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Introduction The UK NED-APRIQOT trial showed that regular automated colonoscopy performance feedback can improve polyp detection. Building on this, a Health Foundation–funded pilot is delivering quarterly reports across two UK regions to test feasibility and impact at scale. Early data indicate detection gains, especially among clinicians engaging with feedback. This analysis examines engagement patterns during the first six months.Methods The pilot began in July 2025. Endoscopists and service leads were informed via regional networks. Services were encouraged to assign an APRIQOT lead. Reports consisted of an email summary plus a link to detailed KPIs and anonymised benchmarking on the NED website. Lead reports summarised unit-level data. NED recorded email opens, logins and page views. These were extracted and compared with baseline (January–April). Baseline pre-intervention polyp detection rates (PDRs) were compared between those who interacted and those who did not using chi-squared tests.Results 744 endoscopists received quarterly emails beginning 1 July 2025. The first was opened by 66.8% (n=497) and the second by 52.3% (n=389); 21.1% (n=158) opened neither. Among those who opened emails, 49.1% accessed further website data after the first, and 57.1% after the second. Baseline PDRs were higher among those opening emails (45.2%, 95% CI 44.8-45.7) than among non-openers (40.5%, 95% CI 39.7-41.4, p<0.001). NED logins increased significantly (median 0 → 1 per quarter, p<0.001). Mean logins rose from 2.8 to 3.5 per endoscopist, with 43.4% increasing their frequency.Eleven of 48 units (22.9%; n=2 NHS, n=9 independent) did not nominate a lead. Of assigned leads, 44% engaged with at least one report. At least one lead engaged in 63.6% of NHS sites and 37.5% of independent sites. No significant increase in logins was seen among service leads (p=0.20).Conclusions Interim findings show good clinician-level engagement with automated feedback, with most opening at least one report and many exploring detailed data. Those who engaged had higher baseline PDRs, suggesting early adopters may already prioritise quality. Given that lower-performing and more engaged clinicians appear to benefit most, this skew has implications for impact. Lead-level engagement varied, particularly in the independent sector, where several units lacked nominated leads and fewer accessed reports. Automated feedback appears well accepted by many endoscopists, but organisational barriers, especially outside the NHS, may limit uptake. Targeted support for low-engagement individuals and sites may be needed to maximise benefits from national quality-improvement initiatives.