Job summary
An exciting training opportunity has arisen for a motivated practitioner to join our Nurse Endoscopist team at Oxford University Hospitals NHS Foundation Trust. This is a trainee Band 6/7 post (dependent on experience) where there is an opportunity for a Specialist Clinical/Nurse Endoscopist to undertake Master's level training and competency based assessment to enable them to function as a Band 7 Clinical/Nurse Endoscopist on successful completion of a JAG accredited endoscopy training course.
You should have extensive experience in endoscopy/gastroenterology and training will be provided to complete the necessary qualifications to become a JAG accredited Clinical/Nurse Endoscopist. The role of the Clinical/Nurse Endoscopist provides the opportunity for a motivated individual to enhance and develop their knowledge and endoscopy skills, with full support from the wider team.
You will be working across our busy endoscopy units, within the Trust and, once working independently, will expected to work a flexible shift pattern to cover weekdays, and some weekends .
Main duties of the job
You will manage your own caseload of patients undertaking gastroscopy and/or flexible sigmoidoscopy/colonoscopy procedures to a JAG accredited standard depending on the needs of the service. The post holder will be expected to undertake the NHS England Clinical Endoscopist Training Programme (Level 6 or 7) and potential applicants are strongly advised to research what is to be undertaken. Trainees who have completed the programme have found it a rewarding way to develop their skills and advance their career in a practical patient-focused role.
The role will provide support, expert advice, information, coaching, supervision, education and management to other staff as well as within the wider corporate and multi-disciplinary teams. The post holder will act as an excellent clinical role model and work continuously to improve clinical care standards in line with the clinical governance framework, assisting in aspects of audit in relation to both local and national criteria set of the development of Endoscopy Units including JAG and GRS requirements.
About us
Oxford University Hospitals NHS Foundation Trust
Oxford University Hospitals (OUH) is a world renowned centre of clinical excellence and one of the largest NHS teaching trusts in the UK. We became a Foundation Trust on 1 October 2015 and believe that this will enable us to work more effectively in partnership with our patients and our local community to provide high quality healthcare.We employ 12,558 staff (including 4,154 nurses and 2,024 doctors)
The Trust is made up of four hospitals - the John Radcliffe Hospital (which includes the Children's Hospital, West Wing, Eye Hospital, Heart Centre and Women's Centre), the Churchill Hospital and the Nuffield Orthopaedic Centre, all located in Oxford, and the Horton General Hospital in Banbury, north Oxfordshire.
We provide a wide range of clinical services, specialist services (including cardiac, cancer, musculoskeletal and neurological rehabilitation and a full range of children's' services including critical and new born care) medical education, training and research.
Most services are provided in our hospitals, but over six percent are delivered from 44 other locations across the region, and some in patients' homes.
We have an extensive range of collaborations including the University of Oxford and Oxford Brookes University which underpins the quality of the care that is provided to patients.
Job description
Job responsibilities
Job Summary:
Once trained, undertake diagnostic and therapeutic upper and / or lower GI endoscopy using highly specialist and advanced clinical knowledge, skills and decision making to ensure high quality care for patients
Work collaboratively with the Endoscopy MDT, taking an active role in ensuring the service delivers the highest standards of clinical care and meets the requirements of the Endoscopy Joint Advisory Group (JAG)
Clinical Practice:
- Practice autonomously using specialist expert skills to deliver high quality patient care and experience, making clinical judgements to make diagnosis.
- Practice in accordance with JAG standards and achieve JAG accreditation
- Assess suitability of patients for endoscopy, providing information to enable patients to make a decision about undergoing the procedure and give informed consent
- Following training and supervised practice, independently and competently perform sedated and non-sedated diagnostic and therapeutic gastroscopy and / or flexible sigmoidoscopy and colonoscopy without direct medical supervision.
- Administer intravenous fluids, sedation, analgesia or antibiotics as clinically indicated within scope of practice in line with appropriate guidelines. Follow PGDs whilst working towards becoming a non medical prescriber
- Monitor the patients safety throughout the procedure, recognising and/or anticipating any untoward events and, dealing with them as promptly and appropriately within relevant guidelines and requesting medical assistance as required.
- Undertake biopsies and simple polypectomy, using diathermy where necessary.
- Maintain accurate and comprehensive records of endoscopic findings and treatment plans, referring patients on or seeking advice from a consultant if required
- Communicate endoscopy results to the patient, explaining findings in a clear way
- Receive, interpret and follow-up histology results from endoscopic biopsies. If appropriate, refer on to other appropriate healthcare professionals.
- Undertake five endoscopy lists per week, working flexibly to assist in meeting waiting list targets, carrying out extra endoscopy lists to cover absence and assist in ensuring that capacity is maintained. Work flexibly between John Radcliffe and Horton Hospital sites
- Work independently and autonomously at an advanced level drawing on a diverse range of knowledge in complex decision making and critical thinking to determine evidence-based therapeutic interventions. Be aware of personal limitations
- Maintain patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.
- Follow local and national policies, adhering to Oxford University Hospital (OUH), British Society of Gastroenterology (BSG), Joint advisory Group (JAG) and Nursing and Midwifery Council (NMC) guidance.
- Participate in validation of patients due for surveillance in line with protocols
Communication
- Demonstrate a high level of verbal and written communication skills to enable effective communication with patients and members of the MDT
- Provide effective access to specialist nursing advice and support
- Actively participate in the Endoscopy meetings eg Endoscopy User Group, Clinical Unit Meeting
Personal and People Development
- Exercise professional accountability at all times and be aware of own development needs/limitations, actively seeking to address these and raise awareness in others.
- Maintain personal and professional status by ensuring own skills, development meet the requirements of the NMC and of the post
- Provide leadership and mentorship / clinical supervision to junior members of staff
- Represent the Trust nationally and locally through appropriate organisations and committees.
Leadership/Management:
- Work collaboratively with colleagues to develop effective documentation, pathways, protocols and guidelines to continuously improve patient care
- Contribute to the development of the team and the service Network locally, regionally, nationally and internationally and seek opportunities to develop the Nurse Endoscopist role.
Education/Training:
- Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through on going self-education and attendance at relevant courses of study, including Masters level academic study
- Successfully achieve non-medical prescribing qualification
- Organise and contribute to relevant educational programmes and in house study days.
- Ensure statutory and mandatory training updates, as well as role /speciality updates are completed and necessary records maintained.
- Maintain Advanced Life Support Skills
- Complete the train the trainer (TTT) course and deliver endoscopy training to doctors and nurse endoscopists (once suitably experienced)
Improving quality and developing practice:
- Coordinate and participate in ongoing service review and evaluation, including seeking and monitoring patient experience and outcomes.
- Evaluate clinical practice in relation to its evidence base and clinical effectiveness including policy and guidance
- Develop and maintain systems to monitor and evaluate the quality and effectiveness of the service provided.
- Participate in relevant projects and identify priorities for the development of the service.
- Disseminate project findings through publication and presentation aimed at local, national and international audiences.
- Be involved with the validation of Endoscopy lists, following agreed protocols and ensure that patients are pre-assessed to ensure that they are fit to take bowel preparation and undergo colonoscopy
- Develop and review protocols for Patient Group Directives for administration of drugs for patients requiring endoscopy.
- Collaborate with the Risk Management Team when potential or actual risks are identified and work with them and others to devise and implement actions which reduce or remove these risks.
Job description
Job responsibilities
Job Summary:
Once trained, undertake diagnostic and therapeutic upper and / or lower GI endoscopy using highly specialist and advanced clinical knowledge, skills and decision making to ensure high quality care for patients
Work collaboratively with the Endoscopy MDT, taking an active role in ensuring the service delivers the highest standards of clinical care and meets the requirements of the Endoscopy Joint Advisory Group (JAG)
Clinical Practice:
- Practice autonomously using specialist expert skills to deliver high quality patient care and experience, making clinical judgements to make diagnosis.
- Practice in accordance with JAG standards and achieve JAG accreditation
- Assess suitability of patients for endoscopy, providing information to enable patients to make a decision about undergoing the procedure and give informed consent
- Following training and supervised practice, independently and competently perform sedated and non-sedated diagnostic and therapeutic gastroscopy and / or flexible sigmoidoscopy and colonoscopy without direct medical supervision.
- Administer intravenous fluids, sedation, analgesia or antibiotics as clinically indicated within scope of practice in line with appropriate guidelines. Follow PGDs whilst working towards becoming a non medical prescriber
- Monitor the patients safety throughout the procedure, recognising and/or anticipating any untoward events and, dealing with them as promptly and appropriately within relevant guidelines and requesting medical assistance as required.
- Undertake biopsies and simple polypectomy, using diathermy where necessary.
- Maintain accurate and comprehensive records of endoscopic findings and treatment plans, referring patients on or seeking advice from a consultant if required
- Communicate endoscopy results to the patient, explaining findings in a clear way
- Receive, interpret and follow-up histology results from endoscopic biopsies. If appropriate, refer on to other appropriate healthcare professionals.
- Undertake five endoscopy lists per week, working flexibly to assist in meeting waiting list targets, carrying out extra endoscopy lists to cover absence and assist in ensuring that capacity is maintained. Work flexibly between John Radcliffe and Horton Hospital sites
- Work independently and autonomously at an advanced level drawing on a diverse range of knowledge in complex decision making and critical thinking to determine evidence-based therapeutic interventions. Be aware of personal limitations
- Maintain patient documentation to NMC requirements for all patients seen and advice given in any practice setting and contribute to clinical activity/data collection as required.
- Follow local and national policies, adhering to Oxford University Hospital (OUH), British Society of Gastroenterology (BSG), Joint advisory Group (JAG) and Nursing and Midwifery Council (NMC) guidance.
- Participate in validation of patients due for surveillance in line with protocols
Communication
- Demonstrate a high level of verbal and written communication skills to enable effective communication with patients and members of the MDT
- Provide effective access to specialist nursing advice and support
- Actively participate in the Endoscopy meetings eg Endoscopy User Group, Clinical Unit Meeting
Personal and People Development
- Exercise professional accountability at all times and be aware of own development needs/limitations, actively seeking to address these and raise awareness in others.
- Maintain personal and professional status by ensuring own skills, development meet the requirements of the NMC and of the post
- Provide leadership and mentorship / clinical supervision to junior members of staff
- Represent the Trust nationally and locally through appropriate organisations and committees.
Leadership/Management:
- Work collaboratively with colleagues to develop effective documentation, pathways, protocols and guidelines to continuously improve patient care
- Contribute to the development of the team and the service Network locally, regionally, nationally and internationally and seek opportunities to develop the Nurse Endoscopist role.
Education/Training:
- Maintain, advance and develop personal theoretical knowledge, high standards of clinical competence and professional development through on going self-education and attendance at relevant courses of study, including Masters level academic study
- Successfully achieve non-medical prescribing qualification
- Organise and contribute to relevant educational programmes and in house study days.
- Ensure statutory and mandatory training updates, as well as role /speciality updates are completed and necessary records maintained.
- Maintain Advanced Life Support Skills
- Complete the train the trainer (TTT) course and deliver endoscopy training to doctors and nurse endoscopists (once suitably experienced)
Improving quality and developing practice:
- Coordinate and participate in ongoing service review and evaluation, including seeking and monitoring patient experience and outcomes.
- Evaluate clinical practice in relation to its evidence base and clinical effectiveness including policy and guidance
- Develop and maintain systems to monitor and evaluate the quality and effectiveness of the service provided.
- Participate in relevant projects and identify priorities for the development of the service.
- Disseminate project findings through publication and presentation aimed at local, national and international audiences.
- Be involved with the validation of Endoscopy lists, following agreed protocols and ensure that patients are pre-assessed to ensure that they are fit to take bowel preparation and undergo colonoscopy
- Develop and review protocols for Patient Group Directives for administration of drugs for patients requiring endoscopy.
- Collaborate with the Risk Management Team when potential or actual risks are identified and work with them and others to devise and implement actions which reduce or remove these risks.
Person Specification
Technical Interview
Essential
- Degree Nursing
- Endoscopy Experience
Desirable
Person Specification
Technical Interview
Essential
- Degree Nursing
- Endoscopy Experience
Desirable
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.
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
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.
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).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
