Evaluating a potential solution that would contribute to the delivery of a colonoscopy service that has capacity to meet demand on a sustainable basis across Scotland.


SCOTCAP is regarded as an integral part of the national redesign of outpatient gastroenterology services as it enables early and effective screening in the community, avoiding unnecessary referrals for hospital outpatient appointments. SCOTCAP was endorsed by the Programme for Government 2018/19 and is an evaluation project involving 3 Health Boards - NHS Highland, NHS Grampian & NHS Western Isles.

The evaluation project runs June 2019 and concludes November 2019 and sees patients receive a less invasive form of endoscopy in local community hubs and their own homes, thereby minimising the impact on their daily lives.


Bowel cancer is the second most common cancer globally, having a very high prevalence in Scotland.

The SCOTCAP evaluation project builds on the feasibility and economic studies conducted in the DHI phase 1, HICAP project. The evaluation compares models of delivery encompassing rural and urban comparison sites. It focuses on the use of video capsule diagnostic services capturing images, remotely analysing and digitally marking them to support consultant diagnosis. The video capsules are prescribed by GPs within the primary care setting, meaning patients do not have to travel to the hospital for tests. The service is highly accurate, with the potential to be cost effective, less invasive and more acceptable to patients than existing traditional colonoscopy procedures.

NHS Highland and University partners (Universities of Aberdeen and Strathclyde), are managing the evaluation, working with Medtronic and Corporate Health International to co-create the new service process within the NHS, analyse the large amount of data that the new form of endoscopy generates and provide quick and accurate results to NHS clinicians and patients.
SCOTCAP aims to deliver a scalable national service model and case for investment for a video capsule endoscopy service for Scotland.

One of the unique aspects of the project is the creation of Scotland's first Innovation Partnership procurement contract, which has enabled thus far, commissioning bodies to "partner" and work collaboratively with private sector companies to both develop and test a new service within the community. Significantly, these services could be rolled out across Scotland, without the need for a further procurement, if the evaluation proved successful.


Impact & Value

It's anticipated that this service innovation will:

  • Enable early and effective screening in the community;
  • Reduce the total cost of gastrointestinal diagnostics and avoid unnecessary referral for outpatient appointments;
  • Eliminate unnecessary travel for patients;
  • Deliver an Innovation Partnership Framework to support innovative procurement for Public Services in Scotland.