JAG Audits – all you need to know

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In the medical services sector, accreditations are one of the most important vehicles to ensure that the highest standards are not only researched and established but also that they are rigorously adhered to by service partners.

For endoscopy services, the Joint Advisory Group on Gastro Intestinal (GI) Endoscopy (JAG) accreditation is the industry standard that ensures a provider has competence and discipline to deliver against the rigorous criteria set out by the JAG standards.

JAG accreditation is – like almost all standards – patient-centric and workforce-focused to ensure that service provider and end user have clear expectations and outcomes, assessed independently and regularly against recognised standards.

What are the JAG standards?

The JAG standards define the parameters for high-quality, safe and appropriate endoscopy services delivered by qualified, supported, trained and motivated practitioners.

There are nineteen key components in four main domains that make up the standards, including:

  • Leadership and organisation
  • Safety
  • Comfort
  • Quality
  • Appropriateness
  • Results
  • Respect and dignity
  • Consent and patient information
  • Patient environment and equipment
  • Access and booking
  • Productivity
  • Aftercare
  • Patient involvement
  • Teamwork
  • Workforce delivery
  • Professional development

The four main domains include:

Clinical Quality – assessing the service’s role in providing a safe, effective diagnosis and treatment.

Quality of Patient Experience – assessing the service’s role in maintaining efficient, dignified and equitable access for all patients.

Workforce Domain – assessing the service’s role in providing a safe, effective and supportive environment for staff.

Training Domain – assessing the service’s role in providing initial and ongoing training for continuous professional development of all staff in the business.

What does JAG Accreditation aim to achieve?

JAG accreditation was developed for endoscopy service providers across the NHS and independent sector to ensure the following:

  • Continuous improvement in processes and patient outcomes
  • Consistent standards in endoscopy services
  • Providing an accessible knowledge base of best practices
  • Increased patient confidence in services and outcomes
  • Continuous improvement of management and efficiency of services
  • Providing an educational base for better and best practices
  • Giving a platform for comparison and assessment
  • Enhancing the workforce to improve retention and job satisfaction
  • Increasing the opportunity for service growth and expansion

What does a service provider have to do to become accredited?

To achieve JAG accreditation, a service provider must provide clear evidence, through a number of assessments, that they have met and are able to continue meeting the JAG standards.

JAG accreditation assessments can only be booked once an endoscopy service has demonstrated a minimum of one year participating in the GRS, performing at the required GRS levels for accreditation.

What is GRS?

The Global Rating Scale (GRS) is an online tool giving endoscopy service providers the ability to assess how well they provide patient-centric services.

The assessment makes a series of statements requiring a yes/no answer after which a score is provided, as well as a summary of the service’s performance. There are clear overlaps between the GRS tool and the JAG standards for assessment to help service providers narrow their focus and scope in readiness for JAG accreditation.

What is a JAG Audit?

As part of the maintenance of JAG accreditation and standards, JAG requires all accredited service providers to pass an annual audit based on the standardised JAG/IHEEM Audit Criteria.

This audit needs to be conducted by an Authorising Engineer (Decontamination) by site visitation.

It is essential for endoscopy services to maintain GRS and JAG accreditation through scheduled and regular audits, as failure to do so can result in a withdrawal of accreditation and a subsequent closure of the service provider’s business.

AVM Services offers a full JAG audit service, helping endoscopy service providers set and maintain the highest standards. Find out more about our services – contact us today on 01223 254499 or email info@avm-addenbrookes.org.uk.


JAG Audits - all you need to know

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