{
  "abstract": "Background In many NHS gastroenterology services, quality improvement (QI), audit, and educational activity remains fragmented and short-lived. Projects are often dependent on individual enthusiasm, lose momentum with trainee rotation, and lack visibility or progression to meaningful outputs. This leads to duplication, poor continuity, and missed opportunities for service improvement. We aimed to create a consultant-led infrastructure to provide structure, oversight, and continuity for gastroenterology innovation.Methods GENIUS was established as a consultant-led framework supporting multiple parallel QI, education, and research workstreams across a district general hospital network. The model standardised how projects are identified, mentored, delivered, and disseminated. Three core pillars were embedded: (1) structured education (Gastro360°), (2) service improvement and SOP development, and (3) a research and innovation pipeline. Project teams were intentionally multigrade, involving consultants, specialty trainees, foundation doctors, SHOs, and specialist nurses. Digital group-based coordination enabled regular oversight and task allocation with minimal administrative burden.Results Within six months, GENIUS supported six active multidisciplinary projects, engaged over 20 clinicians across grades (compared with four in the preceding year), and generated three national poster submissions. Supported outputs included Trust-wide rota redesign, formalisation of three service SOPs, and initiation of Barrett’s surveillance, IBD biologic monitoring, and ERCP outcomes projects. Individual workstreams involved up to 16 clinicians, maintaining continuity despite trainee rotation. Participants reported clearer project ownership, improved access to consultant mentorship, and greater confidence in delivering sustainable QI and research. GENIUS also created a single, visible forum for aligning improvement work with departmental priorities, reducing duplication and improving follow-through.Conclusion GENIUS shows that sustainable gastroenterology improvement depends on infrastructure rather than isolated projects. A consultant-led framework with defined governance, multigrade engagement, and low-burden coordination can convert fragmented effort into reliable delivery and visible output. This model can be adopted rapidly within existing NHS structures and provides a practical blueprint for Trusts seeking to stabilise QI activity, retain institutional memory, and embed continuous improvement in routine gastroenterology practice. Future phases will focus on regional collaboration across neighbouring Trusts, with the aim of scaling GENIUS into a nationally transferable operating model for gastroenterology services.Abstract FP20 Figure 1Outcomes of hot clinic attendance",
  "authors": [
    {
      "affiliations": [
        "University Hospitals of Morecambe Bay NHS Foundation Trust UK",
        "Lancaster, United Kingdom"
      ],
      "name": "Waqas Gaba"
    }
  ],
  "title": "FP20 GENIUS (gastroenterology network for innovation, understanding & science): a consultant-led infrastructure for sustainable quality improvement in gastroenterology",
  "uid": "d7c1e466-6c4b-5e99-b245-fadfb01964e6"
}