How does uploading to NED work?
NED works by automatically extracting clinical data directly from a unit’s local endoscopy reporting system (ERS). This means that no manual data entry is required to send data to NED. As uploads are automated, NED removes the potential risk of human error and bias in KPI reporting. Furthermore, data sent from an ERS to NED is mapped to a GMC or NMC as opposed to a set site or organisation. This removes the additional administrative work of manually adding organisations and sites for endoscopists who carry out locum work. NED is therefore a powerful resource for monitoring cross-site activity efficiently and effectively.
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Reports sent are already anonymised, only including a patient's age and gender, removing the need to anonymise data on NED. Consequently, it will not be necessary to seek the patient's consent. Any reports sent via live compliant software will also be recorded into JETS, meaning double procedure entry is not needed for trainees on the certification pathways. You can read more about the compliant endoscopy reporting systems (ERS) and their compliance below.
What is the National Endoscopy Database (NED) pilot site?
Producing accurate KPI data is key to NED’s aim to improve endoscopy quality. This is why there are two instances of NED; NED pilot and NED live. The NED pilot site is the initial phase of uploaded for any endoscopy reporting system(ERS), this means all NED procedures can be viewed on the NED pilot site. The next step is uploading to the NED live site. Data uploaded to the live instance of NED will also be uploaded onto JETS, this means a validation period is needed before ERS can upload to the live site. Once uploading to the live instance of NED, trainees will no longer need to manually add procedural data into JETS, therefore eliminating the risk of trainee bias. All NEDi2 software uploads to the NED live instance.
How does NED fit in with JAG accreditation?
NED is aligned with JAG’s mission to support the UK endoscopy workforce to provide the highest quality, timely, patient-centred care. Uploading to NED has been a requirement for JAG accreditation since April 2018. To maintain or attain JAG accreditation, services are expected to be routinely uploading to the NED pilot site with a NED compliant ERS. This is reflected in the Global Rating Survey (GRS) (JAG)*.
What is a NED compliant ERS?
At this stage of the project, the majority of the major ERS companies provide NED compatible systems. However not all systems perform within the same upload success rate range. The upload success rate (USR) is the metric we use to determine whether an ERS’ software version is NED compliant. USR’s calculate the rate at which procedures successful map to NED. To be NED compliant, software versions are expected to perform with a USR of 98%+. Sometimes procedures are not successfully uploaded to NED due to technical issues. Such issues should be investigated and resolved by the endoscopy service and supplier.
A full list of suppliers and software, and their compliance can be found on the NED website
Services using a software version that is ‘compliant’ and ‘compliant – under review’ can answer yes to the GRS measures relating to NED and are meeting the current standards required to be JAG accredited. If a service is using a version that is ‘not compliant’ or is not listed in the table, the service is not meeting the requirements to be JAG accredited