SUMU-Endo: Single-use vs. Multiple-use Endoscopes in gastroenterology

  • Research type

    Research Study

  • Full title

    SUMU-Endo: Single-use versus Multiple-use Endoscopes in gastroenterology: multi methods analysis to balancing infection control and environmental impact

  • IRAS ID

    330288

  • Contact name

    Ramesh Arasaradnam

  • Contact email

    Ramesh.Arasaradnam@uhcw.nhs.uk

  • Sponsor organisation

    University Hospital Coventry and Warwickshire

  • Duration of Study in the UK

    0 years, 6 months, 2 days

  • Research summary

    The NHS has an ambition to be the first global healthcare system to deliver a net zero target by 2040. If we are to achieve this, then some current practices in medicine may or may not need to change to embrace sustainability.

    We are seeking to apply multi-methods analysis to determine the relative impacts of single-use or multiple-use endoscopes on infection risk, NHS costs, experiences of NHS and other staff, and on the environment (including disinfection or disposal). This will be achieved through five specific work packages over 24 monthsperts. This study forms Work Package 4.

    Endoscopy is a relatively invasive intervention from the perspective of patients. Patients know they are receiving endoscopy, and often know what the procedure involves and who might do it. However, little information is shared regarding the medical device (the scope) which the clinician uses to perform the intervention. Patients may not be aware that different types of endoscopes are available, with varying environmental profiles.
    This study is important to understand and work with the degree of risk people having endoscopy are willing to accept, and to understand what additional information people would like, in order to feel satisfied with different endoscope options. It will be important to determine how the balance between infection control and environmental impact should best be communicated to people in accessible formats.

    The aim of this study is to explore the views and experiences of patients receiving endoscopy and staff involved in procuring , performing endoscopies, cleaning and decontaminating endoscopes. This will involve interviews with NHS patients and focus groups with NHS staff. Pre-work and discussion with patient contributors suggests that key questions will aim to understand staff and patients' perception of risk from reuse or disposal of equipment, and views about environmental impact of medical procedures.

  • REC name

    London - City & East Research Ethics Committee

  • REC reference

    24/PR/0316

  • Date of REC Opinion

    27 Mar 2024

  • REC opinion

    Favourable Opinion