Endoscopy Services
Trusted processes for elective recovery across the NHS
Our Understanding of Endoscopy
Endoscopy is a core diagnostic and therapeutic service within the NHS, critical to cancer pathways and the management of gastrointestinal disease. It encompasses procedures such as gastroscopy, colonoscopy, flexible sigmoidoscopy, ERCP, and EUS.
Demand for endoscopy continues to rise year on year, driven by bowel cancer screening programmes, rising referral rates, and the need for surveillance in conditions such as inflammatory bowel disease and Barrett’s oesophagus. Many Trusts face significant backlogs, with delays in endoscopy leading to late cancer diagnoses, prolonged symptoms, and breaches of two-week wait and 62-day targets.
At NCI, we recognise that endoscopy is central to meeting both elective recovery and cancer pathway performance. It requires consultant-led delivery, robust governance, and compliance with national accreditation standards.
Our Approach to
Endoscopy Insourcing
- Diagnostic gastroscopy, colonoscopy, and flexible sigmoidoscopy
- Therapeutic procedures including polypectomy, dilation, haemostasis, and stenting
- ERCP and EUS (where facilities are available)
- Surveillance endoscopy for chronic disease management
- Support for bowel cancer screening and urgent suspected cancer pathways
Consultant-Led Expertise
All services are delivered by Consultant Gastroenterologists, Colorectal Surgeons, or Upper GI Surgeons with extensive NHS experience. They are supported by endoscopy nurses, decontamination staff, and anaesthetists where sedation is required.
Comprehensive Service Coverage
We provide capacity across:
Pathway Integration
Our teams align with local Trust protocols and integrate fully into cancer MDTs. All services are delivered in line with JAG accreditation requirements, NICE guidance, and national endoscopy quality standards.
Governance & Patient Safety
Patient safety is paramount. We operate within robust governance frameworks, including incident reporting, adverse event monitoring, and regular audit of KPIs such as adenoma detection rate (ADR) and caecal intubation rates. Outcomes are shared transparently with partner Trusts.
Key Benefits of
NCI’s Endoscopy Support
Rapid mobilisation of consultant-led endoscopy teams
Increased diagnostic and therapeutic capacity to reduce backlogs
Support for urgent cancer pathways and bowel cancer screening
Seamless integration with Trust governance, IT systems, and JAG processes
Transparent pricing and a sustainable local recruitment model