This project developed new guidance which aims to prevent unnecessary deaths with a toolkit to improve the diagnosis and management of UGIB, particularly by providing better care 24/7. The toolkit was produced by the Academy of Medical Royal Colleges, the Association of Upper GI Surgeons, the British Society of Gastroenterology, Royal College of Nursing, Royal College of Physicians, Royal College of Radiologists, with funding support from the National Patient Safety Agency.
The toolkit includes nine service standards to support both commissioning and providing NHS organisations to deliver effective, high quality UGIB services and enable patient access to the same quality of care wherever they live in the UK.
The nine service standards are:
- There will be a nominated individual with the authority to ensure implementation by the contracted provider.
- Contracted providers will ensure the minimum service is adequately resourced.Assessment, risk scoring and resuscitation of your patients
- All patients with suspected UGIB should be properly assessed and risk scored on presentation.
- All patients should be resuscitated prior to therapeutic intervention.Time to diagnostic or therapeutic intervention for your patients
- All high risk patients with UGIB should be endoscoped within 24 hours, preferably on a planned list in the first instance.
- For patients who require more urgent intervention either for endoscopy, interventional radiology or surgery formal 24/7 arrangements must be available.Staffing of your service
- The necessary team, meeting an agreed competency level, should be available throughout the complete patient pathway.
- Each stage of the patient pathway should be carried out in an area with ‘appropriate’ facilities, equipment and support including staff experienced in the management of UGIB.
- All hospitals must collect a minimum data set in order to measure service provision against auditable outcomes (case-mix adjusted as appropriate).
Below are links to
The Toolkit which sets out the standards and possible service models for an Upper GI service -Upper Gastrointestinal Bleeding Toolkit
An evaluation framework for Providers to utilise when measuring the impact of any developments to their Upper GI bleeding service -UGIB Toolkit Evaluation
A business case template to give the user a steer towards the type of information that might be included when completing the business case -UGIB Toolkit Business Case