Upper GI Triage Clinical Nurse Specialist
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Job Summary
To ensure the provision of high quality specialist nursing care to patients under investigation for oesophagogastric cancer. The nurse will triage gastroenterology referrals for suspected upper GI cancers, with symptoms of dysphagia, dyspepsia and iron deficiency anaemia, and support these patients through investigations and diagnosis.
The role involves working as an autonomous expert practitioner, making critical holistic clinical decisions through assessment, monitoring and planning, facilitating timely investigations, coordinating care and providing information to enable patients to make informed choices. The clinician will collaborate with the Iron Deficiency Anaemia Specialist Nurse, offering clinical supervision and support.
Key Responsibilities
* Undertake nurse‑led, consultant‑supervised protocol‑driven triage of Direct‑to‑Test Upper Endoscopy referrals for patients with symptoms of dysphagia, dyspepsia and iron deficiency anaemia.
* Take a comprehensive patient history using tools such as the Edinburgh Dysphagia Score and Rockwood Frailty Score and determine an appropriate treatment pathway.
* Advise patients on the risks and benefits of interventions, providing procedure information and reviewing anticoagulation where relevant.
* Ensure diagnostic procedures are requested, avoiding delays and proactively retrieving results from investigations such as endoscopy, CT and biopsies.
* Review results and decide the most appropriate next steps—presentation to Upper GI MDT, discharge back to GP or further investigations—acting as an advocate and keeping patients and relatives informed sensitively.
* Provide expert resource and clinical support to the IDA Nurse Specialist.
* Support the Trust in meeting urgent suspected cancer (USC) and referral to treatment (RTT) waiting time targets.
* Participate in quality initiatives, audits and local/national guideline compliance—undertaking clinical audit where required.
* Facilitate communication within the multi‑disciplinary team, presenting findings and contributing to care planning discussions.
Person Specification
Essential
* First Level Registered Nurse.
* At least one year’s experience at Band 6 within a relevant speciality.
* Recognised Adult Health Assessment qualification or trainee.
* Experience within upper GI patient care or IDA.
Desirable
* Post‑registration qualification within the speciality or equivalent, with ability to link theory to practice.
* Experience of teaching and assessing in a clinical area.
* Knowledge of national and local issues in gastroenterology.
Details
* Date posted: 22 December 2025
* Pay scheme: Agenda for change
* Band: 7
* Salary: £47,810 to £54,710 a year per annum
* Contract: Permanent
* Working pattern: Full‑time
* Reference number: 229‑MED‑7661695
* Job location: Hereford County Hospital, Stonebow Road, Hereford, HR1 2ER
About the Employer
Wye Valley NHS Trust operates within an NHS Foundation Group alongside South Warwickshire University NHS FT, George Eliot Hospital NHS Trust and Worcestershire Acute NHS Hospitals Trust. Based in Herefordshire with services extending into Powys, the Trust provides acute and community services across the region, running Hereford County Hospital and community hospitals in Bromyard, Leominster and Ross‑on‑Wye. The Trust prioritises quality, patient pathways and collaborative working, supporting staff to develop their careers and achieve work‑life balance.
Additional Information
Disclosure and Barring Service Check: This post requires a Submission for Disclosure to the Disclosure and Barring Service (formerly CRB). Certificate of Sponsorship: Applications from job seekers requiring Skilled Worker sponsorship will be considered. UK Registration: Applicants must hold current UK professional registration.
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