pGRS (2025 update)
The paediatric global rating scale (pGRS) for endoscopy has been developed by BSPGHAN for use throughout the UK and beyond to underpin all aspects of a high-quality endoscopy service including clinical quality, safety, patient experience, the environment and the workforce. Below is a brief description of paediatric endoscopy services, including how they are provided and how they may differ from adult endoscopy services.
As a paediatric service, you are now able to self-assess against a set of standards designed specifically for paediatric patients within endoscopy services.
The self-assessment serves as a quality improvement tool to evaluate whether your service is meeting these standards. If any standards are not being met, the goal is to implement the necessary changes. We encourage you to complete and submit a self-assessment every 6 months to monitor progress and identify areas for improvement. You do not need to upload evidence, please select ‘Standard met’ or ‘Standard not met’ for each standard.
JAG accreditation – Paediatric global rating scale (pGRS) for UK services
National Quality Standards for Paediatric Endoscopy
This guidance has been designed to assist paediatric endoscopy services and assessors in their preparation for a JAG accreditation assessment. It defines JAG’s expectations for monitoring in the safety and quality domains (CQ2 and CQ4). The purpose is to ensure that high quality paediatric endoscopy is performed thus minimizing risks and complications. The standards are applicable to all paediatric endoscopy centres across healthcare settings and prioritise patient safety, whilst promoting quality of care and consistent training and revalidation of clinicians.
The development of these quality and safety standards aims to fulfil the needs as identified from the BSGPHAN national census 2021. It was a recommendation that BSPGHAN should work with the Joint advisory Group on GI endoscopy (JAG) to define clear standards for endoscopy in children
Guide to meeting the quality and safety standards in paediatric endoscopy
Paediatric endoscopy training criteria
Endoscopy training in the UK is regulated through the Joint Advisory Group (JAG) on GI endoscopy. The pathway to certification in paediatric gastroscopy/OGD and colonoscopy is set by JAG in consultation with BSPGHAN and the endoscopy working group. Click on the link below to see the up-to-date certification standards document. For more information on paediatric endoscopy, you can also visit the Endoscopy Learning Hub area of the website (include link)
JAG endoscopy certification guide 2025
E-Learning for healthcare Paediatric Endoscopy Training Course: Coming soon