Quality and Productivity case study

Somerset Flexible Healthcare Gastroenterology Group
Publication Date
16 Jul 2016
Publication Type


In 2011, a multidisciplinary group including representatives from primary and secondary care assessed the implementation of NICE's IBS guidance ( NICE guideline CG61 ) within Somerset. They examined current arrangements for diagnosis, investigation and management of IBS and explored a more patient-focused solution. The group identified cost savings by reducing outpatient activity and investigations within secondary care gastroenterology clinics (in Taunton and Somerset NHS Foundation Trust and Yeovil District Hospital NHS Foundation Trust) of people aged 16–45 with no red flag symptoms and likely IBS. The cost savings were used to fund faecal calprotectin (FC) testing through GPs and a specialist gastroenterology dietetic community service.