An opportunity has arisen to join the Endoscopy Department team working in the role as a Registered Nurse Endoscopist to commence in February 2024.

If you are passionate about providing the highest standards of care to patients and provide patients with improved diagnostic outcomes and prompt treatment this post will enhance your skills You will be enthusiastic, motivated, and have experience with all aspects of clinical nurse Endoscopy to provide all aspects of diagnostics care working with a team of trained Registered nursing staff in both Endoscopy units at WWL.

You will have your own case load with dedicated nurse endoscopy lists (performing upper and lower GI investigations), outpatient clinics for specific disease pathways and supporting the 18 week pathway and bowel scope programme.

As an organisation we are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity in care. With this in mind we are seeking to recruit people who share the organisation's values and beliefs.Successful candidates will enjoy full training and support from our experienced staff, all you need is a desire to learn, enthusiasm and a commitment to delivering an excellent service for our patients.

The role will require you to work across all areas in the Trust which includes those that are designated as positive, asymptomatic and negative COVID wards.

Main duties of the job

It is expected that the Nurse Endoscopist will act as an autonomous clinical expert in GI Endoscopy nursing practice working in a multidisciplinary team.

The post holder will be a role model for professional practice, exercising accountability and provide support and leadership within the Endoscopy Team.

The Specialist Nurse Endoscopist's primary role will be to provide diagnostic upper and lower GI endoscopy and colonoscopy including polypectomy for patients managed at the Trust and out patients.

The post holder will help to support targets for the two week rule and 18 week pathway and will be supported by a team of Consultant Gastroenterologists.

The post holder will also provide expertise for JAG accreditation and GRS requirements as well as help to improve, rationalise and enhance current services in the Endoscopy Unit.

The Gastroenterologist Nurse Endoscopist will be allocated a caseload from consultant colleagues to undertake patient investigations, manage patient care and undertake all appropriate correspondence for patients in their care with primary and secondary care colleagues within their professional competence.

About us

Choose Well - Choose WWL

Wrightington, Wigan and Leigh NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement, and living our values 'the WWL Way'.

WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.

On-Call

Please note that senior positions (AFC band 8A or above) may be expected to participate in an on-call rota, if the role is predominantly operational.

Job description

Job responsibilities

Duties and Responsibilities

Key results from the job holder

• The Gastroenterologist Nurse Endoscopist will be allocated a caseload from consultant colleagues to undertake patient investigations, manage patient care and undertake all appropriate correspondence for patients in their care with primary and secondary care colleagues within their professional competence.
• Ability to manage workload in accordance with agreed templates.
• Lead the development of Nurse Endoscopy and support the open access services for patients referred by their General Practitioner for suspected GI cancer / disease.
• Refer patients, whose fitness for a procedure may be in doubt, to the referring Consultant or Medical Practitioner.
• Set standards and development of protocols, including Patient Group Directives, for the management of patients with suspected GI cancers / disease.
• Develop multidisciplinary clinics with Consultant Gastroenterologists, Endoscopy staff and other health professional / nurse specialists, with a view to the development of nurse-led GI clinics.
• Perform independent diagnostic / therapeutic GI Endoscopy for patients who fit into the Nurse Endoscopist criteria.
• Make clinical decisions with regards to individual patients and their disease management.
• Undertake placement of Percutaneous Endoscopic Gastrostomy tubes with Consultant Gastroenterologist / Nutrition Nurse Specialist when required.
• Effective communication is essential both with patients, their families and members of the multidisciplinary team to ensure safe effective care for patients undergoing Endoscopic procedures.
• To adhere to NMC Code of conduct.

Planning and Organisational Duties

The post holder will participate in, and influence, care delivery by:

• To flexibly manage responsibility for own clinical caseload and to seek support from clinical colleagues in the management of complex cases and where necessary to transfer care to a consultant colleague.
• Cover endoscopy clinical caseloads for clinical colleagues on annual leave as appropriate.
• Ensure the effective use of specialist endoscopy equipment to deliver comprehensive and compassionate patient care in line with practice and services.
• Provide senior clinical nurse leadership to the Gastroenterology nursing team developing nursing practice based upon clinical expertise and evidence.
• Develop protocols for role development and skill enhancement within the team whist maintaining a patient focus.
• Participate in processes for JAG accreditation and GRS census submissions.
• Devise systems for monitoring standards which are able to demonstrate continual improvements in the quality of patient care.
• Take a lead role in developing clinical governance within the Gastroenterology team.
• Develop competencies which safeguard practice and effectiveness in role as a credible and accountable practitioner. Ensuring compliance with NMC/HPC Codes of Conduct.
• Demonstrating awareness of, and participation in development and management of the service to meet demands and adapt to the changing needs of the service.
• Develop protocols for role development and skill enhancement within the team whilst maintaining a distinct nursing focus.
• Undertake quality improvements using the audit findings.
• Contribute to developing Clinical Governance within the Endoscopy team.
• Take a lead role in research and audit activities relevant to endoscopy, for the trust and utilize findings to change practice, where appropriate.
• Ensure that clinical practice in endoscopy reflects current research findings
• Promote integrated working practices between endoscopy, outpatients, inpatients, wards and community services.
• Within the wider team, develop joint protocols across primary care / secondary care interface
• Lead the development of Gastroenterology Specialist nurse support to secondary and primary care.
• Ensure continuous development of practice knowledge and skill through participating in clinical supervision.
• Initiate programme of clinical audit and review so that the effectiveness of the nurse Endoscopist role is monitored and patient outcomes are maximized.
• Influence care delivery by acting as a resource of expert professional knowledge for the team through application of theory in practice.

Communications and Key Working Relationships

The post holder will demonstrate effective communication and organisation awareness levels by:

• Using a multimedia approach to influence outcomes
• Assisting in the establishment of communications systems with all the stakeholders to promote understanding and goodwill.
• Ensuring consistency within standards of all aspects of patient care.
• Maintaining compliance with the data protection act 1998 and information governance ensuring confidentiality is adhered to.
• Maintaining accurate and timely records.
• Verbally communicates with multidisciplinary team relaying sensitive, contentious information when managing conflict within team and escalation when necessary

Responsibility for Finance

The post holder will be responsible for:

• Ensuring the effective use of all financial resources in providing and delivering the service
• Identifying and implementing Cost Improvement Programmes within the service.
• Through consultation with all key stakeholders, ensuring effective utilisation of services.
• Providing the service within the financial constraint

Responsibility for Human Resources

The post holder will be responsible for:

• Implementation of all Trust policies and procedures
• Maximizing efficiency and effectiveness of all Human Resources within the department
• Adherence to Trust policies and maintenance of the professional code of conduct.
• Using well developed listening skills and insight into the organisational culture formulate and implement policies to enable teams to make their best contribution to effective care delivery.
• Offering support and clinical supervision to junior staff and students and facilitating the ongoing development of all grades of junior staff.
• Adhering to Trust policies and maintenance of the professional Code of Conduct

Responsibility for Health & Safety

• Compliance with the Health & Safety at Work Act 1974 the post holder is required to fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards, and a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions.

The post holder will demonstrate:

• Participation and leadership of departmental research and audit
• Application of evidence-based practice within care delivery
• Using a knowledge of organizational culture, formulate, implement and evaluate policies/ S.O.Ps to ensure effective care delivery.
• Identify the need for and undertake research, clinical audit, benchmarking and equipment trials in order to improve effectiveness of patient care.
• Disseminate research and audit findings through presentation groups and publication.
• Responsible for the development and implementation of policies, procedures and guidelines relevant to own area of work.
• Develop and implement strategies for patient and public involvement activities in the specialist area, leading to service improvement.
• Promote peoples equality, diversity and rights

Responsibility for Teaching

The post holder will promote life-long learning through the use of appropriate coaching, teaching and assessment in practice by:

• Maximizing efficiency through recognition and effective utilisation of all appropriate development resources and opportunities.
• Recognizing and responding to a range of objectives and standards necessary to assure a supportive learning environment.
• Supporting those developments, which contribute to the achievement of organisational, team and individual goals.
• Demonstrates underpinning theoretical knowledge within their clinical practice of infection control, Health and Safety, ethical & legal issues, Human resource management and imparting this area
• Devise training programmes with nursing, managerial and academic colleagues to meet the training needs of nursing colleagues in Gastroenterology.
• Contribute to the education, training and development of medical staff and the multidisciplinary team within the Gastroenterology directorate.
• Provide training and education to nurses and others across the trust, with particular focus on health education provision.
• Provide training and education support to Primary Healthcare teams in the management of Gastroentrology problems.
• Support nurse specialists in the provision of Health promotion and Health education to individual patients / carers and patient groups.
• Establish academic nursing links in the department, optimizing opportunities for nursing research
• Contribute to maintaining a positive learning environment for students and others on a clinical placement.

Person Specification

Qualifications

Essential

• RN 1st level
• Specialist Gastroenterology Nursing Qualification
• NMP
• Degree
• Endoscopy training certification

Experience

Essential

• Experience at Senior nurse level
• Clear understanding of Nursing and policy issues
• Recent experience of role development
• Experience of establishing positive working relationshi
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  302-23-5789670M