About this role
Job summary
The postholder will lead the strategic and operational delivery of the Trust's Endoscopy JAG accreditation programme, ensuring the service consistently meets nationally defined standards of quality, safety, efficiency, and patient experience. As the Trust's specialist for JAG Global Rating Scale (GRS) compliance, they will provide expert guidance, oversight, and assurance to clinical and operational teams, supporting the Endoscopy Unit to maintain continuous accreditation and embed a culture of excellence.
Working collaboratively with endoscopy leadership, governance teams, and wider divisional colleagues, the postholder will coordinate all aspects of the accreditation cycle, including evidence collection, service audits, patient experience measures, workforce development, and pathway optimisation. They will lead on the development and implementation of improvement plans, ensuring the service remains aligned with national best practice, regulatory requirements, and Trust priorities.
The role requires strong analytical, organisational, and communication skills, with the ability to influence at all levels and drive sustainable service improvement. The postholder will act as a key liaison with JAG, external assessors, and internal stakeholders, ensuring the Trust's endoscopy services remain safe, effective, and responsive to patient needs.
Main duties of the job
Lead, coordinate, and oversee the Trust's JAG accreditation and re-accreditation processes.
Ensure the Endoscopy Unit remains fully compliant with all JAG Global Rating Scale (GRS) domains, KPIs, and quality standards.
Develop and maintain a robust accreditation action plan, ensuring timely progress and escalation of risks.
Act as the primary liaison with JAG, external assessors, and national endoscopy networks.
About us
South Tees Hospitals NHS Foundation Trust and North Tees and Hartlepool NHS Foundation Trust now form University Hospitals Tees and as such you may be required to work at any site across both Trusts.
At North Tees & Hartlepool NHS Foundation Trust, we want our organisation to be the best place to work with the right staff, in the right roles, at the right time, to ensure we deliver exceptional patient care and experience.
We will support staff through providing an inclusive and supportive workplace with health and well-being initiatives, staff benefits and opportunities for personal and professional development.
We support the 'Making Every Contact Count' approach to behaviour change in the promotion of health and wellbeing of individuals and communities.
Job description Job responsibilities
Evidence Management & Reporting
Collate, validate, and submit all required evidence for biannual GRS submissions.
Lead the preparation and coordination of the 5yearly facetoface JAG reaccreditation visit, including staff briefings, documentation, and service walkthroughs.
Produce highquality reports for governance meetings, highlighting performance, risks, and improvement actions.
Maintain accurate, uptodate records of all JAGrelated documentation, audits, and quality metrics.
Quality Improvement & Patient Safety
Promote a culture of continuous quality improvement across the Endoscopy Unit.
Lead QI projects aligned to JAG standards, patient experience, and service efficiency.
Support the implementation of national guidance, safety alerts, and best practice recommendations.
Work closely with clinical leads to ensure safe staffing, training compliance, and competency frameworks.
Operational & Clinical Governance
Contribute to the operational management of the Endoscopy Unit, supporting service planning and pathway optimisation.
Participate in clinical governance activities including incident review, risk management, and audit.
Ensure robust systems are in place for decontamination, equipment safety, and environment monitoring.
Support workforce development, including training coordination, competency assessment, and staff engagement.
Stakeholder Engagement & Leadership
Work collaboratively with nursing, medical, managerial, and administrative teams to embed JAG standards.
Represent the service at Trustwide and regional endoscopy meetings.
Provide expert advice and education to staff on JAG requirements and quality standards.
Champion patientcentred care, ensuring patient feedback informs service improvement.
Key Working Relationships
Endoscopy Service Manager
Matron / Head of Nursing
Clinical Endoscopy Lead
Endoscopists and Nursing Teams
Decontamination Leads
Governance & Quality Teams
JAG Assessors and National Endoscopy Programme
Patient Experience Teams
Person Specification
Qualifications Essential
oRegistered Nurse or Senior Clinical Practitioner or Senior Administrator, with experience in Endoscopy.
Desirable
oManagement qualification.
Knowledge Essential
oDetailed knowledge of the JAG accreditation process and Global Rating Scale (GRS).
Desirable
oPrevious experience of successfully achieving JAG accreditation.
Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
Employer details Employer name North Tees & Hartlepool NHS Foundation Trust
Address North Tees
Hardwick Road
Stockton on Tees
TS19 8PE
United Kingdom
Employer's website https://www.nth.nhs.uk/ (Opens in a new tab)