Aims 1) To determine whether infants presenting with a new diagnosis of regurgitation plus ‘red flag’ symptoms are appropriately investigated and managed in accordance with NICE NG1 guidelines and NICE quality standards. 2) To ascertain if the NICE audit tool is useful in clinical practice.

Method Cohort consisted of a random sample of 30 paediatric inpatients aged <1 year with a new diagnosis of GORD (April 2015 to April 2016) presenting to a moderate sized DGH (6000 paediatric admissions per annum). Paper and computer notes reviewed.

Conclusions The NICE audit tool for GORD was easy to use and helpful in analysing results. Generally there was good documentation of red flags for GORD: recommendations for change included checking head circumference routinely. There were differing managements in the assessment of projectile vomiting and dysuria in infants which is further discussed. This is the first published audit using the NICE audit tool for GORD, and first assessment of how a moderate-sized DGH looks for red-flags in GORD.