Clinical Endoscopist

Job responsibilities

1. Take full responsibility for the clinical management of the patient during the procedure including pre procedure assessment/ the procedure and recovery.

2. Take informed consent prior to the procedure in accordance with Trust policies, when nurse led consent is not deemed appropriate.

3. Using highly specialised knowledge ensure that patients and carers receive appropriate health education pre and post procedure

4. Working autonomously without clinical supervision, undertake invasive diagnostic flexible sigmoidoscopy, colonoscopy and Upper GI endoscopy. Standard Endoscopy expectations to include; polypectomy and diathermy, tattooing of mucosa with marking ink, lifting sessile polyps. There is a possibility to work towards more therapeutic procedures including; EMR etc.

5. Administer the following in accordance to local protocols

Conscious sedation

Reversal agent

Local anaesthesia

Intravenous analgesia

Entonox

6. Upon the location of abnormal pathology, undertake biopsies, photographs and complete pathology requests as required following protocol.

7. Take responsibility for interpreting the outcome of investigations undertaken on patients, arranging any further necessary diagnostic procedures or staging investigations.

8. Ensure specimens are sent to laboratory in a timely manner within agreed protocols.

9. Review histological results, taking responsibility for escalating any significantly abnormal pathology to the referring Clinician.

10. Refer to other professionals for more specialist support as appropriate, to ensure continuity and co-ordination of patient care along the patient pathway.

11. Where appropriate, interpret and present clinical information to patients and their relatives, demonstrating highest levels of interpersonal and communication skills ensure that patients and their carers have sufficient relevant verbal and written information during the patients stay. This may require communication of bad news requiring advanced communication skills.

12. To have the knowledge and experience to be able to assess endoscopic referrals for appropriateness, following set protocols

13. To participate in the non-endoscopic GI service as service need requires (ie outpatient clinic, ward liaison, Non endoscopic investigations) and within own area of expertise.

14. Undertake up to 5 Endoscopy lists a week.

Managerial

1. In collaboration with Clinical Director, Clinical lead, Endoscopy clinical operation manager and other Advanced Practitioners , contribute to strategy for the development of Clinical Endoscopists to support the Trust performance in achieving all national and local wait times targets and develop guidelines for investigations, drug interventions and the administration of therapies which may be instigated and initiated by Clinical Endoscopists

2. Be responsible for the validation of surveillance endoscopy waiting lists and initiation of bowel preparation in accordance with clinical guidance and GRS standards for clinical quality.

3. Maintain accurate and up-to-date confidential and timely patient records ensuring that all patient documentation (both written and electronic) is in line with agreed Trust Standards and NMC guidance.

4. Take responsibility for inputting clinical information for individual patient reports following examination to ensure National Endoscopy database is kept up to date.

5. Take responsibility for checking own data on the JETs National Endoscopy database to record own clinical outcomes.

6. In collaboration with the Endoscopy Team support the preparation of evidence for any external reviews.

7. Organise time effectively to ensure effective management of workload, prioritising work as necessary

8. In collaboration with the Endoscopy leads support the development of patient information leaflets

Qualifications

Essential

• Registered Practitioner with current NMC registration.
• Experience of teaching with recognised qualification
• Mentorship qualification.
• Possession of Masters qualification or willingness to work towards.
• Evidence of continuing clinical and professional development
• Completion of Nurse prescribing course

Desirable

• Relevant post graduate qualification
• Attendance on a leadership programme or equivalent.

Experience

Essential

• Significant experience working within an Endoscopy setting or related/relevant care setting
• JAG Accreditation for upper GI and/or lower GI endoscopy procedures
• Experience of working in partnership with the MDT and be able to gain their respect.
• Demonstrable experience of managing change within a clinical environment
• Ability to both influence and work across professional boundaries
• Completion of JETS upper GI and lower GI basic skills courses
• Clinical audit
• Multi-professional working.

Desirable

• Evidence of implementing positive change.

Knowledge

Essential

• Demonstrable commitment to and specialised expertise/knowledge in Endoscopy and related fields.
• Understanding and interpretation of the wider local and national agenda/policies around provision for endoscopy services, including JAG accreditation.
• Clinical Governance agenda.
• Knowledge of current developments in nursing and political awareness in the NHS
• Knowledge of current nursing issues. Knowledge of Trust objectives and vision.
• Knowledge of standard setting and the Audit process

Communication Skills

Essential

• Able to provide and receive highly complex, sensitive information.
• To possess and utilise highly developed communication and interpersonal skills.
• Ability to effectively communicate in both written and verbal form.
• Presentation skills
• Advanced communication skills - breaking bad news etc

Skills

Essential

• Effective managerial, leadership and motivation skills
• Effective teaching, training and mentorship skills.
• Excellent interpersonal and communication skills.
• Organisational, analytical and problem solving skills.
• Clinical assessment skills.
• People management skills.
• IT competent using word and excel.
• Ability to write reports.
• Able to initiate and develop evidence based practice
• Ability to relate theory to practice
• Decision making involving highly complex facts/situations
• Ability to work autonomously.
• Proven service delivery
• Excellent time management and prioritisation skills.

Personal Characteristics

Essential

• Team orientated leadership.
• Excellent interpersonal skills.
• A strong commitment to openness, honesty, inclusiveness
• Flexible approach to role.
• Able to work under pressure.
• Adaptable
• High levels of personal motivation and ability to motivate others.
• Ability to work under pressure to meet deadlines.
• Ability to work sensibly and collaboratively across organisation and professional boundaries, recognising changes in circumstances and incorporate them into practice
• Demonstrate awareness of priorities, deals with workload, adapts to changing requirements and uses initiative.

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.

Certificate of Sponsorship

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).