There is a clear and urgent need to plan for endoscopy activity over the coming weeks and months. It is very difficult in these challenging and uncertain times to decide what is best for patients, the population at large and healthcare staff, and there is balance of risks to consider. As a result of multiple discussions with key stakeholder groups, the British Society of Gastroenterology (BSG) together with the Joint Advisor Group on GI endoscopy (JAG) are updating this advice to help Endoscopy Units and teams plan their activity during the COVID-19 outbreak. Be aware that this advice may continue to change rapidly and we will update it as required, especially as further national advice is announced.