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...


Data-driven tools in health and care


Ellen Coughlan reflects on a recent workshop, exploring key questions about how to develop...


Working as a GP through the pandemic: using online tools as part of a hybrid model of care to meet the needs of patients and staff


Dr Minal Bakhai reflects on how the recent IAU study of patients at general practices using digital...

Kjell-bubble-diagramArtboard 101 copy

Get social

Last month saw the latest round of NHS reforms — in the Health and Care Bill — become law. However @JenniferTHF w… https://t.co/GDAoGD6rCi

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