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The JAG and Endoscopy Services Lead is a senior clinical and operational leadership role responsible for the strategic development, governance, and day-to-day operational oversight of Endoscopy Services, with a specific focus on achieving and maintaining Joint Advisory Group (JAG) accreditation standards. The post holder will provide expert leadership in endoscopy nursing practice, workforce planning, quality improvement, and service development, ensuring the delivery of safe, high-quality, efficient, and patient-centred endoscopy services aligned with national standards, regulatory requirements, and organisational strategy.
Job Responsibility:
Provide strategic and operational leadership for Endoscopy Services, ensuring safe, effective, and efficient service delivery
Lead planning and development of endoscopy capacity, utilisation, and service expansion in line with organisational objectives
Oversee scheduling, patient flow, and utilisation of endoscopy resources to maximise efficiency and patient access
Ensure compliance with JAG accreditation standards, HIQA requirements, infection prevention and control standards, and organisational policies
Act as the organisational lead for JAG accreditation, including preparation, self-assessment, action planning, and ongoing compliance monitoring
Develop and maintain robust governance frameworks, policies, procedures, and guidelines for endoscopy services
Use data and performance metrics to monitor activity, quality, outcomes, and service improvement opportunities
Provide professional and managerial leadership to endoscopy nursing and support staff
Support effective workforce planning, skill mix, and succession planning to ensure service sustainability
Promote a culture of continuous improvement, accountability, and staff engagement
Support staff performance management, development, and wellbeing
Act as a clinical and professional role model, promoting excellence in nursing practice and leadership
Support and promote ongoing education, training, and competency development for endoscopy staff
Ensure staff are compliant with mandatory training, professional requirements, and JAG competency frameworks
Contribute to the development and delivery of education, guidance, and best practice initiatives in endoscopy nursing
Support audit, reflective practice, and shared learning to enhance quality and safety
Act as the organisational lead for Joint Advisory Group (JAG) accreditation, ensuring full compliance with JAG Global Rating Scale (GRS) standards and continuous readiness for assessment
Lead, coordinate and monitor performance against key JAG performance indicators
Ensure the accurate and timely completion, submission and review of JAG GRS returns, action plans, and supporting evidence
Lead the identification, implementation and evaluation of quality improvement initiatives arising from JAG assessments, audits, incidents, patient feedback and benchmarking data
Monitor, analyse and report on endoscopy quality and performance data, using insights to drive service improvement and inform strategic decision-making
Ensure robust governance arrangements are in place for endoscopy services, including policy development, audit programmes, risk registers, and escalation processes
Maintain oversight of patient safety, clinical effectiveness and quality outcomes, ensuring learning from incidents, complaints and near-misses is embedded in practice
Ensure local policies, procedures and practice remain aligned with current and emerging JAG standards, national guidelines and best practice in endoscopy care
Ensure continuous accreditation preparedness, maintaining endoscopy services in a constant state of readiness for JAG assessment through proactive self-assessment, evidence review, staff engagement and action planning
Lead and coordinate preparation for JAG accreditation visits and reviews, including documentation, staff briefings, mock assessments and follow-up improvement plans
Chair or actively participate in the Endoscopy Users Group, ensuring multidisciplinary engagement, oversight of service performance, patient experience, safety, and service development
Prepare reports for, and represent Endoscopy Services at, relevant quality, clinical governance, risk and accreditation forums, ensuring issues are escalated appropriately and actions are monitored to completion
Contribute to organisational quality and patient safety committees, providing expert assurance on endoscopy standards, JAG compliance and accreditation status
Requirements:
Be registered in the general division of the Register of Nurses maintained by NMBI
Have at least seven years’ recent relevant post-registration nursing experience (full-time or equivalent hours part-time) in an acute hospital setting
Have at least three years at Clinical Nurse Manager 2 level or above
Have or be willing to undertake a relevant Post Grad/Masters programme
Technical & Professional Expertise
Strategic Thinking
Empowering and enabling leadership style
A commitment to keeping up to date on quality, safety and clinical governance systems, and professional developments in nursing
Building & Maintaining Relationships
Effective co-ordination of resources
Analytical Skills
Resource Management & Proactive approach to planning
Results Driven & Accountable
Commitment to Quality
Communication & Interpersonal Skills
A high degree of commitment, professionalism and dedication to the philosophy of quality health care provision