Endoscopy provision: meeting the challenges
- PMID: 28839891
- PMCID: PMC5369450
- DOI: 10.1136/flgastro-2016-100764
Endoscopy provision: meeting the challenges
Abstract
Background: Endoscopy activity has been increasing in the UK for many years. However, the increasing demand is currently disproportionate to delivered capacity. This, in combination with mandatory efficiency savings, presents an ongoing challenge in the effective continued delivery of diagnostic endoscopy services.
Recent developments: New initiatives in the field of endoscopy that may impact on resource include: faecal immunochemical test, straight to test referral systems, nurse endoscopists, home enemas and split dose bowel preparation.
Future potential: System review and improvement is paramount to ensure the diagnostic pathway is of a high clinical quality, efficient, patient focused and sustainable.
Keywords: ENDOSCOPY.
Conflict of interest statement
Competing interests: None.
Figures
References
-
- NHS. The five year forward view. 2014.
-
- Drew K, McAlindon ME, Sanders DS, et al. . The nurse Endoscopist: moving ahead with time. Gastroenterol Nurs 2013;36:209–13. doi:10.1097/SGA.0b013e31829545a3 - DOI - PubMed
-
- Massl R, van Putten PG, Steyerberg EW, et al. . Comparing quality, safety, and costs of colonosopcies performed by nurse vs physician trainees. Clin Gastroenterol Hepatol 2014;12:470–7. doi:10.1016/j.cgh.2013.08.049 - DOI - PubMed
-
- Kuznets N. Colonoscopy performance measurement study. Ambulatory Surgery 2012;18:4–9. - PubMed
-
- Lund JN, Buckley D, Bennett D, et al. . A randomised trial of hospital versus home administered enemas for flexible sigmoidoscopy. BMJ 1998;317:1201 doi:10.1136/bmj.317.7167.1201 - DOI - PMC - PubMed
LinkOut - more resources
Full Text Sources
Other Literature Sources