one-stop dyspepsia clinic royal london hospital. dyspepsia epigastric pain / discomfort upper...
Post on 31-Mar-2015
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One-stop dyspepsia clinic
ROYAL LONDON HOSPITAL
Dyspepsia
• Epigastric pain / discomfort
• Upper abdominal bloating / fullness
• Excessive flatulence
• Nausea
• Fatty food intolerance
Red flags2WW
Inadequate response
consider referral
NICE
Currently available pathways
• 2 WW - only for suspected cancer
• Straight to test endoscopy
• Ultrasound
• Gastroenterology OPA (+/- OGD and US)
ONE STOP CLINIC
Provide definitive testing and
consultation in single Royal London
visit
DyspepsiaDyspepsia
Referral to one-stop clinic
Referral to one-stop clinic
Standard approaches
to management
OGDOGD USSUSS Consultation
Consultation
Referral form vetted
+ / -
+
2WWred flag symptoms
Back to GP
Ongoing 2o care investigations
Benefits for GPs
• Defined pathway for patients with dyspepsia
• Timely completion of package of investigations and management plan
• Earlier diagnosis and management
• Prompt return back to primary care
• Longer term savings?
Benefits for patients
•One visit to hospital
•Rapid comprehensive investigation and management plan (diagnosis + reassurance)
One-stop dyspepsia clinic
Thank you
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