
Expanding Access to FEES Assessments in the Community
In this episode, we speak with Brigid and Tracie , Directors of Swallow Diagnostics, about the growing role of FEES (Fiberoptic Endoscopic Evaluation of Swallowing) in dysphagia assessment and management. The discussion explores what FEES is, how it differs from videofluoroscopy, and why access to instrumental swallowing assessments is becoming increasingly important for patients with dysphagia. Brigid and Tracie explain how FEES provides a direct view of swallowing physiology, helping clinicians make more informed decisions about patient care and rehabilitation. They also share the story behind Swallow Diagnostics, a community-based service established to improve access to swallowing diagnostics for patients who may struggle to attend hospital appointments due to mobility, cognitive, or logistical challenges. The conversation highlights real-world patient experiences, the benefits of bringing diagnostics closer to patients, and the potential role community-based FEES services could play in supporting evolving healthcare models. The episode concludes with audience questions covering professional development, the future of community FEES services, challenges of establishing a new healthcare service, and the wider vision for improving access to swallowing assessments across the UK. Topics covered: What FEES is and how it works FEES vs videofluoroscopy Dysphagia assessment and management Community-based swallowing diagnostics Improving patient access and experience Patient case studies and outcomes Supporting NHS priorities and reducing hospital admissions The future of FEES services in the UK




