CLEAR VIEW: Improving Bowel
Preparations for Colonoscopy
Amanda Blair, Eileen Buchanan, Aaren Clarke, Vi Gray, Naomi Fujitani (Access & Inclusion
(Advocacy) Officer) Gemma Smyth (Adult Learning Disability Health Facilitator)
• 5% increase in demand for endoscopy annually
• To reduce number of unnecessary repeat
procedures
• Literacy levels of the patients attending for
procedures is variable
• Need to improve patient information and patient
compliance with instructions
• Ensure a positive patient experience.
• Co-design and Co-production with Service
Users is essential
• Keep it simple
• Small changes can have a big impact on
both patients and services
• Next step is to continue work to develop a
You Tube Video and explore the use of
subtitles and sign language.
Why is this Important?
Outcome Measures
Learning and Next Steps
Aim
To decrease the number of
repeat colonoscopies due to
poor bowel preparation from
eight per week to five per week
by September 2019 for
Outpatient colonoscopies on
the Altnagelvin site.
What has the Project Achieved?
What are we doing and why?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0
5
10
15
20
25
30
35
40
45
Inadequate
bowel
preparation
Patient
discomfort
Excessive
looping
Pathology
encountered
Patient
withdrew
consent
Diverticular
Disease
Drop in
blood
pressure
Not recorded
Cumulative %
Frequency #
Reasons for Incomplete Colonoscopies
80% Cut off
(80:20 Rule)
Weekly Saving -
£2100
Annual Saving -
£109,200
Number of repeat
colonoscopies
decreased from
8/week to 5/week
Released
capacity for 156
colonoscopies/
year
30