JAG25


We're celebrating 25 years of JAG!

It’s hard to imagine that 25 years ago our pioneering Joint Advisory Group on Gastrointestinal Endoscopy (JAG) didn’t exist. In fact, in the early 1990s there was no standardised endoscopy training and no defined standards for services to work towards to ensure they were providing the best possible care for patients. At the time, nurses didn’t perform endoscopy.

JAG was established in 1994 in response to the expanding multidisciplinary nature of endoscopy. JAG now works across three main areas: endoscopy training, accreditation of endoscopy services and accreditation of screening endoscopists. JAG also spearheads quality improvement (QI) initiatives to drive up standards of care for patients. 


A brief history of JAG

We’re proud of the fantastic work achieved by the JAG programme over the last 25 years and in particular, launching JAG accreditation in 2005 and the JAG Endoscopy Training System (JETS) in 2009. These flagship projects have contributed to improving the quality of endoscopy services and training throughout the UK and beyond.
 

Training

Since 2009 we’ve awarded 3,157 endoscopy-related certifications to 1,928 trainees from the main training specialties: gastroenterology (52.3 %), gastrointestinal surgeons (28.4 %) and non-medical endoscopists (16.5 %) [1] in the JETS programme. 
 
We launched JETS Workforce in April 2019 as a replacement for the Gastrointestinal Endoscopy for Nurses (GIN) programme. JETS Workforce supports nurses, operating department practitioners, healthcare assistants and other healthcare support workers in endoscopy and features a new training programme and ePortfolio.


 

Accreditation 

In 2004, we introduced the Global Rating Scale as a QI tool for endoscopy services to self-assess against measures associated with safe, high-quality, patient-centred care. 

This system was rolled out nationally by 2005 when it became compulsory for any services wishing to contribute to bowel cancer screening in England. 

We now have over 53% of services in England who are currently JAG accredited, with a total of 572 services registered with JAG in the UK and Ireland. 

 

Latest developments

JAG has shared learning with countries across the world  including Australia, Iraq and South Africa, and has supported training courses in Malawi. JAG’s curriculum has also helped train nurse endoscopist bowel cancer screeners in Hong Kong.

More recently, JAG developed the Improving Safety and Reducing Error in Endoscopy (ISREE) strategy in line with the NHS England Patient Safety Strategy. ISREE hopes to improve training in endoscopic non-technical and team skills. Its aim is to reduce adverse events associated with an increasingly complex specialty and to ensure learning is optimised when incidents do occur. Read our latest case of the month here to learn from patient safety incidents.

 

Read our publication in the RCP commentary to find out more about the history and achievements of JAG in the last quarter of a century.   


So how do we plan to celebrate JAG25?

Keep an eye on our Twitter page @JAG_endoscopy for competitions and fantastic giveaways for our JAG service, plus more exciting facts and achievements to be revealed. Don't miss out on #JAG25!

Reference

[1] Siau K, Anderson J T, Valori R, Feeney M, Hawkes N D, Johnson G, McKaig B C, Pullan R D, Hodson J, Wells C, Thomas-Gibson S, Haycock AV, Beales I, Broughton R & Dunckley P. Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio. Endoscopy International Open, 2019

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