RT Journal Article SR Electronic T1 G383(P) 8 high impact interventions: a regional survey of trainee experience JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP A137 OP A137 DO 10.1136/archdischild-2020-rcpch.327 VO 105 IS Suppl 1 A1 D Aguirre A1 S Steadman A1 M O’Keeffe A1 D Kenyon-Blair A1 H Cooper A1 R Negrine A1 H Goodyear A1 Paediatric Research Across the Midlands Network YR 2020 UL http://adc.bmj.com/content/105/Suppl_1/A137.1.abstract AB Aims To explore local trainees’ experience, identify emerging themes, good practice examples and make key regional recommendations.Method A voluntary questionnaire was designed based on the ‘8 High Impact Actions to Improve the Working Environment for Junior Doctors’ document by NHS Improvement. This was circulated on paper at trainees’ regional teaching days and online via Survey Monkey from December 2018-March 2019.Results 143/306 (47%) trainees responded.View this table:Abstract G383(P) Table 1 Conclusions Our survey demonstrated local good practice examples. Implementation of our recommendations with School Board Support will improve junior doctors’ working conditions as outlined by NHS improvement.