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British society of gastroenterology Endoscopy Quality Improvement Programme (EQIP): overview and progress
  1. Colin J Rees1,2,
  2. Sara Koo2,
  3. John Anderson3,
  4. Mark McAlindon4,
  5. Andrew M Veitch5,
  6. Allan John Morris6,
  7. Pradeep Bhandari7,
  8. James E East8,
  9. George Webster9,
  10. Kofi W Oppong10,
  11. Ian D Penman11
  1. 1 Northern Institute for Cancer Research, Newcastle University, Newcastle, UK
  2. 2 Department of Gastroenterology, South Tyneside, South Shields, UK
  3. 3 Department of Gastroenterology, Cheltenham General Hospital, Gloucestershire Hospitals, Cheltenham, Gloucestershire, UK
  4. 4 Academic Department of Gastroenterology and Hepatology, Sheffield Teaching Hospitals, Sheffield, UK
  5. 5 Department of Gastroenterology, Royal Wolverhampton Hospitals, Wolverhampton, UK
  6. 6 Department of Gastroenterology, Glasgow Royal Infirmary, Glasgow, UK
  7. 7 Department of Gastroenterology, Queen Alexandra Hospital Portsmouth, Southhampton, UK
  8. 8 Translational Gastroenterology Unit, and Oxford NIHR Biomedical Research Centre, John Radcliffe Hospital, University of Oxford, Oxford, UK
  9. 9 Department of Gastroenterology, University College Hospital, London, UK
  10. 10 Hepato-Pancreato-Biliary Unit, Freeman Hospital, Institute of Cellular Medicine, Newcastle University, Newcastle, UK
  11. 11 Department of Gastroenterology, Royal Infirmary of Edinburgh, Edinburgh, UK
  1. Correspondence to Professor Colin J Rees, Department of Gastroenterology, South Tyneside NHS Foundation Trust, South Shields NE34 0PL, UK; colin.rees{at}


High quality gastrointestinal (GI) endoscopy improves patient care. Raising standards in endoscopy improves diagnostic accuracy, management of pathology and ultimately improves outcomes. Historical identification of significant variation in colonoscopy quality led to the development of the Joint Advisory Group (JAG) on GI Endoscopy, the Global Rating Scale (GRS), JAG Endoscopy Training System (JETS) training and certification. These measures led to major improvements in UK endoscopy but significant variation in practice still exists. To improve quality further the British Society of Gastroenterology Endoscopy Quality Improvement (EQIP) has been established with the aim of raising quality and reducing variation in the quality of UK endoscopy. A multifaceted approach to quality improvement (QI) will be undertaken and is described in this manuscript. Upper GI EQIP will support adoption of standards alongside regional upskilling courses. Lower GI EQIP will focus on supporting endoscopists to achieve current standards alongside approaches to reducing postcolonoscopy colorectal cancer rates. Endoscopic retrograde cholangiopancreatography EQIP will adopt a regional approach of using local data to support network-based QI. Newer areas of endoscopy practice such as small bowel endoscopy and endoscopic ultrasound will focus on identifying key performance indicators as well as standardising training and accreditation pathways. EQIP will also support QI in management of GI bleeding as well as standardising the approach to new techniques and technologies. Where evidence is lacking, approaches to gather new evidence and support the translation into clinical practice will be supported.

  • endoscopy
  • gastrointestinal bleeding
  • endoscopic procedures

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  • Contributors CJR and SK drafted the manuscript. JA, MMc, AMV, AJM, PB, JEE, GW, KWO and IDP reviewed and edited the manuscript. CJR completed the final article revision.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Commissioned; externally peer reviewed.

  • Correction notice This article has been corrected since it published Online First. The provenance and peer review statement has been corrected to Commissioned.