OA27 Paediatric Rheumatology and the 10 Year Health Plan for England: Can the GIRFT and NCEPOD Recommendations Provide a Framework for Action?

Abstract Background/Aims Three national, data-driven reports published in 2025 have implications for UK paediatric rheumatology service configuration. The 10-Year Health Plan for England (G1) advocated three paradigm shifts in care: sickness to prevention; hospital to community; and analogue to digital. The paediatric rheumatology Getting It Right First Time (GIRFT) report (G2) recommended data-driven improvement to reduce unwarranted variation in care. The National Confidential Enquiry into Patient Outcome and Death (NCEPOD) Joint Care report (G3) proposed specific improvements to juvenile idiopathic arthritis (JIA) care. We compared these reports to identify consistent themes that may guide prioritisation and enhance the collective impact of improvement work. Methods Two artificial intelligence large language models, ChatGPT and OpenEvidence, were used to accelerate review and comparison of the executive summaries of the three reports. Two subject matter experts (FM and GC) used these generative outputs to inform a considered manual review of the reports, identifying key similarities allowing a synthesis of shared recommendations. Results All three reviews used robust mixed-methods approaches to generate data-driven recommendations. Recommendations from G1 were broad and generic, those from G2 addressed all aspects of paediatric rheumatology care, and G3 focused on JIA Table 1. All three highlighted the importance of prompt recognition and referral to specialist services, with diagnostic and treatment delays consistently identified as barriers to optimal outcomes. Each report advocated timely multidisciplinary (MDT) care, better integration across services and sectors with care close to home where possible and detailed review of health inequalities. Early adoption of digital health technologies was particularly recommended by G1 and G2. Conclusion Recommendations from the paediatric rheumatology GIRFT and NCEPOD reports align with the paradigm shifts proposed in the 10-Year Health Plan, advocating improvements in time to specialist diagnosis and treatment, timely access to specialist MDT care and innovations to reduce the impact of health inequalities. This commonality is an important quality assurance, reflecting a wider consensus across the medical literature that improving outcomes in paediatric rheumatic diseases requires innovative and system-wide changes, designed in collaboration with service users, to enable equitable access to timely and integrated care. Disclosure F. McErlane: None. R.D. Sandler: None. G. Cleary: None.