Rapid Access Patient Investigation and Diagnosis Portal (RAPID-P) is a model of practice developed and piloted in primary care by Westcliffe Health Innovations and Oberoi Consulting.

In June 2015, the National Institute for Health and Care Excellence (NICE) advised a standard for offering urgent and direct access to endoscopy in two weeks and definitive diagnosis within four weeks. RAPID-P is designed to successfully implement this for upper gastrointestinal (GI) cancers. Each patient completes a secure online self-triage questionnaire, which grades responses to answers with either:

  • direct straight to test at an endoscopy clinic
  • straight to test at an urgent specialist outpatient clinic with a consultant gastroenterologist
  • a prompt GP appointment.

This process bypasses an initial GP appointment, as a physical examination adds nothing to decision making for this condition. Plan-Do-Study-Act testing was conducted to ensure safety and acceptability to patients.

From January to May 2017, 69 patients with upper gastrointestinal symptoms completed the questionnaire. Early results taken from tracking a small sample of these indicate those identified with:

  • red, urgent referral, were referred and seen within seven days
  • high amber, direct referral recommendation, were seen within 14-25 days, with 50% seen within 14 days.

All patients received a confirmed diagnosis and initiated an appropriate treatment pathway, and all referrals were within NICE’s recommended time and faster in <50% of cases. The intervention is now standard care across the participating practices.

You might also like...

Blog

Who is most vulnerable to health-related misinformation about COVID-19?

Blog

Research at The Alan Turing Institute reveals who is most likely to believe online misinformation –...

Chart

NHS Test and Trace performance tracker

Chart

Our latest analysis on the performance of NHS Test and Trace (up to 10 February).

Chart

How are total triage and remote consultation affecting prescribing patterns?

Chart

COVID-19 has seen the rapid and widescale adoption of online and digital tools such as total triage...

Kjell-bubble-diagramArtboard 101 copy

Get social

Universal credit uplift, furlough extension and a rise in corporation tax are all welcome but public services under… https://t.co/o5X4o9zDxp

Follow us on Twitter
Kjell-bubble-diagramArtboard 101

Work with us

We look for talented and passionate individuals as everyone at the Health Foundation has an important role to play.

View current vacancies
Artboard 101 copy 2

The Q community

Q is an initiative connecting people with improvement expertise across the UK.

Find out more