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Read the new Gastroenterology Advice & Guidance


The NHS has seen major changes to outpatient services in recent years, accelerated by adopting remote consultations and telemedicine during the pandemic.
This guide provides advice and templates for a key aspect of outpatient services, Advice and Guidance (A&G) which is also known as Specialist Advice Services. A&G is one of a number of tools that are available to promote closer working between primary and secondary care with the aim of improving and streamlining patient care. A&G can support GPs to provide optimum gastroenterology support to patients closer to home, aided by guidance from specialist gastroenterology teams.

The importance of clinical care governance and risk being shared between primary and secondary care is key when having A&G conversations and this is covered in detail in this guide and linked resources. Repeated patient referrals regarding the same condition may require a more personalised approach with the GP and patient to resolve, which may include an outpatient appointment with secondary care. This is essential to ensure patients receive the best possible care and that good relationships are maintained between primary and secondary care and with the patient.

A&G is one of the crucial elements to efficiently performing outpatient services. This guide will support 
trusts to implement best practice and to empower patients through shared decision-making, whilst minimising unnecessary and inefficient outpatient activity.

Please click here to read this resource. 

This document outlines how to login/join FutureNHS and how to access the GIRFT workspace if you are having difficulties. If you require any further support accessing this material, please contact [email protected].

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November 11, 2025

Applications open for BSG Mentoring Lead

Applications are now open for the role of BSG Mentoring Lead from December 2025.

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November 10, 2025

BSG Member Professor Alan Lobo Shortlisted for National Leadership Award

Professor Alan Lobo, Consultant Gastroenterologist at Sheffield Teaching Hospitals NHS Foundation Trust, Professor of Gastroenterology at the University of Sheffield, and a longstanding member of the British Society of Gastroenterology (BSG), has been named a finalist for Clinical Leader of the Year at the 2025 Health Service Journal (HSJ) Awards.

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November 05, 2025

We are inviting expressions of interest to join a Clinical Endoscopists Working Group

We are keen to give our clinical endoscopist members a louder voice within the BSG. Could you represent regional colleagues on issues important to you, including workforce, training, education and research?