Gastroenterology & Endoscopy

18 Week Support Gastroenterology services includes general outpatient clinics and endoscopy. The service is led by Dr Matthew Banks who will work with the local clinicians to agree the clinical aspects of the service specifications such as exclusion criteria, referral pathways and local management plans.

How insourcing can help your gastroenterology team

Patients who attend our clinics for an initial consultation with a Consultant Gastroenterologist are asked for details of their symptoms and undergo a thorough examination. We then decide if they need any more tests or treatments such as blood tests, radiological scans or endoscopy. We can see both first attendance and follow up cases in our clinics and our consultant will follow all local referral pathways to ensure that those patients with well-defined or complex gastrointestinal conditions are referred to the appropriate specialist service. We have streamlined our services to enable us to take ownership of the entire patient pathway from first attendance through to endoscopy, follow up and discharge as appropriate. As such, only those patients who require complex management would be referred to the local clinicians. Our team of gastroenterologists manage all other aspects of upper and lower GI disorders including dyspepsia, GORD, IBS, gastric ulcers, swallowing difficulties to name a few examples.

18 Week Support has a robust system for managing all admin that is associated with each patient episode, that is, approving clinic letters, reviewing results of investigations and ensuring all outcomes are communicated to the patient and their general practitioner. We have also introduced virtual follow up and virtual histology clinics into the service with great success.

Our endoscopy services have been developed to support trusts with 2WW (urgent) and routine referrals as well as surveillance cases. We also offer bowel cancer screening services and support with enhanced sedation (Propofol) lists. We provide all the specialist staff required including the BCSP consultant, SSP and in the case of Propofol lists, the consultant anaesthetist, ODPs and specialist recovery nurses.

We can take ownership of Direct Access and Rapid Access endoscopy referrals by working with the local clinical leads to agree strong governance for the management of these patients. Typically, they are offered follow up appointments in 18 Week Support led clinics. If a patient requires complex management in cases such as a new IBD diagnosis or a cancer diagnosis, these patients are referred to a designated local clinician.

Gastroenterology Team

Dr Matthew Banks CL

Clinical Lead for Gastroenterology

Lisa Phillips

Nurse Lead for Endoscopy

Nicola Ellis-Webb

Head of Clinical Services

"Everyone was really clear about what was happening and put me at ease."


Alex Chilvers discusses our work with a leading teaching hospital and our flexible services.
View all videos


George Gorman talks about recruiting individuals who are safe, competent and highly qualified.
View all videos


The Princess Alexandra Hospital NHS Trust, in Harlow, Essex is a 501-bed district general hospital providing a comprehensive range of acute and specialist services to a local population of 258,000.
View all case studies

How can we help you?

Find out how we can help you clear your RTT waiting times and achieve your 18 week patient pathway targets. Call us on this number.