Overview
Job summary
The opportunity has arisen for a Pre-assessment Lead Nurse in Endoscopy at the Chelsea and Westminster NHS Foundation Trust, West Middlesex University Hospital Site. This post offers an exciting opportunity for someone who is pro-active, innovative and ambitious. The person will work as part of an established service to advance clinical knowledge and expertise and operate at a high level of practice.
Main duties of the job
Oversee and coordinate the Endoscopy Pre-Assessment Service at the WM site, ensuring high standards of patient care within the pre-assessment setting, while taking full responsibility for service delivery and team leadership. Support the Endoscopy Lead Nurse in the management of the service and in the provision of high quality, cost-effective care demonstrating PROUD values. The role involves leadership with the nursing team as well as collaboration with Consultants and MDT colleagues whilst upholding the values.
About us
Chelsea and Westminster Hospital NHS Foundation 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. We employ nearly 7,500 staff caring for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and paediatric services, plus HIV and sexual health clinics. The Care Quality Commission rates us \'Good\' in safety, effectiveness, care, and responsiveness, and \'Outstanding\' in leadership and resource use. We are committed to equal opportunities and welcome applications from individuals from diverse backgrounds. We value the perspectives and experiences that diversity brings and strive to create an environment where all voices are heard and respected.
If you haven\'t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Some roles may require weekend shifts at multiple sites.
Details
Date posted: 08 September 2025
Pay scheme: Agenda for Change
Band: 7
Salary: £53,751 to £60,651 per year incl. HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 289-CS-149
Job locations: West Middlesex University Hospital, Twickenham Road, Isleworth, TW7 6AF
Job responsibilities
* Be responsible for delivering an efficient and effective pre- Assessment service and lead on its development.
* Coordinate and host telephone and face-to-face pre-assessment clinics for patients requiring endoscopy procedures and address issues prior to attendance.
* Provide a high level of clinical practice / decision making and autonomy within the Pre Assessment service.
* Manage and control resources required to provide a high quality endoscopy service.
* Conduct comprehensive pre-assessments of patients scheduled for Endoscopy procedures including interventional such as ERCP, EUS, stent insertions, dilations and high-risk procedures.
* Be responsible for booking interventional procedures (ERCP, EUS, stenting, dilatation) and work closely with the interventional team.
* Support Endoscopy in maintaining JAG KPIs, guidelines and accreditation.
* Ensure accurate documentation of patient assessments and relevant medical history.
* Ensure clinical risk assessment is performed in line with the trust risk assessment process prior to admission and that information is used pro-actively.
* Meet standards and waiting times in accordance with Trust targets and provide a quality service to patients, relatives and carers.
* Administer prescribed medication appropriately, including bowel preparation, and prescribe bowel prep under PGD as applicable.
* Maintain a safe environment for patients and staff, being aware of hazards and taking appropriate action.
* Discuss endoscopic procedures with patients so they are fully informed of what the procedure entails and understand risks and benefits to support informed choices.
* Establish an effective communication network with the MDT, patients, relatives and other departments; collaborate with wards and the Endoscopy Decontamination Unit (EDU).
* Contribute to Clinical Governance, ensuring practice is evidence-based and monitored by audit.
* Facilitate safe discharge planning with clear information and follow-up using specialist knowledge of endoscopic procedures, risks and recovery.
* Set the agenda for staff updates based on information from nursing structures and departmental meetings.
Person specification
Band: 7
Division: Clinical Support
Evidence for suitability in the role will be measured via a mixture of application form, testing and interview.
E = essential D = desirable
Trust values
Putting patients first
E
Responsive to patients and staff
E
Open and honest
E
Unfailingly kind
E
Determined to develop
E
Education and qualifications
Registered Nurse
E
Degree / Dip HE
E
Teaching and Assessing Qualification
E
Professional knowledge acquired by specialist course or equivalent experience
E
Leadership qualification
D
Experience
Endoscopy experience at senior band 6 or band 7 in Pre-Assessment setting
E
Experience participating in clinical audit
E
Aware of national agenda and changes to improve endoscopy services
E
Ability to develop medium and long term plans to meet service need and ensure sustainability
E
Experience facilitating staff engagement interventions and motivating teams
E
Leadership experience
E
Experience in developing clinical standards, protocols and guidelines
E
Knowledge and experience in JAG standards for Endoscopy
E
In-depth knowledge of endoscopic procedures
E
Ability to lead a team
Substantial post-registration experience as a senior band 6 or equivalent in Endoscopy
D
Skills and knowledge
Knowledge of current initiatives and developments related to specialty
E
Excellent communication, interpersonal and leadership skills
E
Ability to organise, plan and prioritise workload to meet deadlines
E
Knowledge of current advances in Pre-Assessment patient management
E
Ability to work collaboratively in an MDT
E
Able to utilise initiative to solve problems and develop the service
E
Skills in managing and supporting patients with Pre-Assessment nursing
E
Effective time management of self/others and ability to motivate and support others to achieve goals
E
Ability to establish a role and develop collaborative working relationships with different teams
D
Skills in service redesign
D
Ability to problem-solve and prioritise to meet deadlines
D
Personal qualities
Demonstrates initiative
E
Approachable
E
Flexible and adaptable
E
Ability to work under pressure, flexibly and as part of a team
E
Good communication and interpersonal skills
E
Delivers work of consistent and predictable high quality
E
Positive mindset in respect of supporting organisational change, learning, and continuous improvement
E
Takes responsibility and is accountable for delivering to agreed objectives
E
Self-motivated and able to motivate others as part of a wider team
E
Job description
Job responsibilities
* Be responsible for delivering an efficient and effective pre-assessment service and lead on its development.
* Coordinate and host telephone and face-to-face pre-assessment clinics for patients requiring endoscopy procedures and address any issues that may arise prior to attendance.
* Provide a high level of clinical practice / decision making and autonomy within the Pre Assessment service.
* To manage and control resources required to provide a high quality endoscopy service.
* Conduct comprehensive pre-assessments of patients scheduled for Endoscopy procedures including interventional such as ERCP, EUS, stent insertions, dilations and high-risk procedures.
* To be responsible for the booking of the interventional procedures such as ERCP, EUS, stenting, dilatation etc and work closely with the interventional team.
* To support Endoscopy in maintaining the Joint Advisory Groups (JAG) KPIs, guidelines and accreditation.
* Ensuring accurate documentation of patient assessments and relevant medical history
* To ensure that clinical risk assessment is performed in line with the trust risk assessment process prior to admission and the information is used pro-actively.
* To ensure that standards and waiting times are met in order to provide a quality service to patients, relatives and carers and are in accordance with Trust targets.
* Responsible for the correct administration of prescribed medication including bowel preparation and prescribe bowel preparation under the patients group directive (PGD).
* To maintain a safe environment for patients and staff, being aware of hazards and that appropriate action is taken as necessary.
* Ability to discuss all endoscopic procedures with the patient, so they are fully informed of what the procedure entails.
* Be familiar with the risks and benefits of endoscopic procedures, and discussing these with the patient in order for the patient to make an informed decision regarding treatment. Acting as the patient advocate supporting them to navigate and make informed choices at all stages of the process
* To establish an effective communication network with the multidisciplinary team as well as with patients, relatives and other departments. To work in collaboration with the wards and departments especially the Endoscopy Decontamination Unit (EDU).
* To contribute to the Clinical Governance Agenda, ensuring all practice is evidence based and all practice is monitored by audit.
* To facilitate safe discharge planning ensuring safe information and follow up using specialist knowledge of endoscopic procedures, their risks and recovery.
* To regularly set the agenda based on information received via the nursing structure of departmental meetings to update staff on developments and information and discuss local and other relevant issues.
Other 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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome. (Details withheld for brevity.)
UK Registration Applicants must have current UK professional registration.
Employer details: Chelsea and Westminster Hospital NHS Foundation Trust, West Middlesex University Hospital, Twickenham Road, Isleworth, TW7 6AF
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