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Background This is the first national audit of neurology-led cognitive clinics. Previous audits have focused on community memory assessment services. 1–3 Aim To complete a UK-wide audit of cognitive neurology services to compare staffing, diagnostic practice and research and treatment capability.Methods Data was collected using an online platform 4 dementiadata.com covering January-December 2023. All institutions providing NHS Cognitive Neurology Services were invited to participate. A committee designed questions comparable to previous memory service audits.Results 20 centres submitted data. Per service there were 3.4[0.1-20] FTE Doctors, 1.3[0-7] FTE Nurses, 0.9 FTE Allied Health Professionals. Modal average patient age was 60-65 years. The commonest diagnoses seen were Alzheimer’s Disease (30%), Functional memory impairment (14%) and Mild Cognitive Impairment (11%) but a large range of cognitive disorders were seen.All centres offered genetic testing, CSF biomarkers, MRI and DAT scans but fewer have access to PET and SPECT. <50% offered blood-based biomarkers.68% of centres undertook research studies, but only half participated in clinical trials.Outcome There is significant variation in capacity, diagnostic practice and access to diagnostics and research. This audit allows cognitive neurology services to benchmark their practice for the first time and identify quality improvement opportunities.References The 2019 National Memory Service Audit. March 2020.National Audit of Dementia Memory Assessment Services Spotlight Audit 2021.Memory Services Spotlight Audit 2023-24.Godfrey A, Argyle IT Consulting.katherinestockton@nhs.net