Barts and The London NHS Trust has one of the premier gastroenterology departments in the country, with a wide referral base covering all aspects of the speciality. Neurogastroenterology has traditionally been an area of strength within the gastroenterology department, and is unique in providing adult and paediatric medical and surgical clinics supported by the nationally eminent GI physiology diagnostic unit. The group has a long tradition (more than three decades) for receiving both national and international referrals for the diagnosis and treatment of patients with disorders of GI function. Multidisciplinary joint clinics are now in place for complex patients, involving paediatricians, psychologist, psychiatrists and pain management specialists. Overall, all the combined clinics receive approximately 1,000 referrals per year providing a rich resource for clinical research. The new hospital being built at the Whitechapel site is state-of the art teaching hospital with the largest private finance initiative in the UK. Gastroenterology will be one of the largest clinical groups within this hospital.