one-stop dyspepsia clinic
DESCRIPTION
One-stop dyspepsia clinic. ROYAL LONDON HOSPITAL. Dyspepsia. Epigastric pain / discomfort Upper abdominal bloating / fullness Excessive flatulence Nausea Fatty food intolerance. Red flags 2WW. NICE. Inadequate response consider referral. ONE STOP CLINIC - PowerPoint PPT PresentationTRANSCRIPT
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One-stop dyspepsia clinic
ROYAL LONDON HOSPITAL
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Dyspepsia
• Epigastric pain / discomfort
• Upper abdominal bloating / fullness
• Excessive flatulence
• Nausea
• Fatty food intolerance
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Red flags2WW
Inadequate response
consider referral
NICE
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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
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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
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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
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Thank you