Delivering high quality endoscopy is a priority of the NHS Scotland clinical and service teams.The Scottish Government commissioned the National Endoscopy Programme Team, with the Centre for Sustainable Delivery (CfSD), and Scottish Government officials routinely monitor Health Board performance against the eight key diagnostic tests, including upper endoscopy, lower endoscopy, colonoscopy, cystoscopy, which are used for the diagnosis and surveillance of gastrointestinal problems such as ulcerative colitis and intestinal polyps.The National Endoscopy Programme Team also supports on-site visits to all Boards to identify local issues, offer Boards support to develop Demand, Capacity, Activity and Queue (DCAQ) information/capacity planning, and promote alternatives to traditional endoscopy such as CytoSCOT, where clinically appropriate.In addition, CfSD’s Gastroenterology Specialty Delivery Group (SDG) is working to develop national pathway recommendations for gastroenterology diseases such as Irritable Bowel Syndrome and Irritable Bowel Disease.