Transcript One-stop dyspepsia clinic - NHS Tower Hamlets Clinical

ROYAL LONDON HOSPITAL
One-stop dyspepsia clinic
Dyspepsia
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Epigastric pain / discomfort
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Upper abdominal bloating / fullness
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Excessive flatulence
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Nausea
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Fatty food intolerance
NICE
Red flags
2WW
Inadequate response
consider referral
Currently available pathways
•
2 WW - only for suspected cancer
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Straight to test endoscopy
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Ultrasound
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Gastroenterology OPA (+/- OGD and US)
ONE STOP CLINIC
Provide definitive testing
and consultation in single
Royal London visit
red flag
symptoms
Dyspepsia
Standard
approaches
to management
2WW
Back to GP
Referral to
one-stop clinic
Referral form vetted
OGD
+/-
USS
+
Consultation
Ongoing 2o care investigations
One-stop dyspepsia clinic
Benefits for GPs
•
Defined pathway for patients with
dyspepsia
•
Timely completion of package of
investigations and management plan
•
Earlier diagnosis and management
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Prompt return back to primary care
•
Longer term savings?
Benefits for patients
•
One visit to hospital
•
Rapid comprehensive
investigation and management
plan (diagnosis + reassurance)
Thank you