In some circumstances it may be appropriate to proceed to directly to same day consultation and endoscopy or colonoscopy, rather than a separate consultation in the days prior to your procedure. The main advantage to patients of direct access procedures is that reduces delays in seeing our doctors, which may be important for urgent conditions.

When is this appropriate?

• there is a clear-cut indication for a procedure (i.e. positive stool test for blood, significant family history of bowel cancer, surveillance colonoscopy in a patient with a prior history of colonic polyps, rectal bleeding in a patient over 40)

• the patient is young (< 70-year-old) and medically fit, without significant medical problems or complex medications (blood thinners, insulin, diabetic medications)

• the patient is comfortable with this type of encounter. Some patients have strong preferences to be seen on a separate day before the procedure, to discuss their problem and potential procedures in an unhurried way.

How is it arranged?

Our doctors will review all referrals and identify patients who may be suitable. In addition, patients or referrers can request this.  If patients are deemed suitable, they will be contacted by our rooms to arrange appointment times for the procedure and will receive relevant information concerning fasting instructions, bowel preparation procedure (if relevant) and management of medications around the procedure.

What happens on the day?

You will be seen by our doctors prior to the procedure and consent for the procedure will be obtained. Our doctors will also see you after the procedure to discuss the results and arrange for management and follow up if needed. You will receive a full copy of the procedural report on the day and sick certificates if required.