Main area Endoscopy Grade NHS AfC: Band 8a Contract This is a full time permanent post. The duties are not exhaustive and will be reviewed with the post holder, allowing for amendments within the broad scope and band level of the role. Hours Full time - 37.5 hours per week (weekend working on rota basis) Job ref 289-CS-276
Employer Chelsea and Westminster Hospital NHS Foundation Trust Employer type NHS Site West Middlesex Hopsital Town Hounslow Salary £61,631 - £68,623 per annum incl. HCAS Salary period Yearly Closing 13/01/2026 23:59 Interview date 22/01/2026
Clinical Nurse Endoscopist
NHS AfC: Band 8a
Job overview
As a Clinical Endoscopist, you will play a vital role in delivering a nurse-led endoscopy service. Working in close collaboration with clinical nurse endoscopists, consultant gastroenterologists, and GI surgical consultants, you will provide high-quality diagnostic and therapeutic endoscopic procedures for patients undergoing assessment and investigation for gastrointestinal disease.
The post holder will manage their own patient caseload, ensuring excellent standards of care, adherence to national targets, and compliance with Joint Advisory Group (JAG) accreditation requirements.
Main duties of the job
You will be working closely with an existing team of clinical nurse endoscopists and consultant gastroenterologists and GI surgical consultants. You will be expected to provide a nurse led endoscopy service for patients who are undergoing assessment and investigation for gastrointestinal disease and to perform diagnostic and therapeutic endoscopic procedures, following agreed protocols. The post holder will manage his/her own patient case load and to provide high standards of care and achieve national targets to meet service needs and ensure JAG accreditation.
Working for our organisation
Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.
We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.
We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.
We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.
If you haven’t heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation.
Some roles may require weekend shifts at multiple sites.
Detailed job description and main responsibilities
Key Job Responsibilities
* Work closely with the Lead Endoscopy Nurse and Lead UGI & Colorectal Specialist Practitioner in the development of new services/initiatives.
* Act as a role model, employ professional behaviour that encourages and coaches others to their current competencies, whilst seeking opportunities to enhance their roles.
* Provide highly skilled endoscopy ensuring interventions are undertaken in line with best practice guidance.
* Ensuring yours and others clinical practice is patient centred and evidence based in accordance with the NMC Code of Practice & other professional codes and standards.
* Monitoring and maintaining high standards of documentation and record keeping in line with the NMC Standard for Record Keeping, having systems and processes in place for daily checking and challenging any inaccuracies or omissions.
* At all times adhering to and ensuring adherence to Trust policies and procedures.
ROLES AND RESPONSIBILITIES
CLINICAL PRACTICE
* To perform weekly effective gastrointestinal endoscopy within agreed protocols and guidelines.
* Provide up to 5 lists a week including some backfilling lists during times of other endoscopists absence.
* To have highly developed specialist knowledge underpinned through theory and experience. Professional knowledge at degree level and supplemented by specialist training at Masters Level.
* Develop pathways and protocols to operate at departmental level, Trust level and beyond, to inform diagnosis and treatment, utilising evidence based practice throughout the process and the delivery of care.
* To deliver nursing care in accordance with NMC code of conduct, and hospital policy, in collaboration with medical staff and other members of the multi-disciplinary team.
* Obtain informed consent from patients undergoing gastrointestinal endoscopy.
* Identify clinical abnormalities and act upon them within agreed protocols.
* Ensure all patients have a plan of care which has been discussed with them. The plan must include a comprehensive assessment of clinical risks.
* Ensure effective multi-disciplinary team-working to achieve effective care and treatment and efficient resource use.
* To ensure that treatment and care is documented, including variances.
* To work with the Endoscopy Administration Co-ordinator to ensure that access to diagnostic tests and treatment is co-ordinated.
* Provide clinical and managerial leadership that promotes an effective multi – disciplinary contribution to the provision of service delivery.
* Deal with highly complex clinical situations; recognise and instigate treatment in patients experiencing an adverse event or reaction.
QUALITY AND DEVELOPMENT
* Initiate, lead and contribute to developing strategies to promote and improve endoscopy services working with the endoscopy management team.
* Evaluate service delivery, identifying areas within the service needing improvement and initiate change.
* Be an active member of the endoscopy user group and have responsibility for designated audits.
* Envisage future service/ patient needs and take a lead in developing practice/ services as appropriate.
* Monitor and review the standards of care delivered by the Nurse Endoscopists.
* Maintain accurate records both on paper and electronically of procedures performed and input provided within the NMC, Trust and professional medico-legal requirements.
* Ensure that feedback mechanisms are used to improve the quality of care and service delivery. This includes responding to, reporting, and investigating concerns, enquiries and complaints from patients, and adverse events.
* Identify and intervene proactively where circumstances contribute to an unsafe environment for patients and staff; elevate such instances to assist the department lead and Head of Service with investigating and responding to formal complaints, maximise opportunities for learning and ensure action is taken to address weaknesses identified as a result of complaints.
* Assist in investigating untoward incidents and support the trust to provide an ‘open and fair’ culture which encourages the reporting of errors and untoward incidents and in which all staff can learn from their mistakes.
* Attend any relevant Trust based meetings, ensuring feedback to the team and representing the views of the Endoscopy team and/or patients as appropriate.
WORKFORCE AND EDUCATION
* Identify own learning needs, plan, implement and evaluate programmes of education to meet identified needs.
* Address specific health targets e.g. cancer waits related to own area of practice through education.
* Ensure own compliance with regards to mandatory training requirements.
* Ensure minimal numbers for JAG accreditation are performed, ensure JAG and GRS key performance indicators are In line with recommended minimal standards.
* Provide support and education to associated staff and other agencies as a clinical expert, in particular relation to endoscopy services, including adherence to policies and guidelines.
* Have involvement and responsibility for the endoscopy department input into the national endoscopy nursing training (GIN) electronic portfolio.
* Provide a leadership role model, developing and demonstrating expert knowledge and high standards of clinical practice.
* Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan.
COMMUNICATION
* Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.
* Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.
These duties are not exhaustive and will be reviewed with the post holder, allowing for amendments within the broad scope and band level of the role.
All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.
Appointment to this post is subject to the Rehabilitation of Offenders Act and the post holder is required to undertake a Disclosure & Barring Service Check (DBS).
Person specification
Essential and desirable
* Education and Qualifications - Registered Nurse with UK NMC registration, Relevant study,JAG accredited and independent in colonoscopy and gastroscopy
* Knowledge -NMC standards and requirements, Computer literacy, An understanding of the need of confidentiality awareness at all times, Knowledge of JAG, Knowledge of Health and Safety issues, Awareness of legislation relevant to the post,
* Experience - Qualified nurse endoscopist with JAG sign off, Evidence of Endoscopy related audit, Knowledge of clinical governance, Ability to work autonomously and as part of a team, Evidence of continual professional development, Evidence of ability to present to a team
* Education and Qualifications - Registered non-medical prescriber
* Knowledge - Updated research and evidence based practice
* Experience - Knowledge of national and local targets related to Endoscopy
Important
* The closing date given is a guide only. There may be some occasions when we have to close a vacancy once sufficient applications have been received. You are therefore advised to submit your application as early as possible to avoid disappointment.
* Please check your emails regularly as this is how we will communicate with you throughout the recruitment process.
* If you have not heard from us within 3 weeks after the closing date, we regret that this usually means your application was not successful.
* In submitting an application, you authorise the Trust to confirm any previous NHS service details via the Inter Authority Transfer (IAT) process, should you be appointed to the post.
* During the recruitment process your identity documentation (ie passport, driving licence, visa etc) will be scanned using a device which recognises UV, infrared and machine-readable zone security features of the documents provided.
* Employment at the Trust is offered subject to successful completion of a six month probationary period.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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