Article Text

Download PDFPDF
Endoscopy provision: meeting the challenges
  1. Edward Seward1,
  2. Sophie Lumley2
  1. 1Department of Gastroenterology, University College Hospital, London, UK
  2. 2NHS England, London, UK
  1. Correspondence to Dr Edward Seward, Department of Gastroenterology, University College Hospital, 235 Euston Rd, Fitzrovia, London NW1 2BU, UK; edward.seward{at}


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.


Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.