Admin

Service

Patient

Research

Technology

Communication

Decision points / Exit

Patient selection

Patient invitation

Procedure

Reporting and

follow-up

Post-procedure

Pre-procedure

Symptomatic and surveillance

patient vetting

Note alternative diagnostic test in case patient declines SCOTCAP procedure. Alternative: colonoscopy or flexisigmoidoscopy.

Endoscopy referral SCOTCAP

received

SCOTCAP invitation sent out

Patient accepts/declines

If declined then patient returns to same point on endoscopy waiting list.

Discharge letter to patient and GP

Arrange further tests if required:

colonoscopy / CT scan / flexesigmoidoscopy

Endoscopy referral to SCOTCAP

SCOTCAP commence consultation process and on-boarding of patient.

Possible delay at patient’s request.

Referral processed by SCOTCAP. eGFR clinical guidelines followed and any requests for repeat bloods initiated.

SCOTCAP starts pharmacy request process with NHS pharmacy and post bowel prep and instructions when available.

SCOTCAP receives belt and

recorder via NHS transport.

CCE analysed and report produce returned to the NHS

Disconnect belt and recorder.

Return belt and recorder.

Meet patient and sign consent form

Ensure patient has fasted since bowel prep intake. Patients shows SCOTCAP nurse photo of last motion as evidence.

Check patient ready to proceed?

Possible short delay for more prep or water.

Patient attends hub for CCE

procedure

Wait until capsule has been excreted or,

The battery is empty

or,

it is bedtime.

Download CCE report from SCOTCAP

Clinical decision point

Place belt and recorder on patient and sync.

Patient swallows capsule.

Check there are no adverse effects.

SCOTCAP pre-clinic call. Is patient ready to proceed? Check with clinician if concerns about compliance. Arrange clinic date.

Patient leaves with booster package (and instructions for use) and instructions for disconnecting belt.

Patient takes bowel prep

Patient continues to take bowel prep in advance of procedure

Key

Recommendations

Governance

Roles and

Responsibilities

Technology Adaption

and Adoption

Challenges

Opportunities

Process

Evaluations