Medical Team At Musgrove Park Hospital we have re-configured the medical team, re-allocating unspent budget to develop a highly successful Clinical Fellow team (F3+) and to bring in non-HEE registrars. This has meant a significant improvement in distribution of service activity, with subsequent enhanced opportunities for training. This has improved productivity and job satisfaction for doctors and consultants. Endoscopy Following substantial post-COVID investment by NHS England, Endoscopy at Musgrove Park Hospital is extremely well established with state of the art equipment in 6 rooms, 3 of which at the Bridgwater site including a dedicated nasal OGD/GO physiology suite. Routine diagnostic endoscopy is predominately delivered by non-medical Endoscopists, or as training lists for gastroenterology registrars. Because of substantial historic investment and ongoing training and support, consultants are able to be freed up to perform more complex procedures, interventional endoscopy and are also able to deliver intensive training programmes. Recent successes included trainees moving from novice to accredited independent upper GI Endoscopists in 6 months, and trainees performing in excess of 100 training colonoscopies in a year. Investment in training and equipment has further developed the skills of existing consultants. For more information, please watch the following video: