Flexible Nasal Endoscopy in the UK: A Snapshot Survey of Video Flexible Nasal Endoscopy Utilisation Across ENT Departments

Introduction: Flexible nasal endoscopy (FNE) is an essential skill in ENT. Video FNE enhances patient safety, communication, and documentation, yet provision across UK ENT departments is unclear. This study aimed to evaluate current use of video FNE, capacity to store recordings in electronic patient records and changes in practice following the COVID-19 pandemic. Methods: A cross-sectional telephone survey of 50 UK ENT departments was conducted between April–June 2021. A Google Forms questionnaire assessed available FNE equipment, ability to record and upload findings, and practice changes post-pandemic. Results: Thirty-seven departments responded (74% response rate). In the emergency setting, 62% had access to video FNE; with 7 departments able to upload recordings to electronic patient records. Video provision was greater in tertiary than district general hospitals (70.6% vs. 55%). Nineteen departments reported pandemic-related changes, including increased use of single-use and video systems. Conclusion: Provision of video FNE remains inconsistent and integration with electronic records is rare. Wider adoption and digital integration could transform emergency ENT practice, supporting safer, more sustainable, and standardised care nationwide.