ENDOSCOPY
Domain 2: Quality of the Patient experience
The quality of the patient experience domain encompasses the services role in providing efficient, dignified, and equitable access for all patients as well as their discharge from the endoscopy unit. The quality of the patient experience includes: l QP1 – Respect and dignity: The endoscopy service shall implement and monitor systems to ensure that the privacy, dignity, and security of all patients are respected throughout their contact with the service.
l QP2 – Consent process including patient information: The endoscopy service shall implement and monitor services to ensure that informed patient consent is obtained for each procedure.
l QP3 – Patient environment and equipment: The endoscopy service shall ensure that adequate resources are provided and used effectively to provide a safe, efficient, comfortable and accessible service. This is achieved through appropriate patient centred facilities (rooms and equipment).
l QP4 – Access and Booking: The endoscopy service shall ensure that the service is accessible, timely and patient centred.
l QP5 – Planning and Productivity: The endoscopy service shall ensure that resources and capacity are used effectively to provide a safe efficient service. This is supported by sound business planning principles within the service.
l QP6 – Aftercare: The endoscopy service shall implement and monitor systems to ensure that patients are prepared for discharge and understand what the plan of care is thereafter.
l QP7 – Patient Involvement: The endoscopy service shall implement and review systems to ensure that patients are able to feed back on their experience of the service and the feedback is acted upon.
Domain 3: Workforce The purpose of the workforce domain encompasses the services role in safe effective training and support of staff. This is achieved through leadership, service management and training practices that are appropriate to the workforce needs. Focus areas include: l WR 1 – Teamwork: The endoscopy service shall achieve an integrated and patient focused service with a clear structure for leadership, management, and accountability. This standard ensures that the basic components of this are in place.
l WR2 – Workforce delivery: The endoscopy service shall ensure that it has the appropriate workforce and the recruitment processes meet the needs of the service.
NOVEMBER 2020
l WR3 – Professional Development: The endoscopy service shall assess the degree to which the service monitors and supports the development of the professionals working in it.
Domain 4: Training
The purpose of the training domain encompasses the services role in safe, effective training of trainee endoscopists. This is achieved through leadership and training practices that are appropriate to the trainees needs. The key training focus areas include the following: l TR1 Environment, training opportunity and resources: The endoscopy service shall have a strategy and plan to ensure that trainees receive effective, responsive, orientation and training opportunities in a suitable environment.
l TR2 – Trainer allocation and skills: The service shall ensure that trainees working within the endoscopy service have a nominated trainer who demonstrates both acceptable performance in their clinical roles and have received appropriate training as trainers.
l TR3 – Assessment and appraisal: The service shall ensure that trainees have access to the tools required to make an assessment of their performance, are appraised and released for training linked to service needs; and are supported in providing evidence for certification of competence.
(Cited from Joint Advisory Group on Gastrointestinal Endoscopy JAG accreditation standards for endoscopy services.)
Summary So, what do endoscopy services need to know? You need to be able to demonstrate that your unit will enable your patients to relax. Endoscopy units need to scrutinise the patient pathways, which also includes the decontamination areas. The Reception and waiting areas are the places patients are going to visit, which need to be a welcoming environment. The Joint Advisory Group assess processes within an endoscopy unit. Accreditation is a process, of evaluating the quality of clinical services, by guiding services through a quality framework. This voluntary process promotes quality improvement through highlighting best practice and areas of change, encouraging the continued development of the clinical services. Ultimately, accreditation means that the endoscopy service is delivering high quality and safe patient care. This is motivational for all the team and is a testament to the care they provide to patients.
CSJ
References 1 JAG Accreditation Guide to the endoscopy Environment March 2020
https://www.thejag.org.
About the author
Paul Bond is a registered operating department practitioner with over 30 years’ experience. He has a City and Guilds 7307 in teaching and a post graduate certification in Education. He spent many years in the Isle of Man as Practice Development Facilitator, looking after the development needs of the operating theatre staff. He subsequently moved to Kent and worked within the private sector as a theatre manager. Paul joined AfPP in April 2020 as Patient Safety and Quality Support. A major part of his role at AfPP is to provide clinical and ethical advice to members through the Professional Advisory Service (PAS). This role is focused on promoting the safety of patients and practitioners in the perioperative environment. This includes providing professional guidance and support on a range of different subjects – including regulatory standards, best practice and professional accountability.
WWW.CLINICALSERVICESJOURNAL.COM l 21
uk/CMS/UploadedDocuments/Scheme/Scheme5/ Guidance/200319%20-%20guidance%20-%20 environment%20guidance%20for%20UK%203.0.pdf
2 Health Building Notes (HBN) Health Technical Memoranda (HTM)
www.gov.uk/government/ collections/health-building-notes-core-elements.
3 The National Endoscopy Data Base (NED) Pilot scheme
https://nedpilot.thejag.org.uk/Default. aspx?ReturnUrl=%2f#:~:text=The%20 National%20Endoscopy%20Database%20 %28NED%29%20is%20populated%20 by,purposes.%20The%20aim%20of%20the%20 NED%20is%20to%3A
4 The History of Endoscopy https://www.endovision. org/history-of-endoscopy#:~:text=The%20 History%20Of%20Endoscopy%20.%20 Interventional%20endoscopy%20is,where%20 surgery%20had%20failed%20or%20the%20 patient%20
5 Joint Advisory Group on Gastrointestinal Endoscopy (JAG) accreditation standards for endoscopy services.
https://www.thejag.org.uk/Downloads/ JAG/Accreditation/JAG%20accreditation%20 standards%20for%20endoscopy%20services.pdf
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