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<h3>Aims</h3> The NHS Long Term Plan encourages partnerships, in the form of integrated care, between organisations, to meet health needs across an area and reduce disparities. We operate a novel integrated care network across two London boroughs comprising an allocated ‘child health team’ for each primary care network (PCN): a GP child health lead, a paediatrician and a nurse. Each PCN child health team runs weekly referral meetings to discuss all cases referred from GPs or nurses within the PCN. The outcomes of each referral discussion are as follows: advice and guidance, to be seen face to face in an in-reach clinic by the paediatrician, to be seen/managed by the nurse team, or referral direct to another specialty. We sought to examine the spread of child health issues presenting to these child health teams within our integrated care network, by analysing data collected from referral meetings as a means to learn more about the children and young people (CYP) with whom GPs require support from the child health team to manage, which other members of the multidisciplinary team (MDT) would be beneficial additions to the child health team and what areas of learning would be beneficial to spread throughout the network. <h3>Methods</h3> Quantitative study of the number of cases and age referred to the child health teams. Qualitative study of the referral problem and outcome of the referral to the child health teams. <h3>Results</h3> 364 referrals across a sample of PCNs in two London boroughs were evaluated. The commonest age to be referred was under 1 year old (18%), followed by 1-2 (11%) and 2-3 (9%). The commonest presentation to the child health team was abdominal pain (9%). The remaining top ten presentations were constipation (8%), neurological concerns including gait, seizures and syncope (7%), skin rashes (7%), musculoskeletal (6%), renal and UTIs (6%), growth and feeding concerns (6%), development and social communication concerns (6%), headache (5%) and cough (5%). There is significant representation of functional conditions across the spectrum of the top thirty presentations (including the majority of those referred with abdominal pain as well as those CYP with concerns around mental health or behaviour). <h3>Conclusion</h3> The over-representation of the under 1 and under 3-year-old group suggests that PCN child health teams would benefit from the addition of health visiting representation or close liaison. The commonest presentation being abdominal pain suggests a role for education and resources around the safe management of paediatric abdominal pain in primary care including red flags for referral and investigation. The high proportion presenting with constipation underlines the valuable role of the nurse team to manage constipation in the outpatient setting. The spread of functional conditions across the most common presentations supports the need for close liaison of the child health team with Child and Adolescent Mental Health Service (CAMHS) teams and the formulation of decision support for GPs to access the wide spectrum of non-CAMHS mental health resources available within each PCN, such as health and wellbeing practitioners and school counsellors.