Table 2

Organisational aspects of AUGIB care

Essential criteria*Availability % (n)
Facilities for undertaking endoscopy for all patients presenting with AUGIB.92% (189/205) had OOH endoscopy available on-site
Urgent endoscopy to be available out of hours in high risk patients (OOH on call rota)52% (106/205) reported having an OOH endoscopy on call rota
Pulse oximetry monitoring to be used in all sedated patients91% (2963/3249) of first endoscopies excluding patients who had general anaesthetic
ECG monitoring to be available for high risk patients47% (96/205) of sites with this available during OOH endoscopy
Blood pressure monitoring to be available for high risk patients80% (165/205) of sites with this available during OOH endoscopy
Endoscopists reported to be capable of applying endoscopic haemostatic therapies including:n=647 (consultants on rota)
 Ulcer injection, thermal or endoclip97% (626/647)
 Variceal banding76% (492/647)
 Variceal sclerotherapy80% (517/647)
 Balloon tamponade for variceal bleeding85% (552/647)
Desirable criteria*
Endoscopy to be available for patients with AUGIB on daily list for those not requiring OOH endoscopy58% (119/205) had a dedicated Monday–Friday endoscopy slot
Nurses trained in the use of therapeutic endoscopic techniques to be available for all emergency endoscopy37% (76/205) had a nurses on-call endoscopy rota
Trainees to be under direct supervision for emergency endoscopy until passed as competent41% (666/1640) of first endoscopies performed by trainees were performed under supervision
  • * Criteria derived from BSG and ASGE guidelines8–10 and expert opinion (Endoscopy committee of BSG).