Aim: To identify and analyse the reason for prolonged waiting time of the patients in

the endoscopy department.

Materials and Methods: The study was an observational survey. PDSA (Plan Do Study Act) cycle was the strategy planned to take out the whole study in endoscopy department, GMC JAMMU, for 3 months. Secondary data from a manual endoscopy time motion study proforma to develop a discrete event simulation model of the endoscopy department was used.  

Results: Patients with the latest scheduled appointment times arrived earliest; for example patients with afternoon appointments (after 1PM) arrived 179 minutes earlier for their appointment compared to patients scheduled at 8AM who arrived 28 minutes earlier

Conclusion: Objective measures of patient access (‘feelings are good but measurements are better’) are key to lobby government for increased resources to ensure adequate ‘supply’ of physician and endoscopy resources