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To investigate the clinical characteristics, final diagnosis, investigation results, management, response to anti-seizure medications (ASMs) and clinical outcomes of individuals assessed in a First Seizure service over a 5-year period. Retrospective analysis of 772 individuals who were clinically assessed in a dedicated First Seizure service at National Hospital for Neurology Neurosurgery (NHNN), Queen Square over a 5-year period. 772 individuals were assessed following a suspected or reported first seizure (median age of 54, aver