Job summary
Job Overview
An exciting opportunity has arisen for an experienced and motivated
Endoscopy Nurse to join our service as a Band 7 Lead Endoscopy Nurse (JAG &
Quality Lead) on a 12-month fixed-term basis.
This 25-hour per week role combines senior clinical practice (one
endoscopy session per week) with dedicated time to lead Joint Advisory Group
(JAG) accreditation, governance, audit and quality improvement activity within
the Endoscopy Service.
The post holder will provide visible clinical and professional nursing
leadership, supporting the delivery of safe, effective and person-centred care
while ensuring the service achieves and maintains full JAG accreditation.
Working in partnership with the Clinical Lead and Operations Manager, the post
holder will strengthen governance systems, embed sustainable quality processes
and support continuous service improvement.
This role does not hold overall operational management responsibility
for the service but plays a key leadership role in accreditation, compliance
and quality assurance.
Main duties of the job
The post holder will lead preparation for JAG accreditation and annual review, including evidence collation, gap analysis, action planning and coordination of inspection activity. They will develop and monitor a JAG action plan, ensuring robust governance oversight through the Endoscopy User Group and embedding sustainable audit and compliance systems.
The role provides professional nursing leadership within the Endoscopy Service, supporting the delivery of safe, high-quality and person-centred care. The post holder will undertake one clinical endoscopy session per week to maintain competence and provide senior clinical support within the unit.
Responsibilities include strengthening audit processes (including comfort scores and KPIs), reviewing and updating policies and SOPs in line with JAG and national standards, escalating risks appropriately, and contributing to incident reporting and shared learning.
The post holder will promote infection prevention standards, support workforce development and reflective practice, and work collaboratively with the multidisciplinary team to enhance patient experience, quality and operational performance.
Provide professional oversight of endoscopy decontamination processes, ensuring compliance with national decontamination standards, JAG requirements and local policies.
Work collaboratively with decontamination leads and external providers (as applicable) to ensure safe, effective and fully traceable endoscope reprocessing systems.
About us
Our Endoscopy Service operates as an independent provider delivering NHS-contracted services, combining the values of the NHS with the flexibility and responsiveness of an independent organisation. We are committed to providing safe, high-quality and patient-centred care in line with national standards, including JAG accreditation and robust clinical governance frameworks.
We are a supportive and collaborative multidisciplinary team, focused on delivering timely, compassionate and efficient care to our patients. Our culture is built on professionalism, mutual respect and continuous improvement. Staff are encouraged to contribute ideas, take ownership of quality initiatives and play an active role in shaping service development.
Being independently run allows us to make decisions efficiently and respond quickly to service needs, while maintaining strong alignment with NHS standards, pathways and expectations. We work closely with NHS partners to ensure seamless patient care and uphold the highest clinical standards.
We are committed to investing in our people through professional development opportunities, ongoing training and a positive working environment where staff feel valued and supported.
We welcome applications from individuals who share our commitment to excellence, teamwork and delivering outstanding endoscopy care for NHS patients.
Job description
Job responsibilities
Main Duties of the Job
- Lead preparation for JAG accreditation and annual review, including evidence collation, gap analysis, action planning and coordination of inspection activity.
- Develop, implement and monitor a comprehensive JAG action plan with clear timelines and accountability.
- Ensure the Endoscopy User Group provides robust governance oversight, including learning from incidents, audit findings and quality metrics.
- Provide visible, compassionate and professional nursing leadership within the Endoscopy Service.
- Support the delivery of high-quality, safe and person-centred endoscopy care.
- Maintain clinical competence through undertaking one clinical endoscopy session per week.
- Strengthen audit processes, including comfort scores, KPI monitoring and compliance reporting.
- Review and update policies, SOPs and documentation in line with JAG and national guidance.
- Escalate risks or non-compliance appropriately and support timely resolution.
- Support workforce development, competency assurance and reflective practice.
Detailed Job Description and Main Responsibilities
Clinical Responsibilities
- Maintain up-to-date theoretical and clinical knowledge in endoscopy and decontamination.
- Undertake pre- and post-procedure care in line with scope of practice.
- Provide senior clinical support and oversight within the endoscopy unit.
- Recognise and appropriately escalate complications or concerns.
- Support safe and effective delivery of endoscopy lists.
JAG Accreditation & Quality
- Lead on JAG accreditation inspections and annual reviews.
- Conduct gap analyses against JAG standards and implement improvement plans.
- Horizon-scan for changes to JAG standards and national guidance, ensuring the leadership team remains informed.
- Embed sustainable governance and audit systems to maintain compliance beyond the duration of the post.
- Ensure compliance with JAG, BSG, NICE, CQC and local standards.
- Ensure decontamination governance arrangements meet JAG standards, including traceability, documentation, audit and assurance processes.
- Support monitoring of environmental standards, equipment validation and compliance with relevant Health Technical Memoranda (HTM) guidance.
Quality, Safety & Governance
- Record and audit comfort scores and other relevant quality indicators.
- Participate in audit, data collection and outcomes monitoring.
- Contribute to incident reporting, investigation and shared learning.
- Maintain high standards of infection prevention and provide leadership oversight of endoscope decontamination processes, ensuring compliance with HTM guidance, national standards and local policy.
- Promote a culture of openness, continuous improvement and patient safety.
Leadership & Service Development
- Act as a senior clinical role model within the endoscopy unit.
- Support staff development through coaching, supervision and facilitation of reflective practice.
- Contribute to service planning, workforce development and quality improvement initiatives.
- Work collaboratively with multidisciplinary colleagues to enhance patient experience and operational performance.
- Provide professional nursing leadership across the endoscopy pathway.
Working Pattern
This is a 12-month fixed-term post for 25 hours per week. The post holder will undertake one clinical endoscopy session per week to maintain clinical competence. The remaining time will be dedicated to JAG accreditation, governance, audit and service improvement activity.
Job description
Job responsibilities
Main Duties of the Job
- Lead preparation for JAG accreditation and annual review, including evidence collation, gap analysis, action planning and coordination of inspection activity.
- Develop, implement and monitor a comprehensive JAG action plan with clear timelines and accountability.
- Ensure the Endoscopy User Group provides robust governance oversight, including learning from incidents, audit findings and quality metrics.
- Provide visible, compassionate and professional nursing leadership within the Endoscopy Service.
- Support the delivery of high-quality, safe and person-centred endoscopy care.
- Maintain clinical competence through undertaking one clinical endoscopy session per week.
- Strengthen audit processes, including comfort scores, KPI monitoring and compliance reporting.
- Review and update policies, SOPs and documentation in line with JAG and national guidance.
- Escalate risks or non-compliance appropriately and support timely resolution.
- Support workforce development, competency assurance and reflective practice.
Detailed Job Description and Main Responsibilities
Clinical Responsibilities
- Maintain up-to-date theoretical and clinical knowledge in endoscopy and decontamination.
- Undertake pre- and post-procedure care in line with scope of practice.
- Provide senior clinical support and oversight within the endoscopy unit.
- Recognise and appropriately escalate complications or concerns.
- Support safe and effective delivery of endoscopy lists.
JAG Accreditation & Quality
- Lead on JAG accreditation inspections and annual reviews.
- Conduct gap analyses against JAG standards and implement improvement plans.
- Horizon-scan for changes to JAG standards and national guidance, ensuring the leadership team remains informed.
- Embed sustainable governance and audit systems to maintain compliance beyond the duration of the post.
- Ensure compliance with JAG, BSG, NICE, CQC and local standards.
- Ensure decontamination governance arrangements meet JAG standards, including traceability, documentation, audit and assurance processes.
- Support monitoring of environmental standards, equipment validation and compliance with relevant Health Technical Memoranda (HTM) guidance.
Quality, Safety & Governance
- Record and audit comfort scores and other relevant quality indicators.
- Participate in audit, data collection and outcomes monitoring.
- Contribute to incident reporting, investigation and shared learning.
- Maintain high standards of infection prevention and provide leadership oversight of endoscope decontamination processes, ensuring compliance with HTM guidance, national standards and local policy.
- Promote a culture of openness, continuous improvement and patient safety.
Leadership & Service Development
- Act as a senior clinical role model within the endoscopy unit.
- Support staff development through coaching, supervision and facilitation of reflective practice.
- Contribute to service planning, workforce development and quality improvement initiatives.
- Work collaboratively with multidisciplinary colleagues to enhance patient experience and operational performance.
- Provide professional nursing leadership across the endoscopy pathway.
Working Pattern
This is a 12-month fixed-term post for 25 hours per week. The post holder will undertake one clinical endoscopy session per week to maintain clinical competence. The remaining time will be dedicated to JAG accreditation, governance, audit and service improvement activity.
Person Specification
Experience
Essential
- Significant post-registration experience within an endoscopy service (minimum 3 years).
- Experience of:-
- Working within a JAG-accredited endoscopy unit.
- Contributing to JAG accreditation processes, inspections or annual reviews.
- Clinical audit, data collection and quality improvement initiatives.
- Working with KPIs and performance metrics within endoscopy services.
- Supporting incident reporting, investigation and shared learning.
- Supervising, mentoring or supporting junior staff.
- Working within multidisciplinary teams.
- Implementing or contributing to service development initiatives.
Desirable
- Leading JAG accreditation preparation or inspection visits.
- Developing and monitoring action plans linked to accreditation or governance standards.
- Chairing meetings or leading quality improvement forums.
- Policy or SOP review and development.
- Supporting workforce planning or competency frameworks.
Qualifications
Essential
- Registered Nurse (NMC) with no restrictions on practice.
- Degree-level qualification or equivalent experience.
- JAG accreditation or evidence of working towards accreditation.
- Strong understanding of JAG standards and CQC requirements.
- Knowledge of endoscopy decontamination standards, traceability systems and relevant HTM guidance.
- Evidence of leading quality improvement or accreditation processes.
- Experience in audit, governance and service development.
- BLS - ALS desirable.
- Knowledge of Health & Safety and COSHH regulations.
- Excellent communication and leadership skills
Desirable
- Non-medical prescribing qualification.
- Experience supporting JAG inspections.
- Leadership or teaching qualification
Person Specification
Experience
Essential
- Significant post-registration experience within an endoscopy service (minimum 3 years).
- Experience of:-
- Working within a JAG-accredited endoscopy unit.
- Contributing to JAG accreditation processes, inspections or annual reviews.
- Clinical audit, data collection and quality improvement initiatives.
- Working with KPIs and performance metrics within endoscopy services.
- Supporting incident reporting, investigation and shared learning.
- Supervising, mentoring or supporting junior staff.
- Working within multidisciplinary teams.
- Implementing or contributing to service development initiatives.
Desirable
- Leading JAG accreditation preparation or inspection visits.
- Developing and monitoring action plans linked to accreditation or governance standards.
- Chairing meetings or leading quality improvement forums.
- Policy or SOP review and development.
- Supporting workforce planning or competency frameworks.
Qualifications
Essential
- Registered Nurse (NMC) with no restrictions on practice.
- Degree-level qualification or equivalent experience.
- JAG accreditation or evidence of working towards accreditation.
- Strong understanding of JAG standards and CQC requirements.
- Knowledge of endoscopy decontamination standards, traceability systems and relevant HTM guidance.
- Evidence of leading quality improvement or accreditation processes.
- Experience in audit, governance and service development.
- BLS - ALS desirable.
- Knowledge of Health & Safety and COSHH regulations.
- Excellent communication and leadership skills
Desirable
- Non-medical prescribing qualification.
- Experience supporting JAG inspections.
- Leadership or teaching qualification
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
