943 Audit of Endoscopy Service Safety in District General Hospital Rated ‘Inadequate’ by the CQC

Aim In June 2021 the overall CQC rating of Weston General Hospital (WGH) was ‘inadequate’. A wave of changes including a merger of trusts between Bristol and Weston-Super-Mare has aimed at improving services across the board. The endoscopy service at WGH offers inpatient and outpatient investigations to thousands of patients every year. We aimed to evaluate the safety of the service offered over a 12-month period, using measures set out by the Joint Advisory Group on GI endoscopy and other published statistics. Method A retrospective review of periendoscopic complications in OGD, ERCP, flexible sigmoidoscopy and colonoscopy leading to re-admission within eight days of procedure or death within thirty days of procedure. Each case was analysed, using paper and digital case notes, for clinical course, outcomes and learning points. Results There were a total of 3428 cases between June 2021 and May 2022. There was an overall readmission rate within eight days of 0.002% (1 ERCP, 1 OGD, 4 colonoscopy). There was a mortality rate of 0.0003% (1 case of post-ERCP pancreatitis). A review of cases showed all complications were recognised complications of the given procedure and treated appropriately in a timely manner. Conclusions It was concluded that the endoscopy service at WGH was safe and viable. Numbers of readmissions and deaths related to endoscopy were similar to previous audits and well below the published rates of complications in literature.