Endoscopy accounts for 40% of all day casework within the Directorate. The department has been expanded, which is a major step forward for the service. Within the self-contained endoscopy suite the usual range of diagnostic and therapeutic upper and lower gastro-intestinal procedures are performed as well as fibre-optic bronchoscopy.  We currently have six Consultant Gastroenterologists on the team and two Inflammatory Bowel Disease (IBD) Nurse Specialists.