Job Description

This role presents an exciting opportunity to join the endoscopy team within Hywel Dda University Health Board as a Clinical Endoscopist, working across four endoscopy units (3 of which are fully JAG accredited).
This advert seeks to attract qualified applicants or applicants who are interested in commencing training to meet the qualification and competencies for the Band 8a role. The successful candidate will be appointed under the All Wales Annex 21 rules.
This means they will be supported by a development plan. (During the first year payment will be 65% of the top rate of band 8a pay, during the second year 70% and during the third year 75%) and following successful completion the post holder will then be paid at Band 8a (minimum point on the scale). Support and supervision will be provided in order to develop the successful applicant to the Band 8a role. Failure to achieve the qualification and required competencies in the designated timeframe could result in re-deployment.
As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.
Main duties of the job
Partaking in training to:

• Independently perform gastrointestinal endoscopy procedures. These procedures require special certification and specialised training from the Joint Advisory Group for Endoscopy (JAG) and will be carried out to the standard of JAG accredited senior Medical Practitioners.
• Independently diagnose and treat a range of benign and malignant conditions, often as the most senior endoscopy clinician on site.
• Independently manage own caseload of Gastroenterology patients, providing an autonomous diagnostic and therapeutic service.
• Exercise and demonstrate specialist levels of clinical judgement, discretion and clinical decision making. Be responsible for diagnosing benign and malignant gastrointestinal conditions and discussing the findings of such examinations with the patients and plan appropriate patient management.
• Undertake audit and research which will directly improve and impact on improving standards of patient care.
• Provide teaching to trainee endoscopists, which will include other Clinical Endoscopists as well as Senior Medical and Surgical Doctors (Registrar and Consultant level).
• Provide teaching and education services for the endoscopy nursing workforce.
• Work across the four pillars of advanced practice and be able to demonstrate this within area of practice and maintenance of a portfolio of evidence.
• Work towards independent Non-Medical Prescriber qualification.

About us
Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties.
We have over 13,000 staff and together we provide primary, community, in-hospital, mental health and learning disabilities services.
We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.
Our services are provided in:

• Four main hospitals: Bronglais Hospital in Aberystwyth; Glangwili Hospital in Carmarthen; Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
• Five community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
• Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings
• 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
• Numerous mental health and learning disabilities services

Details
Date posted
05 August 2025
Pay scheme
Agenda for change
Band
Band 8a
Salary
56,514 to 63,623 a year per annum
Contract
Permanent
Working pattern
Full-time
Reference number
100-NMR241-0825
Job locations
Health Board Wide
Carmarthen
SA31 2AF
Job description
Job responsibilities
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews to be held on 18/08/2025.
You will be able to find a full job description and person specification attached within the supporting documents.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.
The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us. Job description
Job responsibilities
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews to be held on 18/08/2025.
You will be able to find a full job description and person specification attached within the supporting documents.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.
The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.
Person Specification
Qualifications and Knowledge
Essential

• Registered healthcare professional: e.g., NMC or HCPC registration (or other relevant registration e.g., PAMVR)
• Masters level education in advanced practice and/or endoscopy
• JAG accredited endoscopist
• Independent prescriber (to be achieved within 18 months of commencing post)

Desirable

• Mentoring / Teaching Qualification
• JAG Train-the-Trainer course completed
• Non-medical radiology referral certification (working towards)
• Member of JAG ENDO faculty

Experience
Essential

• Overall understanding / nursing knowledge of gastrointestinal and colorectal nursing
• Evidence of professional/service development
• Sound experience of working within the endoscopy environment as a senior clinician
• Experience of JAG/GRS implementation
• Ability to prioritise workload and direct colleagues
• Ability to manage time effectively
• Ability to work within a large multidisciplinary team
• Ability to adapt to a changing working environment
• Confident IT skills

Desirable

• Experience working as a JAG accredited endoscopist

Skills
Desirable

• Welsh Speaker (Level 1)

Person Specification
Qualifications and Knowledge
Essential

• Registered healthcare professional: e.g., NMC or HCPC registration (or other relevant registration e.g., PAMVR)
• Masters level education in advanced practice and/or endoscopy
• JAG accredited endoscopist
• Independent prescriber (to be achieved within 18 months of commencing post)

Desirable

• Mentoring / Teaching Qualification
• JAG Train-the-Trainer course completed
• Non-medical radiology referral certification (working towards)
• Member of JAG ENDO faculty

Experience
Essential

• Overall understanding / nursing knowledge of gastrointestinal and colorectal nursing
• Evidence of professional/service development
• Sound experience of working within the endoscopy environment as a senior clinician
• Experience of JAG/GRS implementation
• Ability to prioritise workload and direct colleagues
• Ability to manage time effectively
• Ability to work within a large multidisciplinary team
• Ability to adapt to a changing working environment
• Confident IT skills

Desirable

• Experience working as a JAG accredited endoscopist

Skills
Desirable

• Welsh Speaker (Level 1)