Job Description

Job overview

The post holder will work independently as an expert practitioner, exercising advanced clinical expertise, levels of judgement, discretion and decision making in the clinical area. The post holder will provide expert clinical skills and advice demonstrating a sound understanding of the issues related to the identification, assessment, diagnosis, treatment and management of the client group. The post holder will monitor and lead improvements to standards of care through supervision of practice, teaching and supporting professional colleagues and the provision of skilled professional leadership. As a member of the multi-disciplinary team (MDT) provide specialist advice on the management of patients as delegated by the consultant team. The post holder will lead the implementation of relevant research into practice contributing to the further development of the evidence base through research and audit. The post holder will contribute to clinical governance within the service by leading audit and research as part of the MDT within the area of expertise. The post holder will be an integral part of the training and education of other endoscopists.

Main duties of the job

Provide a nurse led endoscopy service, performing OGD's, flexible sigmoidoscopy and colonoscopy, including independent diagnostic and therapeutic endoscopy procedures Be a highly experienced practitioner with expert knowledge and skills in the field of endoscopy services To promote a high standard of care to ensure the best patient experience Be responsible for undertaking clinical examination, a comprehensive clinical history, ordering relevant patient investigations and interpreting where appropriate and managing patient care within their professional competence Be responsible for diagnosing and discussing the findings of such examinations with the patients and for planning appropriate management Undertake all clinical correspondence for patients under own care Demonstrate extended knowledge in obtaining informed consent in line with the Government, RCN, BSG and GMC Guidelines, providing the patient with advantages, risks and disadvantages and other diagnostic options Undertake role as a Non Medical Prescriber, meeting all the trust and National requirements for safe practice. Administer and be accountable for the giving of sedation, recognising and reporting any adverse reactions and administering the appropriate reversals if required Manage highly complex clinical situations for example recognising when patients are experiencing adverse reactions to the nurse led endoscopy procedure, such as cardiac or respiratory symptoms. Use skills and experience to intervene and correct complications during independent lists Recognise when patients needs and risks are beyond own scope of practice and refer onto consultant colleagues Plan and facilitate the effective discharge of patients following endoscopic procedures. Ensure patients are safely discharged into the community in accordance with unit protocols with any advice or information they require regarding follow up and post procedure care Provide cross cover for other endoscopist to ensure adequate provision of endoscopy services Support the education and training of other endoscopists within the trust To be actively involved in developing endoscopy practice to enable the department to achieve local and national targets To attend the Endoscopy User Group meetings Undertake delegrated responsibilities from the Clinical Lead for Endoscopy Work with the clinical team to ensure that review of the patient experience and patient feedback is addressed and informs developments to the service To take part in clinical audit and present at the Endoscopy Audit Meetings Lead change as required and ensure resolution of conflict Contribute to the clinical governance process including adverse incident reporting/investigation and the management of complaints, as appropriate Be involved in peer review of own practice and that of others
The Princess Alexandra Hospital NHS Trust (PAHT) is proud to care for the communities of West Essex, delivering safe, compassionate, and high-quality services. We are part of the Neighbourhood Wavea national programme that's changing how care is delivered by focusing on prevention, early support, and more joined-up services across health, social care, and the voluntary sector.


This means we're working more closely with local partners to bring care closer to home and support people to live healthier, more independent lives.


We're a supportive and inclusive organisation that values its people. We offer development opportunities, flexible working, and a strong focus on wellbeing. As a Disability Confident and equal opportunities employer, we welcome applicants from all backgrounds and experiences.


Join us and help shape the future of care in West Essex.

Detailed job description and main responsibilities

Provide a nurse led endoscopy service, performing OGD's, flexible sigmoidoscopy and colonoscopy, including independent diagnostic and therapeutic endoscopy procedures Be a highly experienced practitioner with expert knowledge and skills in the field of endoscopy services To promote a high standard of care to ensure the best patient experience Be responsible for undertaking clinical examination, a comprehensive clinical history, ordering relevant patient investigations and interpreting where appropriate and managing patient care within their professional competence Be responsible for diagnosing and discussing the findings of such examinations with the patients and for planning appropriate management Undertake all clinical correspondence for patients under own care Demonstrate extended knowledge in obtaining informed consent in line with the Government, RCN, BSG and GMC Guidelines, providing the patient with advantages, risks and disadvantages and other diagnostic options Undertake role as a Non Medical Prescriber, meeting all the trust and National requirements for safe practice. Administer and be accountable for the giving of sedation, recognising and reporting any adverse reactions and administering the appropriate reversals if required Manage highly complex clinical situations for example recognising when patients are experiencing adverse reactions to the nurse led endoscopy procedure, such as cardiac or respiratory symptoms. Use skills and experience to intervene and correct complications during independent lists Recognise when patients needs and risks are beyond own scope of practice and refer onto consultant colleagues Plan and facilitate the effective discharge of patients following endoscopic procedures. Ensure patients are safely discharged into the community in accordance with unit protocols with any advice or information they require regarding follow up and post procedure care Provide cross cover for other endoscopist to ensure adequate provision of endoscopy services Support the education and training of other endoscopists within the trust To be actively involved in developing endoscopy practice to enable the department to achieve local and national targets To attend the Endoscopy User Group meetings Undertake delegrated responsibilities from the Clinical Lead for Endoscopy Work with the clinical team to ensure that review of the patient experience and patient feedback is addressed and informs developments to the service To take part in clinical audit and present at the Endoscopy Audit Meetings Lead change as required and ensure resolution of conflict Contribute to the clinical governance process including adverse incident reporting/investigation and the management of complaints, as appropriate * Be involved in peer review of own practice and that of others