Poster Presentation Abstracts / Physiotherapy 105 (2019) e54–e212 e199 P204 Proof of concepts trial of diagnostic ultrasound in the orthopaedic setting G. Morgan, H. Welch * , D. Jenkins, L. Medhurst-Wroe Cwm Taf University Health Board, Merthyr Tydfil, United Kingdom Keywords: Diagnostic sonography; Point of care; Orthopaedics Purpose: Historically, provision of MSK Ultrasound diagnostics has been via a referral to Radiology. However, there is increasing evidence that assessment, investigation and initiating treatment at the initial appointment is shown to be cost-effective, increasing patient satisfaction . Utilising this approach also reduces repeated hospital visits for fur- ther diagnostics and appointment times for results. The aim of using Point of Care (POC) ultrasound is to enhance the patient experience through instant access to diagnosis, timely implementation of most appropriate clinical pathway and achievement of the optimal outcome in the shortest possible time. This study aims aims to investigate the benefits of point of care (POC) and schedule ultrasound clinics using a proof of concepts approach in the orthopaedic setting. Methods: The trial ran for a six week period sourcing all patients referred to the orthopaedic triage service. The trial collected three measurable outcomes. Two Patient Reported Outcome Measures: MSK-HQ and The Care Measure, and a Proof of Concept clinician survey via Survey Monkey. These were completed by the clinicians and patient cohort during the scheduled clinic and POC clinical contact. Results: A total of 135 patients received a diagnostic ultrasound scan over the six week trial period. 34 patients received a diagnostic ultrasound scan from the Extended Scope Practitioner (ESP) Physiotherapist in a Scheduled Care setting. 101 patients received a diagnostic ultrasound scan from the ESP Podiatrist in orthopaedic triage over the six week period (74 in Scheduled care clinics and 27 at Point of Care). The outcome measure suggest that patients recieved a rapid diagnosis (n.135), implementation of appropriate treat- ment pathway (86.36%), a positive impact on Referral to Treatment (88.55%), appropriate implementation of conser- vative treatment (91.11%) and had excellent co-production during the trial with an 88% average CARE Measure Score. The MSK-HQ results suggested a wide variety of muscu- oskeletal conditions were asseessed during the trial with a mean MSK-HQ score of 27.6 with a Standard Deviation of 12. Conclusion(s): Results from clinician sourced Survey Monkey data, the CARE Measure and MSK HQ suggest that POC ultrasound and Scheduled care clinics offer a positive benefit for the patient’s care pathway, are beneficial clinically and suggest adequate demand for the service. Implications: It is recognised that appropriate use of ultrasound has the potential to improve quality of care but robust clinical governance is required to ensure that procure- ment and deployment of equipment is appropriate, service provision is evidence based and delivered by qualified and competent clinicians. Patients are the primary benefactors of POC ultrasound with improved diagnostic accuracy, faster and appropriate implementation of treatment pathways and demonstrating excellent co-production with the patient pop- ulation. Radiology is also a co- benefactor with the likely reduced referral rates to the service. Funding acknowledgements: Nil. https://doi.org/10.1016/j.physio.2018.11.214 P205 Exploring employability skills development in the context of undergraduate level cardiorespiratory physiotherapy: student views A. Bendall Cardiff University, School of Healthcare Sciences, Cardiff, United Kingdom Keywords: Cardiorespiratory; Undergraduate; Employabil- ity Purpose: It is important that undergraduates are ade- quately prepared during university to transition to the roles and responsibilities required of them post-qualification - employability skills development therefore becomes an important emphasis. Limited literature is available that has explored employability skills development within cardio- respiratory physiotherapy. The need for the views of key stakeholders to an undergraduate programme, as to employ- ability skills development in the context of this specialty, is pertinent given the concerns identified in the literature regarding recruitment and retention to the specialty. This is in addition to the drivers on all universities for their graduates to secure employment. Research question: Exploring employability skills development in the context of undergraduate level car- diorespiratory physiotherapy: what are the views of key stakeholders? This work was completed as part of a Postgraduate Cer- tificate in University Teaching and Learning (PgCUTL). In total, three focus groups with different stakeholders were completed. Rich and plentiful data was obtained; this work presents the findings from the focus group with one stake- holder group only: undergraduate students. Methods: A qualitative method, underpinned by an interpretive approach, was used to collect data from eight final-year physiotherapy students through the use of one detailed, face-to-face focus group. Themes identified from available literature were used to develop questions and