1. One-stop dyspepsia clinic
ROYAL LONDON HOSPITAL

2. Dyspepsia Epigastric pain / discomfort
Upper abdominal bloating / fullness
Excessive flatulence
Nausea
Fatty food intolerance

3. Red flags
2WW
NICE
Inadequate response
consider referral

4. 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

5. 2WW Dyspepsia OGD USS red flag symptoms Back to GP
Standard approaches
to management
Back to GP
Referral to one-stop clinic
OGD
USS
Consultation
Referral form vetted
+ / - +
Ongoing 2o care investigations

11. 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
Prompt return back to primary care
Longer term savings?
Benefits for patients
One visit to hospital
Rapid comprehensive investigation and management plan (diagnosis + reassurance)

12. Thank you