Hussein Mohamed, Dunn Jason, Sultana-Miah Farhana, Hoque Sami, Albusoda Ahmed, Asilmaz Esra, Marelli Laura, Raymond Regina, Eldragini Mohsen, Grimes Michael, Gulati Shraddha, Saramosing Juriese, Kumar Mayur, Knights Eleanor, Sehgal Vinay, Maxwell Paul, Rajendran Arun, Padaruth Shamima, Stevens Sophie, Coda Sergio, Despott Edward, Banerjee Saswata
Guy's and St Thomas' NHS Foundation Trust.
Guy's and St Thomas' NHS Foundation Trust.
Clin Med (Lond). 2025 Mar 4;25(3):100300. doi: 10.1016/j.clinme.2025.100300.
To assess the impact of pilot transnasal endoscopy (TNE) services on workforce efficiency, allocated procedure times and patient tolerance of procedures. The aim was to also understand the challenges of setting up a TNE service.
Six-month data were collected from ten sites. Data captured included productivity, performance, workforce numbers, facilities and quality metrics. A patient survey was done to capture patients' experience. An eight Likert-style and open question survey was designed and used. Pilot sites were visited using a semi-structured interview process.
About 30% of the pilot sites carried out the TNE service outside of the endoscopy unit. There is an overall 25% improvement in workforce efficiency with TNE. Of those patients who had both a TNE and an oesophagogastroduodenoscopy, 78% reported that having the TNE procedure was a better experience. All sites reported that they will continue providing TNE beyond the pilot period. Sites carrying out TNE reported a high satisfaction with the services. Overall satisfaction with the quality of TNE imaging was very high.
This multicentre pilot project shows evidence that the integration of TNE services has a positive impact in increasing capacity and patient satisfaction. This should set the scene for scaling this up on a wider capacity. TNE services, particularly with an introduction into outpatients, will improve service capacity in endoscopy, patients will tolerate the procedures more, national 2-week wait and Faster Diagnosis Standard targets will improve, and it is potentially more cost efficient overall.
评估试点经鼻内镜检查（TNE）服务对劳动力效率、分配的手术时间和患者手术耐受性的影响。目的还包括了解建立TNE服务所面临的挑战。
从10个地点收集了6个月的数据。收集的数据包括生产力、绩效、劳动力数量、设施和质量指标。开展了一项患者调查以了解患者的体验。设计并使用了一项包含8个李克特式问题和开放式问题的调查。通过半结构化访谈流程对试点地点进行了走访。
约30%的试点地点在内镜检查单元之外开展TNE服务。TNE使劳动力效率总体提高了25%。在同时接受TNE和食管胃十二指肠镜检查的患者中，78%报告称接受TNE手术的体验更好。所有地点均表示在试点期结束后将继续提供TNE服务。开展TNE服务的地点对该服务满意度很高。对TNE成像质量的总体满意度非常高。
这项多中心试点项目表明，TNE服务的整合对提高服务能力和患者满意度具有积极影响。这应为在更大范围内推广奠定基础。TNE服务，尤其是引入门诊服务后，将提高内镜检查的服务能力，患者对手术的耐受性将更高，国家2周等待目标和快速诊断标准目标将得到改善，而且总体上可能更具成本效益。
