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<h3>Objectives</h3> To describe the impact of adding a CAMHS psychiatrist to a Local Child Health Team (LCHT) delivering integrated care. We designed and deliver a system of LCHTs across two London boroughs, comprising paediatrician, GP child health lead, and specialist community children’s nurse, in every primary care network (PCN), serving 100% of children and young people in the two boroughs. Each team meets weekly to discuss the patients ‘listed’ by members of the wider health team in their PCN. All paediatric referrals are triaged, then provided with advice/guidance, paediatrician or nursing review, or specialty referral. We previously identified that 25% of referrals were for children with mental health presentations, including functional conditions. As a result, we brought a consultant psychiatrist into the weekly LCHT meetings in one PCN and report initial impact. <h3>Methods</h3> Service design change: the addition of a psychiatrist to the LCHT for our weekly triage meetings in one PCN to support referral conversations. Data collection and descriptive statistics: we collected the total number of cases and proportion with mental health concerns, and the outcome of each discussion for a five-month period. We assessed the impact of psychiatrist input on care navigation, information sharing, and whether this made a clinical difference for the patients discussed. <h3>Results</h3> 32 patients with mental health or functional presentations were discussed across 18 triage meetings during the 5 month study period. Each triage meeting included 0–3 patients with mental health or functional concerns. A mean of 21% patients discussed in triage had a mental health concern. Of those discussed, the majority (38%) suffered from mood disorders (low mood with or without complications of self-harm or suicidal ideation), 28% had functional conditions, and the remainder had eating disorders, ADHD, behavioural challenges or anxiety (table 1). In 53% of cases the psychiatrist had a meaningful impact on clinical care for the patient (e.g. expediting review by CAMHS, providing access to a crisis line, or accepting for review by health and wellbeing practitioners). In the remainder, care navigation, information sharing, or support for clinicians was provided. There were no negative outcomes (table 2). <h3>Conclusion</h3> The addition of a psychiatrist to routine general paediatric triage for a PCN adds beneficial clinical impact for individual patients. The role of information sharing, care navigation, as well as support of paediatric and GP members of the care team to manage child mental health is also significant. Next steps are to formulate a means to add mental health team membership to all PCN LCHTs across the region and to study which members of the team’s presence confer the most benefit.