New Study Highlights Urgent Need to Improve GI Bleed Service Coverage
Friday, 03 July 2015 11:33
The British Society of Gastroenterology (BSG) has welcomed the publication of a landmark report into gastrointestinal (GI) bleed services, and repeated its calls for urgent action to improve service provision and protect safety for all patients in the UK.
Half of hospitals that patients are admitted to as an emergency cannot provide all the services they might need for a GI bleed, according to the study by the National Confidential Enquiry into Patient Outcome and Death (NCEPOD). In addition, NCEPOD found that 32% of hospitals in their sample admitting GI bleed patients did not have a 24/7 endoscopy service, and issued a clear call for this to change.
The BSG has been working with its members and relevant agencies for several years to improve the provision of acute upper GI bleed (AUGIB) services, including through:
- A series of clinical audits on GI Bleeds nationally, including the audit conducted with the National Blood Service reported in 2010
- Working with NHS Improving Quality (NHS IQ) to audit services across England, documented in the launch of a report in 2014 which included models for service improvement
- Developing an Upper GI Toolkit with the Academy of Medical Royal Colleges
- Contributing to the development of NICE guidance
- Holding workshops with NHS IQ for BSG members on how services could be improved
- Held a number of events at its annual conferences to highlight the issue
In addition to this, work is ongoing with NHS England to re-audit services to see where improvements have been made over the past two years. The BSG membership is united in its determination to see service change to make sure that patients with a GI bleed have access to the specialist services they need in an appropriate and timely manner.
Commenting, British Society of Gastroenterology President, Dr Ian Forgacs, said:
"This report is another important reminder of the urgent need to ensure that patients everywhere have access to GI bleed services available 24/7 either onsite or through a comprehensive network.
"Working with members to improve these services has been a key priority both for myself and the BSG for many years now, and this report is a reminder that there is still some way to go to deliver the services patients need and deserve.
"With the current political focus on delivering seven day services, particularly in areas where there is a high risk of mortality without appropriate treatment, there is a strong case for improving GI bleed services to be a key part of that agenda and we hope this report will help to build momentum and will for change around this issue.
"Until we see wholesale change to safe, comprehensive and high quality service coverage, the improvement of GI bleed services will remain a top priority for the BSG and its members."
BSG – ESD Interest Group
Thursday, 12 December 2013 09:54
- To develop and support training & service standards in Endoscopic Submucosal Dissection of the GI tract.
- To encourage participation in UK multicenter research on ESD of the GI tract
Core Development group:
Prof Pradeep Bhandari (Chair)
Dr Sunil Dolwani (Secretary)
Dr Noriko Suzuki (Technical Lead)
Membership - Membership of the group is open to members of the BSG who can demonstrate their ability, motivation and local/regional support for the development of ESD in the UK. Members are expected to participate in workshops and will benefit from access to international and national faculty as part of the workshops as well as participation in discussion regarding pathways for referral, technical aspects and regional networks for ESD in the UK.
Annual program of the BSG- ESDIG – The Group is supported by the Endoscopy committee of the BSG and aims to continue workshops at least twice a year in the UK with invited International faculty, live case demonstration, hands on time on animal models to assist and facilitate learning ESD techniques in a safe environment. Workshops include a discussion forum for local experience, technical and logistical tips and tricks, governance issues, UK regulation related to ESD as well as training of assistants and nurses and are generously supported by Industry partners. Members are encouraged to bring a nominated endoscopy nurse to learn from our Nurse faculty and assist them in local service set up. Workshops are usually limited to small numbers and early application is advised. Previous International Workshop faculty have included – Dr. Yutaka Saito & Dr. Takashi Toyonaga. Future plans include development of a structured individualized training program for members in collaboration with National & International colleagues and assistance with facilitation of International fellowship support through links via the core development group.
Decontamination Alert: August 2013
Thursday, 22 August 2013 08:15
Choice Framework for local Policy and Procedures 01-06: Decontamination of flexible endoscopes details that manufacturer's instructions must be followed at all times when using an Endoscope Washer Disinfector (EWD), and selecting chemicals for use.
All units are asked to check that the chemicals (detergents and disinfectants) used in their EWDs are those tested by the machine manufacturer at the type-test stage with supporting evidence of efficacy. Under no circumstances should a chemical (i.e. disinfectant) be used that was not included in the type test data for that machine, this supports the need to follow manufacturer's instructions, as non-type tested chemicals may damage the internal mechanics of the EWD, therefore a possible risk to patients may occur.
If you are unsure which chemicals are recommended in your EWD please speak to your manufacturer requesting information specifically on 'type tested' chemicals.
Dr Helen Griffiths
Nurse Consultant Gastroenterology
Decontamination representative BSG Endoscopy Committee
On behalf of the Professional Expert Communications Forum: Decontamination of Medical Devices.
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Meeting the Demand for Endoscopy Services
Monday, 30 April 2012 11:12
Steve Hughes, BSG Vice-President Endoscopy & Roland Valori National Clinical Director for Endoscopy
There will be a 75% increase (on 2010/11 activity) in lower GI endoscopy demand in England in the next four years, on top of the 50% increase in activity achieved in the last four years. This extra demand arises from screening and symptomatic work. Most services have just been coping with increasing demand in recent years, but waiting lists initiatives remain common place and a few sites have perpetually long waits. Long waits is the most common reason sites struggle to maintain JAG accreditation. There is an urgent need to do things differently to respond to the increase in demand and to make 'just coping' a thing of the past. Learning from sites that maintain low waits indicates there are two key factors that determine how well a service keeps in control of its demand: effective planning and high productivity.
In anticipation of the increasing demand for endoscopy, and appreciation of the pressures endoscopy teams are under, the JAG, in collaboration with the Bowel Cancer Screening Programme, is delivering a series of ten workshops throughout England to help endoscopy teams plan better and be more productive. The principal objective of the workshops is to enable teams to present more effective business plans to their trust boards. They are aimed at the medical and nurse lead, and their manager, and a representative of their PCT. They will be delivered in the next six months and be led by Roland Valori, NCD for endoscopy. You are strongly encouraged to attend. For more details please visit the JAG website: www.thejag.org.uk
Reducing risk of harm caused by bowel cleansing medication
Tuesday, 08 March 2011 16:39
This resource is one of a series produced by the Medicines Use and Safety Division of the East and South East England Specialist Pharmacy Services. These resources aim to support NHS organisations and practitioners from all sectors of care in implementing and assuring medication-related requirements published by the NPSA (Rapid Response Report RRR012: 'Reducing risk of harm from oral bowel cleansing solutions') to ensure that they are embedded in practice over time: a do-once-and-share approach.
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