Introduction Head injury is the most common cause of death and disability in individuals between 1-40 years in the UK, with roughly 200,000 annual admissions. The aim is to evaluate how effectively CT scans following a head injury are being performed with reference to NICE guidelines 1-hour criteria1 as patient’s prognosis could potentially be improved with early detection. Standards Methods Results First cycle Second cycle Conclusion About only half of the patients presenting with the risk factors got their scan done in line with NICE guidelines. Following change of ICE to include criteria patients were better categorized, eliminating any unnecessary scans, reducing waiting times and cost, improving patient flow in ED and all scans are now justifiable according to criteria. References 1-National Institute for Health and Clinical Excellence. CG176. Head Injury: assessment and early management. London. January 2014. https://www.nice.org.uk/guidance/cg176:2-irefer. The Royal College of Radiologists. Making the best use of clinical radiology services 8th edition. 2017 https://www.rcr.ac.uk/sso/irefer/v8:3-https://www.rcr.ac.uk/audit/compliance-nice-guidelines-2014-traumatic-head-injury-regard-ct

Background: Consent is an agreement between the patient and the doctor to undergo a diagnostic test or treatment. Endoscopy is a recognised test for diagnosis and treatment for many diseases of digestive tract. New guidelines have been published by the British Society of Gastroenterology regarding consent in endoscopy. Aims and objectives: This study aims to measure the compliance with guidelines on endoscopy as a diagnostic and therapeutic test. Methods: All patients who had Gastroscopy, Flexible Sigmoidoscopy or Colonoscopy in two consecutive weeks during March 2016 at a district general hospital in United Kingdom were identified through patient records. Time gap between receiving information and signing the consent for the procedure was determined. Results: Total of 231 cases were studied. Distribution of cases was Gastroscopy 103, Flexible Sigmoidoscopy 24 and Colonoscopy 104 cases. Taking all the procedures together, our study showed that all patients were given at least 24 hours to make an informed decision regarding the procedure and sign the consent. Conclusion: New guidelines incorporate some new requirements for consent in endoscopy. Further studies should evaluate these in future.