PT - JOURNAL ARTICLE AU - Collins, Sarah AU - Langman, Flora AU - Ali, Simone TI - 119 Cornea donation – our 2020 vision AID - 10.1136/spcare-2020-PCC.139 DP - 2020 Mar 01 TA - BMJ Supportive & Palliative Care PG - A50--A50 VI - 10 IP - Suppl 1 4099 - http://spcare.bmj.com/content/10/Suppl_1/A50.2.short 4100 - http://spcare.bmj.com/content/10/Suppl_1/A50.2.full SO - BMJ Support Palliat Care2020 Mar 01; 10 AB - Introduction There is a shortage of over 500 corneas for transplant each year in the UK. Most people up to age 85 are eligible to donate, even those with metastatic cancer. From March 2018, following a period of staff education, all eligible patients admitted to Martlets Hospice were asked routinely about cornea donation and offered an information leaflet to enable informed decision-making. Prior to this period, only one inpatient per year on average donated their corneas.Method Evaluation of the project had two components:1) Audit - the electronic records of all inpatient admissions from March to May 2018 were analysed to identify:eligibility for donation and the proportion of patients approached about thisfactors that may have hindered eligible and willing patients successfully donating corneas2) Staff Opinion Survey - all staff working on the inpatient unit were emailed with an online questionnaire asking about their experiences and suggestions for improvementResults Audit:• 27 of the 56 eligible patients were asked• 14 wanted to donate• 6 went on to donateNot informing next of kin and not adequately recording suitable alerts in the notes led to some missed donationsStaff opinion survey:• 55 responses• 34 respondents felt able to initiate conversations about cornea donationFactors that would improve staff confidence were identified as: further training and more time for discussion with patients and familiesConclusionsStaff education in and engagement with cornea donation in the hospice setting can empower patients to make informed decisionsSensitive conversations regarding the option of cornea donation are integral to advance care planningSimple changes in practice and culture in our unit led to an increase in donated corneas in just 3 months.Further improvements to the process are planned with a re–audit next year.