified by hospital episode statistics. Data was collected on delays in treatment, financial performance, and patient reported outcomes via a telephone questionnaire.

Result
Over one month 62 of 310 hand trauma cases underwent nail bed repair. Patients were seen in trauma clinic one day after referral, waited two days (0-4 days) for an operation and 6 days for a follow up clinic (0-12 days), attending 2.6 appointments. We had a 32% questionnaire response rate; 11% of appointments were not attended, most common reason being inability to get time off work and main suggestion was reducing waiting time for an operation. Two cases were performed in clinic and 11 were coded wrongly resulting in a lower tariff estimated to cost the department £36,000 per year.

COP 178. Analysis of Service Provision for Patients With Nail Bed Injuriesonclusion
The data formed the basis of a business case for introducing an outpatient minor operating theatre which will streamline service provision and increase available theatre time.