ENDOSCOPY
Preparing for JAG: what you need to know
Paul Bond, Patient Safety and Quality Support Officer for the Association for Perioperative Practice (AfPP), offers an insight into JAG accreditation and its contribution to driving improvement in patient safety and quality.
Interventional endoscopy is an extremely productive area for innovation. 50 years ago, the flexible fibreoptic endoscope was invented, allowing the endoscopist to picture the gastrointestinal tract and perform procedures from inside the body. Historically the role of the endoscopic procedure was reserved for when surgery had failed, or the patient was unfit for surgery. This has changed and a growing list of endoscopic procedures are replacing surgical treatment. With the expanding multidisciplinary nature of endoscopy, there was a need for the service to be assessed. This was to include endoscopy training, endoscopy services and endoscopists. In 1994 the Joint Advisory Group (JAG) was established. JAG covered all the assessment process, improving quality and initiatives to increase standards of patient care. In 2005, JAG launched an accreditation programme supported by the JAG Endoscopy Training System (JETS) in 2009.
The importance of high-quality patient care is critical now more than ever. Endoscopy units must demonstrate their effectiveness in the delivery of high-quality, safe patient care.
JAG – What do you need to know? JAG have constructed a pathway to assist organisations, in attaining accreditation and maintenance of that accreditation (Figure 1). The completion of the pathway can take 12 to 24 months, covering quality improvement, accreditation and annual review.
Training
The JETS system developed in 2009, provides a structured approach to training, assessments and appraisals for the endoscopy workforce. The programme is extensive and is open to all endoscopy staff, irrespective of grade and title. The programme offers: l An online e-portfolio with endoscopy specific competency frameworks and evidence.
l E-learning (ENDO1 Modules available via e-learning for health)
l Training course (ENDO1 course booked via JETS)
More information regarding this training programme can be found here:
https://www.jetsworkforce.thejag.org.uk
Endoscopy environment In March 2020, JAG issued a guide to the endoscopy environment. The guide was issued to assist endoscopy services in preparation for a JAG accreditation assessment. It defines the essential components required to demonstrate a high quality, safe and patient focused environment. (JAG 2020)
The guide covers general principles, reception and waiting areas, patient assessment and preparation areas, the procedure room, recovery and discharge; the decontamination environment,
Figure 1. The JAG pathway: cited by JAG at the Royal college of Physicians NOVEMBER 2020
WWW.CLINICALSERVICESJOURNAL.COM l 19
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