Direct Access Colonoscopy

Add to CPD Start a discussion

Please provide your patient with the information leaflet on what to expect during their appointment (see Downloads).

Eligibility criteria


  • Aged 40—70
  • New alteration in bowel habit (towards diarrhoea) >3w
  • Rectal bleeding alone if aged >55
  • Strong family history of colorectal cancer (colonoscopy recommended at age 50-55 if asymptomatic – see BSG website: Colonoscopy in High Risk Groups for more info)
  • CRC in 1 FDR aged <50y
  • CRC in 2 FDR of any age


  • Mental health problems or dementia (would they tolerate bowel prep and procedure; capacity to sign consent)
  • Recent MI or CVA within 8w
  • eGFR <30
  • Patient body weight >135kg
  • Had full colonoscopy within last 2y

How to Refer

Via e-RS, please attach the referral form (see Downloads).

Speciality—Diagnostic Endoscopy
Clinic Type—Colonic Imaging Assessment/Advice
Service Name—Direct Access Colonoscopy (40-70 ONLY) - Day Stay Unit - Homerton - RQX Details 

Contact Details

Department of Surgery and Gastroenterology
Homerton University Hospital NHS Trust
Homerton Row
London, E9 6SR