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Why did you do this work?The aim of our quality improvement project was to identify and implement digital resources into the Paediatric Emergency Department (PED) to transform patient and carers’ waits into an educational opportunity. Annually, over 50,000 patients visit the PED, alongside their parents, carers, siblings and more. Waiting times average 30-121 minutes, providing a captive audience for a proactive approach to health and wellbeing education for our patients and families.What did you do?Patients (aged 8 years and above), carers and staff were surveyed to assess reception of our project proposal and suggested topics for learning.We approached local and national recognised organisations for consent to display their resources and a team of PED leadership assessed each video for suitability and impact.Following this, we collaborated with the trust media team to curate a 42-minute playlist, titled ‘PED-TV,’ and launched during ‘Child Safety Week in June 2024.’A post-playlist questionnaire was disseminated to measure impact. Patients, their carers, and families were invited to feedback on their experience.What did you find?Pre-pilot responses (18) demonstrated a 100% positive response to streaming educational videos in the waiting area. Results indicated high interest in topics like dental hygiene (100%), vaccine advice (100%), and burn management (94.4%).Since its launch, 15,152 patients have passed through our pilot waiting area where the playlist is shown, alongside at least the same number of carers and family members.Post-pilot surveys indicate high patient satisfaction (83%) with the project and a measurable immediate impact on patient and carer knowledge. For example, understanding of safe sleeping habits for babies increased from 3.5/5.0 (prior to watching the educational videos) to 4.55/5.0 (after watching the educational videos). Responses also indicated a demonstrable increase in confidence levels regarding managing infant crying, with self-reported confidence rising from 3.09/5.0 (before watching the videos) to 4.0/5.0 (after watching the videos). Understanding of dangers of button batteries increased from 2.82/5.0 to 3.56/5.0.What does it mean?Our pilot is demonstrating high patient and family satisfaction and support for this project. Results also indicate a direct impact on patient and carer knowledge of important child health topics.The project has not cost any money, utilising free resources and existing waiting room spaces and screens. There is potential to even save money, through a reduction in preventable injuries and illnesses, and subsequent emergency attendances and hospital admissions.Next steps include expanding this pilot across all Paediatric waiting areas across the trust, to standardise access to this educational experience. We are also widening access to Manchester’s diverse population by delivering content in multiple languages and making content available digitally.By taking a proactive role in educating our local population through our waiting room, the potential impact on the overall health of our community is immense.

AimsWe surveyed Paediatric trainees in the East of England Deanery to identify the rates of breastfeeding within Paediatricians; the age at which trainees continue to breastfeed until, and to identify any barriers that trainees have in continuing to breastfeed when returning to work, with a view to addressing these issues and improve the support new mothers have in returning to work.MethodsPaediatric Trainees across the East of England were surveyed in March and April 2021. The online survey was sent to all trainees in the East of England Deanery via official (deanery-initiated) emails, and unofficially with announcements at regional training events, and links sent via social media. Completion of the survey was entirely voluntary, and all participants demonstrated consent by proceeding with the survey after the consent page on the survey. The survey comprised single best choice/multiple choice/free text question. All trainees were asked to respond irrespective of their gender and experience of breastfeeding.ResultsBreastfeeding rates amongst Paediatric Trainees in the East of England far exceed that of the national average (97.6% initiated breastfeeding compared to the national average of 81%, with 50% breastfeeding past 12 months of age – compared to the national average of 0.5% at 12 months). 54.5% breastfeeding trainees are still breastfeeding on their return to work, and 22.3% trainees expressed on their return to work. Despite this, 29.5% all mothers surveyed stated that they stopped breastfeeding sooner than they wished as a direct result of returning to work (figure 1). This figure rose to 39.3% for those mothers that continued to breastfeed until within two months of returning to work.For those mothers that express on return to work, infants receive breast milk to an average age of 18.4 months. This compares to an average age of 16.6 months for those mothers that breastfed but did not express at work. Despite this, 34.6% mothers that expressed at work stated that they stopped breastfeeding sooner than anticipated as a direct result of work and 60% women who intentionally gave up breastfeeding stated that they stopped sooner than they anticipated as a direct result of returning to work.The most cited work-related reasons for stopping breastfeeding were long, busy shifts and night shifts (48%); inadequate expressing facilities in the workplace (38%) and a lack of protected time to express (25%).Abstract 594 Figure 1Abstract 594 Figure 2ConclusionThe RCPCH has committed to actively promote and support breastfeeding in their facilities, events and organisation, and it is imperative that the staff members working as part of child healthcare, are also actively supported.Returning to work is a major factor in the early cessation for breastfeeding amongst Paediatric trainees, as is a perception that returning to work is not conducive to continuing to breastfeed. Better support for breastfeeding mothers, both in terms of provision of information prior to return, and changes to the workplace should be considered to help the RCPCH achieve its aim to actively support its staff in continuing to breastfeed their own children.