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 pdmary 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].