Most of us will have streaming in place as per the national guidance, for those that have how are you recording your streaming outcome? Our streaming model has a senior decision maker at the front of the department sign posting patients to the most appropriate area, this is done very quickly and before patients book into any system. The clinicians are concerned that the decision made at the front of the department is not recorded anywhere. Patients are booked into the relevant system after the streaming clinician has directed them to the area they need. To begin with we have a paper system in place with a tick box outcome for the reception staff to follow but paper is not the best way forward. We are disadvantaged because we have three different IT systems for booking in depending on the service required and none of the systems talk to each other. I would be interested in hearing how other sites are capturing information?