Critical Care St James's Hospital in the past year, have abolished the practice of measuring Gastric Residual Volumes (GRV's). This practice has been ingrained in many ICU's nationally and internationally for many years now despite little to no evidence to support it. We interview key members of the MDT today including Dr Arnaud-Felix Miailhe Consultant Intensivist, Emer O Sullivan Clinical Specialist Dietitian and Deirdre Doyle Practice Development Facilitator Critical Care St James's Hospital about the changes in practice, the literature surrounding this practice and the value of MDT involvement in driving change.