A variable in which the pro-forma did poorly compared with the consult form was the mode of presentation. This was potentially related to a lack of space to write extra information. Furthermore, none of the pro-forma referrals contained a urea value (although the consult group only contained 2 referrals with a value for urea), which is one of the variables not included in the pd- mary outcome of this audit hut is recommended in some literature, such as the Blatchford risk scodng system""". The pro-forma used in our organisation has been modified since this study to combat these effects [see appendix 2].