3 Red flags2WWNICEInadequate responseconsider referral
4 Currently available pathways 2 WW - only for suspected cancerStraight to test endoscopyUltrasoundGastroenterology OPA (+/- OGD and US)ONE STOP CLINICProvide definitive testing and consultation in single Royal London visit
5 2WW Dyspepsia OGD USS red flag symptoms Back to GP Standard approachesto managementBack to GPReferral to one-stop clinicOGDUSSConsultationReferral form vetted+ / -+Ongoing 2o care investigations
11 One-stop dyspepsia clinic Benefits for GPsDefined pathway for patients with dyspepsiaTimely completion of package of investigations and management planEarlier diagnosis and managementPrompt return back to primary careLonger term savings?Benefits for patientsOne visit to hospitalRapid comprehensive investigation and management plan (diagnosis + reassurance)
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