At present, there is significant variation in the reporting of FIT results by endoscopists. Although ~40% of procedures are labelled as FIT not done, closer analysis shows that some endoscopists report a FIT value for almost all of their symptomatic procedures whereas others do so rarely.
It will take time for services to disseminate to their endoscopists the importance of FIT reporting for all procedures (not just 2-week-wait). This is essential to allow accurate analysis of performance. To facilitate this, service leads at all organisations will be able to access the dashboard on NED. This dashboard has three sections:
- FIT ≥10ugHb/g in symptomatic colonoscopy
This section will show performance with the primary metric. Organisations will be able to view their performance over any date range, or over their last x number of procedures, compared to the rest of the organisations uploading to NED.
- FIT bands
This section will show a breakdown of an organisations FIT reporting by showing the percentage of symptomatic colonoscopies in each of the following FIT bands, compared to the rest of the NHS as a whole:
- FIT not done
- FIT done, result awaited
- FIT negative, no value recorded
- FIT <10ugHb/g
- FIT positive, no value recorded
- FIT 10-100ugHb/g
FIT >100ugHb/g
- FIT reporting by endoscopists (avaliable only to service leads)
Service leads will be able to see a breakdown of their organisation’s endoscopists, showing the percentage of symptomatic colonoscopies that each one has recorded as “FIT not done”. This will allow them to highlight endoscopists that are not entering FIT results onto endoscopy reports and provide targeted education.
Sections 1 and 2 will also be accessible by ICBs, Cancer Alliances and Regional Leads, with data visible at higher levels as well as at the organisational level. Those with higher-level access will not be able to see individual endoscopist FIT reporting (Section 3).