Job summary
The Band 8b Bowel Cancer Screening Clinical Endoscopist is a senior autonomous practitioner who provides expert diagnostic and therapeutic endoscopy within the NHS Bowel Cancer Screening Programme (BCSP). The post holder works at an advanced and strategic level, delivering high-quality, safe, and effective endoscopic care, while also providing clinical leadership, service development, education, and governance across the bowel cancer screening pathway.
The postholder will be skilled in both diagnostic and some therapeutic colonoscopy and will be expected to work across all screening sites with Calderdale, Kirklees and Wakefield. They will use expertise to maintain and improve the quality and consistency of health care experienced by patients and service users within both BCSP and symptomatic endoscopy services.
Main duties of the job
o Performing independent, high volume colonoscopy within both the BCSP and the symptomatic service, including endoscopic therapy appropriate to a successful candidates' limitations
o Maintaining JAG and BCSP performance standards, ensuring maintenance of acceptable Key Performance Indicators (e.g. caecal intubation rate, SPA detection rate etc).
o Providing expert clinical decision making across screening and symptomatic pathways, including escalating care for the unwell patient, arranging further investigations and determining appropriate surveillance pathways
o Acting as a clinical expert and point of reference when complex cases and adverse events arise
o Work autonomously whilst performing screening and symptomatic colonoscopy on participants requiring IV conscious sedation. The post holder will also occasionally be required to work alongside an anaesthetist in situations where patients and participants require deep sedation or a general anaesthetic to support successful completion of their investigations.
o Appropriately maintain and update their clinical knowledge and skills and will use this to effect change appropriate to the on-going development and expansion of the National Bowel Cancer Screening Programme.
o Act as a lead within the clinical endoscopist team, overseeing and supporting the team's development and compliance in all aspects for their roles.
About us
CHFT is an integrated Trust of 6,500+ colleagues providing hospital and community services to patients and communities across Calderdale and Kirklees. We are rated as 'Good' by the Care Quality Commission, are a top performing Trust for Elective Recovery, Emergency and Cancer Care and widely acknowledged as a national digital lead when it comes to caring for people across our local and regional systems.
Our people are at the core of everything we do, hence our commitment to One Culture of Care. Our focus is to care for and support each other in order to provide outstanding compassionate care to our patients. That is why we are looking for an inclusive collaborative, creative, innovative and compassionate leader to join us in this role.
Job description
Job responsibilities
Have high level hand to eye coordination and a high level of manual dexterity to allow them to perform diagnostic and therapeutic screening and symptomatic colonoscopy, demonstrating techniques that prioritise patient safety and comfort.
Be required to maintain moderate levels of sustained physical effort and dexterity during endoscopic examinations. Be required to maintain sustained levels of concentration during endoscopic procedures, using digital and chemical enhancement to identify and examine both benign and malignant lesions Wear appropriate PPE due to being frequently exposed to unpleasant conditions, including contact with bodily fluids. Be required to stand for long periods surrounded by equipment which can at times be noisy and generate a lot of heat. Will be required to use high-definition video display units, (using various wavelengths of light for digital enhancement of lesions) for sustained and prolonged periods. Ensure meticulous infection control measures are consistently applied to all areas of clinical practice, as defined by both national guidance and local policy.
Will communicate effectively with various individuals from within the screening and symptomatic MDT, as well other professional groups, organisations, patients and their carers.
Be able to communicate complex interventions, treatments, risks and outcomes to individuals, carers and families participating within the BCSP, commensurate with their level of understanding and language, respecting both equality and diversity.
Understand and apply the legal safeguarding framework that supports the identification of vulnerable adults.
Be skilled at delivering bad news to patients, families and their carers, ensuring that further staging investigations are requested and appropriate MDT referrals are made. The post holder will also ensure that patients and participants have access to on-going support, including named contacts, to allow further enquiries, questions and concerns to be addressed.
Be able to demonstrate in-depth knowledge, understanding and experience of patients with lower gastrointestinal diseases and disorders.
Interpret endoscopic findings, distinguishing benign disease from potential / actual malignant disease, instigating appropriate actions and management for timely further investigation and appropriate onward referral.
Practice within their own limitations and escalate care where appropriate to ensure patient safety.
Be an independent non-medical prescriber (post is open to those without such a qualification, however the desire to undertake such a course is essential).
Work autonomously whilst performing screening and symptomatic colonoscopy on participants requiring IV conscious sedation. The post holder will also occasionally be required to work alongside an anaesthetist in situations where patients and participants require deep sedation or a general anaesthetic to support successful completion of their investigations.
Ensure patients and participants can make informed and appropriate choices around sedation and analgesia.
Be competent in the administration of IV conscious sedation, including the use of reversal agents and resuscitation equipment, should adverse events and complications arise.
Be experienced in the recognition, management and treatment of lesions within the colon and rectum and will be competent in the therapeutic management of at least level 2 polyps, including the immediate management of post polypectomy bleeding.
Refer large or complex benign polyps to a relevant site-specific Complex Polyp MDT, including an accurate description supported by photo documentation, and an assessment of likely complexity using the SMSA criteria.
Manage non-malignant disease (e.g. IBD) that is detected at screening colonoscopy, ensuring that onward referral is directed appropriately. If the finding is acute and requires urgent attention, then the screening endoscopist will alert the appropriate medical / surgical team.
Be able to recognise complications attributed to colonoscopy and will be able act on such findings appropriately and decisively.
Job description
Job responsibilities
Have high level hand to eye coordination and a high level of manual dexterity to allow them to perform diagnostic and therapeutic screening and symptomatic colonoscopy, demonstrating techniques that prioritise patient safety and comfort.
Be required to maintain moderate levels of sustained physical effort and dexterity during endoscopic examinations. Be required to maintain sustained levels of concentration during endoscopic procedures, using digital and chemical enhancement to identify and examine both benign and malignant lesions Wear appropriate PPE due to being frequently exposed to unpleasant conditions, including contact with bodily fluids. Be required to stand for long periods surrounded by equipment which can at times be noisy and generate a lot of heat. Will be required to use high-definition video display units, (using various wavelengths of light for digital enhancement of lesions) for sustained and prolonged periods. Ensure meticulous infection control measures are consistently applied to all areas of clinical practice, as defined by both national guidance and local policy.
Will communicate effectively with various individuals from within the screening and symptomatic MDT, as well other professional groups, organisations, patients and their carers.
Be able to communicate complex interventions, treatments, risks and outcomes to individuals, carers and families participating within the BCSP, commensurate with their level of understanding and language, respecting both equality and diversity.
Understand and apply the legal safeguarding framework that supports the identification of vulnerable adults.
Be skilled at delivering bad news to patients, families and their carers, ensuring that further staging investigations are requested and appropriate MDT referrals are made. The post holder will also ensure that patients and participants have access to on-going support, including named contacts, to allow further enquiries, questions and concerns to be addressed.
Be able to demonstrate in-depth knowledge, understanding and experience of patients with lower gastrointestinal diseases and disorders.
Interpret endoscopic findings, distinguishing benign disease from potential / actual malignant disease, instigating appropriate actions and management for timely further investigation and appropriate onward referral.
Practice within their own limitations and escalate care where appropriate to ensure patient safety.
Be an independent non-medical prescriber (post is open to those without such a qualification, however the desire to undertake such a course is essential).
Work autonomously whilst performing screening and symptomatic colonoscopy on participants requiring IV conscious sedation. The post holder will also occasionally be required to work alongside an anaesthetist in situations where patients and participants require deep sedation or a general anaesthetic to support successful completion of their investigations.
Ensure patients and participants can make informed and appropriate choices around sedation and analgesia.
Be competent in the administration of IV conscious sedation, including the use of reversal agents and resuscitation equipment, should adverse events and complications arise.
Be experienced in the recognition, management and treatment of lesions within the colon and rectum and will be competent in the therapeutic management of at least level 2 polyps, including the immediate management of post polypectomy bleeding.
Refer large or complex benign polyps to a relevant site-specific Complex Polyp MDT, including an accurate description supported by photo documentation, and an assessment of likely complexity using the SMSA criteria.
Manage non-malignant disease (e.g. IBD) that is detected at screening colonoscopy, ensuring that onward referral is directed appropriately. If the finding is acute and requires urgent attention, then the screening endoscopist will alert the appropriate medical / surgical team.
Be able to recognise complications attributed to colonoscopy and will be able act on such findings appropriately and decisively.
Person Specification
QUALIFICATIONS AND TRAINING
Essential
- Registered Nurse
- Accredited Bowel Cancer Screening Colonoscopist
- MSc level education
- 1st level degree
Desirable
- Independent non-medical prescriber
- Completed the HEE Clinical Endoscopist Programme or equivalent
- Training the Trainer (JAG) Qualification
- Teaching Qualification
KNOWLEDGE, EXPERIENCE AND EXPERTISE
Essential
- Up to date professional knowledge/future provision of the service.
- Knowledge of Endoscopy service and JAG accreditation
- Evidence of effective leadership and developmental work.
- Evidence and facilitation of change management.
- The ability to demonstrate comprehensive current nursing knowledge, skills and experience.
- Up to date professional knowledge/future provision of the service.
- Performs Screening colonoscopy level 1 & 2 polypectomy skills
- Evidence of exceeding acceptable Bowel cancer screening KPI's.
Desirable
- Performs Screening colonoscopy level 3 polypectomy.
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Excellent interpersonal and communication skills.
- Ability to prioritise workload and meet deadlines whilst paying attention to detail.
- Ability to work under pressure.
- Ability to work on own initiative and as part of a team
- Self-motivating and the ability to influence others
- Displays a strong motivation and commitment to success
- Ensures personal, professional behaviour and integrity at all times.
Person Specification
QUALIFICATIONS AND TRAINING
Essential
- Registered Nurse
- Accredited Bowel Cancer Screening Colonoscopist
- MSc level education
- 1st level degree
Desirable
- Independent non-medical prescriber
- Completed the HEE Clinical Endoscopist Programme or equivalent
- Training the Trainer (JAG) Qualification
- Teaching Qualification
KNOWLEDGE, EXPERIENCE AND EXPERTISE
Essential
- Up to date professional knowledge/future provision of the service.
- Knowledge of Endoscopy service and JAG accreditation
- Evidence of effective leadership and developmental work.
- Evidence and facilitation of change management.
- The ability to demonstrate comprehensive current nursing knowledge, skills and experience.
- Up to date professional knowledge/future provision of the service.
- Performs Screening colonoscopy level 1 & 2 polypectomy skills
- Evidence of exceeding acceptable Bowel cancer screening KPI's.
Desirable
- Performs Screening colonoscopy level 3 polypectomy.
COMMUNICATION AND RELATIONSHIPS (INCLUDING MANAGEMENT RESPONSIBILITIES)
Essential
- Excellent interpersonal and communication skills.
- Ability to prioritise workload and meet deadlines whilst paying attention to detail.
- Ability to work under pressure.
- Ability to work on own initiative and as part of a team
- Self-motivating and the ability to influence others
- Displays a strong motivation and commitment to success
- Ensures personal, professional behaviour and integrity at all times.
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).
