JAG wrote to all NHS endoscopy services in May 2014 to inform them that from 1 April 2015, JAG will expect accredited NHS endoscopy units to only outsource any part of their service to external providers that are JAG accredited. This is to ensure that patients always receive the same high standards of quality care irrespective of their provider or setting.
Endoscopy services will be expected to report any change to their outsourcing and insourcing position to JAG at any point during the year, and will be required to inform JAG of their outsourcing and insourcing position during their annual review.
Endoscopy services must make clear their outsourcing and insourcing position during their assessment.
Endoscopy services using other endoscopists or companies to provide a service during evenings and weekends must have clear governance arrangements in place to avoid adverse incidents.
As a minimum, the JAG expects a senior clinician to oversee the quality of the endoscopists contracted to provide the service. This can be via an initial review of KPIs and then continued quality assurance by performance data as well as the presence of a senior endoscopy nurse during the running of lists. This will ensure that governance and quality are not compromised.