The nurse-led endoscopy service has been successfully initiated with a high completion rate for flexible sigmoidoscopies. All significant conditions were identified with 99% sensitivity. Nurse endoscopy is a safe, useful and practical procedure in the setting of this district general hospital.

Introduction NHS Bowel Cancer Screening Programme (BCSP) was established following successful pilot screening programmes in England and Scotland. 1 The BCSP commenced in 2006 with a 3-year phased implementation offering screening to men and women aged 60-69. The programme also enabled people aged 70 and over to self-refer into the screening programme. Objectives (1) Reduce mortality from bowel cancer by up to 16%. 2 (2) Offer men and women aged 60-69 a guaiac-based FOBt every 2 years. (3) Enable those over 70 to be screened on request. (4) Offer those with an abnormal screening result a colonoscopy as the investigation of choice. (5) Refer for treatment if cancer is found at screening colonoscopy. (6) Transfer to colonoscopic surveillance within BCSP where intermediate/high risk polyps are found. Methods The programme comprises fi ve regional programme hubs responsible for call and recall, laboratory processing of test kits and booking clinic appointments for participants with abnormal FOBt results. Participants with an abnormal FOBt result are referred to a local screening centre to discuss colonoscopy with a specialist screening practitioner (SSP) within 2 weeks and offered a screening colonoscopy within a further

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A great, informative edition covering many aspects of endoscopy care, including endoscope decontamination, the National Nurse Endoscopist Project, capsule endoscopy, and patient education and endoscopy.