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Coeliac disease is an autoimmune condition, damaging the gut due to exposure to gluten in food. Non-compliance leads to long term health complications.We wanted to audit our practices against the National Institute for Health and Care Excellence clinical guideline (NICE CG20).We identified presenting age, symptoms and nutritional deficiencies. We looked at the compliance as recommended by NICE: annual review, surveillance bloods, information given about immunisation, long-term health effects from non-compliance and dietary management.NICE CG20 and ESPGHAN coeliac disease guidelines were used as the standard to audit our practice.Retrospective data was collected over 12 months from paediatric gastroenterology clinics only, for all patients with diagnosis of coeliac disease using a proforma. The sample size was 54 patients.Analysed data showed:Age of presentation: 29% >12 year, 46% 6–12 years and 24% 1–5 years old74% had GI symptoms, 26% had tiredness and 11% had dizziness85% diagnosed serologically within this cohort.48% had ferritin and vitamin D deficiency and 44% had microcytic hypochromic anaemia at diagnosis.83% had annual review, 94% had surveillance bloods and discussion about long-term health effects.46% only had documented discussion about immunisation and 87% were signposted to Coeliac UK resource.100% had dietetic referral, 94% had dietetic review and discussion about nutritional deficiencies.We showed:We are following NICE coeliac guidelines for monitoring, information support and dietetic review. We are following ESPGHAN coeliac disease guideline for diagnosis.Difficulty is when a patient is referred from out of the area (therefore not having follow up by our area dietician) or are non-compliant.Need to standardise the monitoring and the information given in the outpatient clinic via the use of aCoeliac disease checklist (below)Use of information leaflet (not attached)Abstract OC95 Figure 1References European Society paediatric gastroenterology, hepatology and nutrition guidelines for diagnosing coeliac disease 2020. Journal of Paediatric Gastroenterology and Nutrition Jan 2020;70(1):141–156.Coeliac disease: recognition, assessment and management. NICE guideline [NG20] Published: 02 September 2015