<h3>Introduction</h3> The National Health Service expenditure on alcohol services is estimated to be £2.7 billion with over 78% of costs incurred from hospital-based care.<sup>1</sup>Patients with alcohol problems are major contributors to hospital readmission,<sup>2</sup>reduction of which is also a key government objective. We aim to investigate the social and lifestyle factors that predict alcohol re-admissions. <h3>Method</h3> Discharge summaries, case-notes and blood results were reviewed for patients requiring in-hospital Alcohol Detox (AD) between 1/10/2013 and 1/3/2014. They were then followed up to 1/8/2014. Data was collected on emergency Department (ED) re-presentation, hospital re-admission, community alcohol services (CAS) engagement, reasons for drinking alcohol and Childs-Pugh Score. <h3>Results</h3> 189 patients were admitted and required input from alcohol liaison team, 76% (n = 144) of these required AD. Of these, 35% (n = 51 patients) required further admissions during the study period which accounted for 149 ED presentation episodes and 92 re-admission episodes. Within this cohort, admission in 58% (n = 30) of individuals were secondary to alcohol with 57 such episodes. Reasons for re-admission in this group included alcohol withdrawal symptoms (51%, n = 29), seizures (25%, n = 14), decompensated liver disease (14%, n = 8), gastrointestinal bleeding (n = 7) and alcoholic hepatitis (n = 3). Re-admission rates between this group and those admitted for other reasons and requiring AD was similar. Child-Pugh Score of A, B and C was noted in 71%, 14% and 15% of patients respectively. Identified social factors associated with alcohol excess were habitual alcohol consumption (82%), bereavement (4%), stress (28%), drug abuse (10%), social isolation (39%), unemployment (55%), started drinking at early age (65%) and CAS engagement (12%). Paradoxically admitting to alcohol dependence (51%, p < 0.001) and engagement with community alcohol services (12%, p = 0.04) led to higher chance of readmission and this could be due to greater healthcare seeking behaviour and awareness of their condition. <h3>Conclusion</h3> This study identified social factors that associate with re-admission to hospital secondary to alcohol related diseases. Addressing these factors proactively may lead to better outcomes and reduction in hospital re-admissions for patients. <h3>Disclosure of interest</h3> None Declared. <h3>References</h3> Alcohol related disease: meeting the challenge of improved quality of care and better use of resources (2010). A joint position paper by BSG/BASL/AHA. www.bsg.co.uk NHS Confederation and Royal College of Physicians. Briefing 2010. Too much of the hard stuff: what alcohol costs the NHS. London: The NHS Confederation, 2010