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