Transforming transnasal endoscopy services: A multicentre service evaluation pilot project.

Area of Science:

• Gastroenterology
• Medical Services Management

Background:

• Transnasal endoscopy (TNE) offers a less invasive alternative for upper gastrointestinal diagnostics.
• Evaluating the operational impact and patient acceptance of TNE services is crucial for service integration.

Purpose of the Study:

• To assess the impact of pilot transnasal endoscopy (TNE) services on workforce efficiency, procedure times, and patient tolerance.
• To identify challenges associated with establishing TNE services.

Main Methods:

• A six-month data collection across ten pilot sites, including productivity, workforce, and quality metrics.
• Patient experience was evaluated using an eight-Likert-style question survey.
• Semi-structured interviews were conducted at pilot sites to understand implementation challenges.

Main Results:

• Transnasal endoscopy (TNE) services demonstrated a 25% improvement in workforce efficiency.
• 78% of patients reported a better experience with TNE compared to oesophagogastroduodenoscopy.
• All pilot sites expressed intent to continue TNE services post-pilot, citing high satisfaction.

Conclusions:

• Integration of TNE services positively impacts endoscopy capacity and patient satisfaction.
• Wider implementation of TNE, especially in outpatient settings, can improve diagnostic standards and efficiency.
• Transnasal endoscopy shows potential for cost-efficiency and meeting national diagnostic targets.