Our history

 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.

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.


Since 2009 we’ve awarded over 3,000 endoscopy-related certifications to nearly 2,000 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.



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 50% of services in England who are currently JAG accredited, with a total of 572 services registered with JAG in the UK and Ireland. 


In collaboration with national leads, JAG provide the Global Rating Scale (GRS) quality improvement tool and offer quality assurance (accreditation) for Irish endoscopy services.

The National Endoscopy Quality Improvement Programme in New Zealand use the Global Rating Scale (GRS) to measure endoscopy services’ performance and to drive quality improvement.

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.

Other developments

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.   


[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

Please read carefully and take any action requested - this message will not be shown the next time you log in