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Metro South Health Gastrointestinal Endoscopy Strategy

Project Status: 

Like many health care systems, Metro South Health’s approach to allocating resources has been based on historical patterns of use rather than current or projected data on demand and resource use.  Given the increasing demand for endoscopy services as a result of improving technology, colorectal cancer screening and an ageing population, an endorsed strategy for future gastrointestinal endoscopy services in Metro South Health is needed to ensure the effective use of resources, improve patient care and avoid long waits for investigation and treatment.

Strategies that have been implemented thus far include:

  1. The number of ways onto the endoscopy procedure lists is condensed into the following entry points:
  • inpatient referral from ED/ward (non-elective/emergency procedures only)
  • following consultation in a specialist outpatient clinic
  • through a Direct Access Endoscopy Program
  1. Establiment of a Direct Access Endoscopy Program which allows suitable patients to be referred directly for an endoscopic procedure without a prior formal consultation with a gastroenterologist or surgeon.
  2. All patients are discharged back to their GP on completion of their episode of care. The GP will be invited to refer the patient back via the Direct Access Endoscopy Program, should the patient still require an endoscopy in a public hospital, within the timeframes indicated in the NHMRC guidelines.
Aims & Goals: 

The aim of the Metro South Health Gastrointestinal Endoscopy Strategy is to develop a service framework for the delivery of services. This will identify strategies to address the current backlog for endoscopy services, manage future demand and optimise the use of infrastructure and resources.

Lead Service / Stream: 
gastrointestinal endoscopy, planning
Last updated 25 November 2019