{
  "abstract": "Introduction Rising referral numbers and workforce pressures continue to challenge NHS CPAP services. The British Sleep Society (BSS) Optimal Sleep Pathway (2025) encourages increased use of virtual follow-up and patient engagement. In response, our service redesigned its CPAP follow up pathway aligned with national guidance. An audit was undertaken to evaluate follow-up outcomes, minimise unnecessary physiologist-led contact, enhance patient engagement and implement a pathway emphasising on virtual first review.Methods A retrospective audit of 110 patients initiated on CPAP at Royal Derby Hospital was undertaken. Patients were divided into two cohorts: those managed under the pre October 2025 pathway (Group 1, n=55) and those following the redesigned pathway (Group 2, n=55) figure 1. For both groups, compliance, AHI, mask leak and pressure were reviewed at first follow-up, and reasons for non compliance were categorised.For Group 1, outcomes were reviewed by the number of follow-ups required between the first phone call and the appointment at which the annual review was scheduled. For Group 2, remote monitoring data guided decision making at first review. Compliant patients were booked for a physiologist led 10-week review, during which the Epworth Sleepiness Score (ESS) was collected, while non-compliant patients received a follow-up call. Findings informed pathway redesign, introducing data driven virtual reviews, a simplified and standardised pathway, patient led ESS submission via phone/email, and clear escalation criteria for non compliant/complex cases.Results Compliance remained comparable between Group 1 and Group 2. First follow up compliance was similar (38% vs 32%), and annual review/10 week review compliance remained consistent (53% vs 57%). The median number of follow-ups was unchanged at three, indicating that the redesigned pathway maintained adherence while shifting to virtual assessment. Common compliance issues were similar across groups, though mask related problems were more frequent in Group 1. Virtual reviews accounted for 39% of first contacts, demonstrating increased use of remote assessment and more targeted physiologist input for non-compliant patients.Conclusion Redesigning the CPAP follow up pathway in line with BSS guidance reduced scheduled phone call requirements, enhanced patient engagement, and supported more effective triage, enabling physiologists to provide additional support to non-compliant patients.Abstract P16 Figure 1",
  "authors": [
    {
      "affiliations": [
        "University Hospitals of Derby and Burton, Derby, United Kingdom"
      ],
      "name": "Emily Spridgens"
    }
  ],
  "title": "P16 Virtual CPAP follow up: an audit informed redesign following BSS guidance",
  "uid": "26c8b491-7202-55e1-9424-9651bb75afb4"
}