This quality standard covers investigating and managing symptoms of dyspepsia (indigestion) and gastro-oesophageal reflux disease (heartburn or reflux) in adults (aged 18 and over). It describes high-quality care in priority areas for improvement.

It does not cover diagnosing or managing cancer of the oesophagus or stomach. Recognising and investigating symptoms of suspected cancer in primary care is covered by NICE’s quality standard on suspected cancer.

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We check our quality standards every August to make sure they are up to date.

Quality standard development process

How we develop NICE quality standards