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Direct Access Colonoscopy

WSLHD Strategic Planning Group

The Direct Access Colonoscopy (DAC) service provides a streamlined pathway for patients who have returned a positive faecal occult blood test (FOBT) to access clinical review and colonoscopy in the public health system. The overarching aim of the clinic is to improve access to colonoscopy for FOBT positive patients in WSLHD. WSLHD has the third lowest participation in the National Bowel Cancer Screening Program (NBCSP) in Australia.

Executive Director of Operations

LBVC Executive Sponsor

Heads of Departments

Clinical Leads

VBHC Manager

Two Teams

Gastroenterologist Team Leads

Clinical Nurse Consultants

Achievements • Service initiated at BMDH & additional Clinical Nurse Consultant (CNC) recruited at Westmead clinic • Significant reduction in waiting times for colonoscopy for FOBT patients • High number of patients assessed entirely over the phone • Well developed protocols and pathways for safe and efficient patient care • Patient education resources developed for Culturally & Linguistically Diverse (CALD) patients

Challenges • Endoscopy capacity • Part time CNC role • Growing demand for service

Goals 2023-2025

• Increased endoscopy capacity across the LHD • Increase outreach/awareness by engaging General Practitioner (GP) clinics • Develop DAC dashboard to actively monitor service quality

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Western Sydney Local Health District