Nearly 10 years ago, a BSG Working Party reported on the Provision of GI Endoscopy and Related Services for the District General Hospital.1 The Report was prepared to inform Hospital Managers of the need for Gastrointestinal Endoscopy and the facilities that were required for its delivery. Progress in the management of patients with gastrointestinal disease and new technology means that these guidelines are now out of date. Changes in equipment, requirements for the sterilisation of endoscopes,2, 3 advice on re-use of endoscopic accessories4 and clinical governance are only a few of the changes that have occurred during the last ten years. In addition, the introduction of Evidence Based Practice and the widespread use of Clinical Guidelines and protocols are significant factors influencing the work of Endoscopy Units.

This Report focuses on a number of key areas, including the requirements for endoscopy, where this should be performed, the facilities required in an endoscopy unit, the provision of emergency endoscopy and the relationship between the secondary and primary care sectors in the delivery of the service.