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Clinical Endoscopist

Employer
Bedfordshire Hospitals NHS Foundation Trust
Location
Bedford
Salary
£50,952 to £57,349 Per annum pro rata
Closing date
25 May 2024

View more

Profession
Other Health Profession
Grade
Band 8A
Contract Type
Permanent
Hours
Full Time
The post holder will be responsible for the efficient and effective provision of the non-medical endoscopy service in conjunction with other members of the multidisciplinary team. They will work with the MDT and contribute to the development, management and delivery of a high quality general and specialist mixed GI endoscopy service.
  • Provide a diagnostic endoscopy and bowel cancer screening service for patients
  • Possibility of Cross Site working
  • Delivery of 6 Endoscopy sessions per week

The post holder will independently undertake diagnostic and therapeutic upper and lower gastrointestinal endoscopy on sedated and non-sedated patients.

To be a JAG accredited trainer for GI endoscopy. To support the training lead in delivering JAG accredited Courses and training of medical and non-medical Endoscopists.

Main duties of the job

To work autonomously with minimal supervision from Consultant Gastroenterologists to undertake therapeutic interventions in accordance with Departmental policies. To take responsibility for developing and reviewing relevant policies. To be an expert practitioner, providing specialist nursing advice and support in all aspects related to the Non-Medical Endoscopist. Maintain awareness and knowledge of national developments related to Non-Medical Endoscopists. Administer conscious Midazolam sedation and analgesia and be responsible for the development and amendment of departmental policies related to conscious sedation in accordance with British Gastroenterology.

Undertake nurse led Gastroenterology related face to face and non face to face Patient Consultations.

To work in partnership with the multidisciplinary team to ensure that local practice is of the highest standard for current and future patients whilst achieving all national and local targets. At least 70% of the duty time will be spent in providing direct clinical care and advice for gastro-intestinal patients at the diagnostic stage of their care. This involves the utilisation of highly developed specialist knowledge, critical thinking and expert decision making skills in order to assess, plan, implement and evaluate programmes of care for this cohort of patients.

About us

Bedfordshire Hospitals NHS Foundation Trust provides hospital services to a growing population of around 700,000 people living across Bedfordshire and the surrounding areas across two busy hospital sites in Bedford and Luton. Both hospital sites offer key services such as A& E, Obstetrics-led Maternity and Paediatrics.

You will be joining a friendly, high performing Trust committed to ensuring the health and wellbeing of staff. As one of the largest NHS Trusts in our region you will have access to a programme of high quality training and development to help you grow your career.

We have state-of-the art facilities placing us at the heart of cutting edge health care. The Trust continues to be committed to delivering the best patient care using the best clinical knowledge and technology available.

Please note that vacancies may close prior to the advertised closing date when sufficient number of applications have been received. Please ensure that you make your application as soon as possible.

All new staff will be subject to a probationary period covering their first six months in post. Travel between hospital sites may be required.

Please review all documents attached to this advert to ensure you familiarize yourself with all requirements of the job.

Job description

Job responsibilities

  • 1. Take full responsibility for the clinical management of the patient during the procedure including pre procedure assessment/ the procedure and recovery.
  • Take informed consent prior to the procedure in accordance with Trust policies and ensure adherence to annual update of consent training
  • Using highly specialised knowledge ensure that patients and carers receive appropriate health education pre and post procedure
  • 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.
  • Administer the following in accordance to local protocols
    • Conscious sedation
    • Reversal agent
    • Local anaesthesia
    • Intravenous analgesia
    • Entonox
  • Upon the location of abnormal pathology, undertake biopsies, photographs and complete pathology requests as required.
  • Take responsibility for interpreting the outcome of investigations undertaken on patients, arranging any further necessary diagnostic procedures or staging investigations.
  • Ensure specimens are sent to laboratory in a timely manner within agreed protocols.
  • Review histological results, taking responsibility for escalating any significantly abnormal pathology to the referring Clinician.
  • Refer to other professionals for more specialist support as appropriate, to ensure continuity and co-ordination of patient care along the patient pathway.
  • 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.
  • To have the knowledge and experience to be able to assess endoscopic referrals for appropriateness, following set protocols
  • 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.
  • Undertake up to 6 Endoscopy lists a week.

  • Managerial
  • In collaboration with Clinical Director, Clinical lead, Endoscopy clinical operation manager and other Advanced Practitioners , contribute to strategy for the development of non- Medical 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 non-Medical Endoscopists
  • 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.
  • 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.
  • Take responsibility for inputting clinical information for individual patient reports following examination to ensure National Endoscopy database is kept up to date.
  • Take responsibility for checking own data on the JETs National Endoscopy database to record own clinical outcomes.
  • In collaboration with the Endoscopy Team support the preparation of evidence for any external reviews.
  • Organise time effectively to ensure effective management of workload, prioritising work as necessary
  • In collaboration with the Endoscopy leads support the development of patient information leaflets


  • Person Specification

    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.


    Employer details

    Employer name

    Bedfordshire Hospitals NHS Foundation Trust

    Address

    Bedford Hospital NHS Trust South Wing

    Kempston Road

    Bedford

    MK42 9DJ

    Any attachments will be accessible after you click to apply.

    418-AHP5993-SJ-B

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