1. GASTRINTESTINAL ENDOSCOPY ‘THE IDEAL AND THE REALITY’ Dr I Barrison

2. The push for quality ACCESS -waiting times -protocols/guidelines -consent/information -patient-centred

3. COMPETENCE -JAG -’training the trainers’ -’looking but not seeing -nurse endoscopist training/supervision/development

4. SAFETY -equipment and disinfection -staffing -environment -sedation/therapeuticprocedures

5. REPORTING -best use of IT -recording and analysis of complications -aggregate data available for audit

6. Bsg snapshot of current practice Questionnaires from 102 units,the majority’two room departments

7. ACCESS open access % gastroscopy 86 flexible sigmoidoscopy 43 colonoscopy 13

8. STAFFING Two endoscoping consultants/100,000 pop. Average total/unit is 6.3(includes surgeons)

9. STAFFING(NURSING)

10. Daily average number of staff /room

11. Number of endoscopes

12. Computerised record systems Only available in 75% of units,very few are windows linked or linked to hospital patient indexes

13. Complimentary investigations

14. AIMS OF THE SYMPOSIUM -best available practice -quality targets -standards for audit -business planning -increase capacity and throughput