Here’s what the ACPGBI President had to say:
“The new NCEPOD report “Time to get control?” highlights current shortcomings in the care of patients with gastrointestinal bleeding that still exist across the country. The recommendations can be summarised as follows:
- Patients with any acute GI bleed should only be admitted to a hospital with 24/7 access to on-site endoscopy, GI surgery, anaesthesia and critical care. There should also be rapid access to interventional radiology, either on-site of as part of a formal network.
- Hospitals that do not admit patients with GI bleeding must still have ready access to the above facilities, either on-site of as part of a formal network, in order to safeguard patients who develop a GI bleed.
- There should be no separation of care for upper and lower GI bleeding.
- There should be a Lead Clinician in all acute hospitals who is responsible for integrated care pathways for these patients.
- There should be consultant input to all patients presenting with a major upper or lower GI bleed.
- All patients should have a clearly documented re-bleed plan after any intervention.
The ACPGBI strongly endorses these recommendations, and supports their immediate implementation.”
Professor Robert JC Steele