New in #FG this month:
🧪📊 Has FIT changed the suspected colorectal cancer pathway in real world practice?
In this regional evaluation of over 10,000 referrals across the South West, 87% of 2023 referrals included FIT, with more direct to test triage, fewer clinic appointments, and colonoscopy rates falling despite unchanged overall investigation volume.
Cancer detection rose modestly, and waiting times recovered to prepandemic levels.
However, nearly half of NG12 non compliant referrals still underwent colonoscopy, and asymptomatic patients aged over 50 with FIT >100 μg Hb/g had a cancer detection rate of 7.1%, comparable to screening populations.
🔎 The paper raises important questions about how strictly pathways should apply NG12 criteria, and whether age and FIT stratification should shape future triage models.
https://t.co/YTdRmsqcxL
@PhilSmithIsBack@OTavabie@dr_aditi_kumar@TrevorTabone@eathar_s@IrenePerezMD@KGananandan@zare_benjamin@medicalreg@dtleiberman@BritSocGastro@ACPGBI @JAG_accredit

Congratulations to @SPRing__network for their most recent paper 'Evaluating the impact of faecal immunochemical testing (FIT) on suspected colorectal cancer referrals and outcomes in the South West.'
Read it here https://t.co/hOvxxvMERl
"The 2023 census presents a system under strain"
Read the hard-hitting 2023 @JAG_Endoscopy Census from @Oliver_Bendall, @Drkeithsiau, @Rutter_Matt and colleagues #onlinefirst in FG.
https://t.co/SeV5Xxuomo
- Sites meeting waiting target for routine, surveillance and USC referrals down from 40.9% in 2019 to 2023 ⌛
- Outsourcing ⬇️ but insourcing ⬆️ with 60% of services using insourcing
- Staffing shortages the most cited reason for missing targets and not providing training
@sheiybani@VivekGoodoory@RexWHHui@DunnePdj@DrJMKennedy@MohsenSubhani
1/ Excellent article from @journo_kituno@HSJnews@HSJEditor 👇 on "tax traps" which will once again raise concerns that doctors & other high earners in the NHS could end up #PayToWork
Pls share/RT
1/ NEW & IMPORTANT: Quarterly NHS pay data updated 27/6/24 👇 In BREAKING NEWS NEW charts now show ALL SECTORS have reached #FullPayRestoration (though NOT, of course, the NHS)
We MUST fix pay/retention to fix #WaitingLists
Please read whole [long bumper] 🧵 & share widely/RT
Care to join our endoscopy team?
We currently have vacancies for:
- A specialist screening practitioner
- Registered nurses
- Assistant practitioners
- Registered nurses
- HCAs
We’re hosting an open day on 26th June where you can learn more! 1/2
📣Gastroenterology Trainees📣 Concerned about your training? Always on call? Not getting to endoscopy? Not getting GI bleed training? 🚩 We need YOU to tell us! The 2024 BSG training survey is open and should have reached you through your local rep. Please DM us if it hasn’t
Upskilling! As part of the upskilling in colonoscopy training that we provide to centres in the region, we have developed this poster which sits in all of our endoscopy rooms. What do you think has the biggest impact on polyp detection?
@drkeithsiau@Oliver_Bendall@SWETA_Network
Colon map is a segment-by-segment masterclass on how to do colonoscopy, amassed through decades of training experience from @TorbayEndoscopy. Be sure to bookmark and follow them!
We have developed the Colon Map for Training to offer a structured approach for colonoscopy intubation.
Created by training teams at Torbay and Cheltenham and Gloucester as part of the South West Endoscopy Training Academy, and based on JAG courses over last 20 years!
Our most recent mandatory OGD skills course using the new training space!
Live video link from the endoscopy room with models available to demonstrate techniques.
#endoscopy#endoscopytraining
@SPRinG__network have 2 posters on staff and patient experience of virtual clinics at #BSGLIVE22. Check it out on the conference app or alternatively after 3 flat whites and I can talk to you about it for ~ 1 hour… @dremmaw @esaunsbury
Delighted to share our systematic review on SCFAs and gut permeability in liver disease published in @JGH_latest. Very grateful for the support of @DrADhanda. A real labour of love especially as a fair chunk was written with a baby on my lap...
https://t.co/NbFraZ9gh9
Congratulations to @sheiybani for winning the research trainee project pitch at the BSG-NIHR Introduction to Trainee Research event which took place in Birmingham on 1st April! 👏 @bsgtrainees@NIHRresearch
Wow! What an incredible achievement, and a for the first very project from the @SPRinG__network. Huge congratulations to @esaunsbury @maggs_dan @sheiybani! Now the hard work begins! Really well done.
Congratulations to @sheiybani for best trainee research network project . We look forward to supporting this team to scale up to a national project
@BritSocGastro@BSGTrainees