PreJAG Visits: What we did, what we achieved, and what I would change

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Pre-JAG VisitsWhat we did, what we achieved,
and what I would change

• Dr Neil Haslam
• Endoscopy Lead NHS North-West

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Pre-JAG drivers 2006

• GRS
• 18 WW
• BCS
• Large SHA
• SHA PCT involvement
• Pilot for Roland and National Team
• Appraisal rather than Assessment

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Visit Process

• All 14 units invited to take part
• All sent details of visit
• All asked for standard evidence on day
• All asked for representatives to interview
• Database established
• Visiting Team established

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Visiting Team

• Bethany Project manager
• Kevin PCT representative
• Debs Waiting Lit management
• Kath Nurse Lead
• Neil GRS Training lead

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Visit Format Half Day

• Overview from local unit
• Walk round unit (patient journey)
• Brief Team meeting
• Individual interviews
• Further team meeting
• Feedback
• Report Action Plan completed
• Follow up support from Bethany

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Visit Results

• All sites visited in 6 months
• All sites achieved 18WW milestones
• Greater Manchester covered for BCS
• Help in acquiring equipment/influencing
  management
• Sharing of knowledge across GM
• Major improvement in GRS
• Feedback to National team
• Full report on the picture across GM to PCT SHA

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April 2006
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Sept 2006
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Pre-JAG Learning Points

• Disinfection
• Infra-structure
• Quality Safety audits
• Surgical Training
• Timeliness
• Commissioners key to buy in

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Pre-JAG JAG Visits

• Should the JAG visit be 2 staged?
• Intensive visit with appraisal and assessment
• Second stage sign off at 3 months

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JAG Visits 2008-2009

• All 130 sites to be visited
• 10 professional visiting teams
• Requirements standardised
• QA committee established
• All info uploaded via website
• Formal visit with 3 month sign off
• IS and community hospitals to be included