Guideline for obtaining valid consent for gastrointestinal endoscopy procedures

Area of Science:

• Gastroenterology
• Medical Law
• Patient Safety

Background:

• Significant advancements in endoscopy and informed consent practices since 2008 necessitate updated guidelines.
• Current practices are influenced by General Medical Council (GMC) guidance and legislation.
• Endoscopic procedures carry inherent risks, making valid consent crucial.

Purpose of the Study:

• To provide updated recommendations for obtaining informed consent in UK gastrointestinal (GI) endoscopy.
• To address legal and practical aspects of consent for both elective and emergency procedures.
• To guide endoscopists in diverse patient scenarios, including those with and without capacity.

Main Methods:

• Development of recommendations through an iterative voting process.
• Informed by existing UK legislation and General Medical Council (GMC) guidance.
• Guideline focuses on UK law, noting variations across devolved countries.

Main Results:

• A series of recommendations covering most situations encountered by endoscopists.
• Guidance provided for patients with and without capacity.
• Sections detailing information provision and the consent process for various patient situations.

Conclusions:

• The guideline aims to enhance the patient experience in UK endoscopy units.
• Endoscopists must be aware of legal requirements and variations across the UK.
• Recommendations offer a framework, with advice on seeking legal counsel when necessary.