Table 9. Case studies of long specialist triage.

Cases
Crohn’s Disease
P08	Under the care of another clinical directorate after diagnoses of haemorrhoids and polyps, brought them into an annual bowel cancer screening programme, through which their Crohn’s disease was eventually diagnosed.
P09	Received a negative endoscopy (atypical presentation) and had continuity of care disrupted by the to-and-fro between home and university.
P11	Delays in access to endoscopy and MRI during COVID; also declined one test when offered.
P14	Diagnosed, undiagnosed, re-diagnosed and re-diagnosed again over a period of decades.
Ulcerative colitis
P05	Presented to a specialist during pregnancy and, in the absence of a pre-arranged postpartum appointment, delayed re-presentation until symptoms escalated.