s / International Journal of Surgery 12 (2014) S13eS117 S71 referenced to PACS Radiology reports to determine: FNAs performed by radiologists and/or ultrasound-guidance; diagnostic sufficiency and reasons for inadequacy. Results: 104 FNAs were carried out on 89 patients 74% for melanoma and 21% for squamous cell carcinoma primaries. 38% of FNAs were in the head and neck region, 31% axillary, and 27% in the groin. Surgeons performed 58%, of which 37% were ‘unsatisfactory for diagnosis’, versus 25% of those by radiologists. Anatomical region did not influence rates of unsatisfactory specimens. 36% of unsatisfactory specimens were acellular/hypocellular, whilst 12% were poorly preserved. Conclusions: Radiologist-performed FNA ismore likely to be diagnostic, but delays and costswill be incurred to access this service.We are piloting a local training program to increase the diagnostic yield of surgeon-performed FNA. 1160: ANALYSIS OF SERVICE PROVISION FOR PATIENTS WITH NAIL BED INJURIES Zita Jessop , Matthew Gardiner, Sonya Gardiner, Neil Toft. Royal Free Hospital, London, UK. Introduction: Although viewed as minor procedures, nail bed repairs take up a significant amount of time and resources. Our aim was to assess service delivery from referral to discharge. Methods: This was a retrospective review of patients with nail bed injuries identified by hospital episode statistics. Data was collected on delays in treatment, financial performance, and patient reported outcomes via a telephone questionnaire. Results: Over one month 62 of 310 hand trauma cases underwent nail bed repair. Patients were seen in trauma clinic one day after referral, waited two days (0-4days) for an operation and 6 days for a follow up clinic (012days), attending 2.6 appointments. We had a 32% questionnaire response rate; 11% of appointments were not attended, most common reason being inability to get time off work and main suggestion was reducing waiting time for an operation. Two cases were performed in clinic and 11 were coded wrongly resulting in a lower tariff estimated to cost the department £36,000 per year. Conclusions: The data formed the basis of a business case for introducing an outpatient minor operating theatre which will streamline service provision and increase available theatre time. 1172: FEASIBLE, EFFECTIVE AND EFFICIENT; THE MICROVASCULAR COUPLER DEVICE FOR END-TO-SIDE VENOUS ANASTOMOSIS IN FREE TISSUE TRANSFER FOR HEAD AND NECK RECONSTRUCTION Jane Maraka , Nigel Abreo, Omar Hausien, Nakul Patel, Amer Durrani. Addenbrookes Hospital, Cambridge, UK. Introduction: The use of a microvascular coupling device (MCD) for venous anastomosis in free tissue transfer (RTT) in head and neck reconstruction (HN University of Edinburgh, Edinburgh, UK; National University of Singapore,