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One-stop dyspepsia clinic

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

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One-stop dyspepsia clinic

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  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. ONE STOP CLINIC Provide definitive testing and consultation in single Royal London visit Currently available pathways • 2 WW - only for suspected cancer • Straight to test endoscopy • Ultrasound • Gastroenterology OPA (+/- OGD and US)

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

  6. One-stop dyspepsia clinic • Benefits for patients • One visit to hospital • Rapid comprehensive investigation and management plan (diagnosis + reassurance) • 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?

  7. Thank you

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