Job summary
The Trainee Clinical Endoscopist will be required to complete a training programme of approximately 18-24 months duration. This will include attendance at training courses, completion of practical assessments, JAG training and accreditation by JAG as an independent Endoscopist for both upper GI and lower GI endoscopy procedures.
The training includes attendance and completion of the following courses on specified dates throughout the training period:
- JAG basic skills
- JAG hands on Therapeutic course
- Basic Cancer Training
- Advanced Communication Course
- National Nurse Endoscopist course
- Non medical prescribing course
- NHS Academy leadership Programme
- Clinical Leadership and Management Development Programme University of Bedfordshire. The post holder will be mentored by a nominated consultant gastroenterologist on a weekly basis and will attend regular supervision sessions
The post holder will be allocated specific weekly training lists to undertake supervised scopes as part of the training programme within the agreed time period, a proportion of which should be unassisted. Evidence will be required of the completion rate/outcomes of completed endoscopies, including patient vasovagal episodes, bleeding problems, unplanned admissions and the use of reversal agent. The audit should be verified and signed off by the Endoscopy Clinical Operations Manager and by the lead consultant gastroenterologist for endoscopy.
Main duties of the job
The post holder will work with the MDT and contribute to the development, management and delivery of a high quality general and specialist mixed GI endoscopy service.
The post holder should be observed by their mentor undertaking endoscopies and there is a requirement to submit formative assessments during the training period.
The post holder will work in partnership with the MDT 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 GI 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.
On completion of the training post, the trainee will be upgraded to a band 8a position in accordance with defined protocols. They will undertake diagnostic and therapeutic upper and lower GI endoscopy procedures using advanced and specialist clinical skills as an independent autonomous practitioner - providing advice and identifying the need for further investigations as required. They will be able to 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.
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 familiarise yourself with all requirements of the job.
Job description
Job responsibilities
- 1. Take 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
- To have undertaken/ or be undertaking a formal approved course in endoscopy training recognised by JAG and maintain competency and knowledge required for this role
- Prescribe medication as defined in the PGD framework
- Communicate bad or potentially distressing news to patients in a sensitive and timely manner and provide support and point of contact to patients during the treatment pathway. Promote patient empowerment to enable informed choices through evidence based education and advice
- Administer the following in accordance to local protocols
- Conscious sedation
- Reversal agent
- Local anaesthesia
- Intravenous analgesia
- Entonox
- Provide leadership that promotes an effective multi-disciplinary contribution to the provision of patient care
- Promote health education within the Endoscopy Unit and be able to advise the patients and their relatives and others in health promotion issues
- Exercise a high degree of personal and professional autonomy and critical judgement
- Ensure compliance with policies, procedures and clinical guidelines for self and others.
- Liaise, report and document any relevant nursing/patient needs with other health care professionals with on-going responsibility for patient care, communicating changes as they occur
- Recognise and respond appropriately to urgent and emergency situations
- Take responsibility for keeping up to date with advanced Endoscopy skills and be able to teach junior staff.
Job description
Job responsibilities
- 1. Take 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
- To have undertaken/ or be undertaking a formal approved course in endoscopy training recognised by JAG and maintain competency and knowledge required for this role
- Prescribe medication as defined in the PGD framework
- Communicate bad or potentially distressing news to patients in a sensitive and timely manner and provide support and point of contact to patients during the treatment pathway. Promote patient empowerment to enable informed choices through evidence based education and advice
- Administer the following in accordance to local protocols
- Conscious sedation
- Reversal agent
- Local anaesthesia
- Intravenous analgesia
- Entonox
- Provide leadership that promotes an effective multi-disciplinary contribution to the provision of patient care
- Promote health education within the Endoscopy Unit and be able to advise the patients and their relatives and others in health promotion issues
- Exercise a high degree of personal and professional autonomy and critical judgement
- Ensure compliance with policies, procedures and clinical guidelines for self and others.
- Liaise, report and document any relevant nursing/patient needs with other health care professionals with on-going responsibility for patient care, communicating changes as they occur
- Recognise and respond appropriately to urgent and emergency situations
- Take responsibility for keeping up to date with advanced Endoscopy skills and be able to teach junior staff.
Person Specification
Qualifications
Essential
- Registered Practitioner with current NMC Registration
- Experience of teaching/mentorship with recognised qualification
- Educated to degree level or equivalent
- Evidence of continuing clinical and professional development
Desirable
- Relevant post graduate qualification
- Attendance on a leadership programme or equivalent
- Completion of the Nurse Prescribing course
Experience
Essential
- Experience of working within an Endoscopy setting or related/relevant care setting
- Experience of working in partnership with the MDT
- Demonstrable experience of managing change within a clinical environment
- Experience of clinical audit and research
- Knowledge and understanding of JAG, JETS and GRS accreditation requirements
- Multi professional working
- Clinical expertise within speciality
Knowledge
Essential
- Demonstrable commitment to and specialised expertise/knowledge in Endoscopy and related fields
- Knowledge of current developments in nursing and political awareness in the NHS
- Knowledge of current nursing issues
- Knowledge of Trust objectives and vision
Communication Skills
Essential
- Excellent verbal and non verbal communication skills
Desirable
- Advances communication skills - breaking bad news etc
Skills
Essential
- Effective managerial, leadership and motivation skills
- People management skills
- IT competent using word/excel and hospital programmes including iPM, ICE and Solus
- Able to initiate and develop evidence based practice
- Ability to relate theory to practice
- Ability to work autonomously
- Excellent time management and prioritisation skills
- Venepuncture and cannulation skills
Personal Characteristics
Essential
- Team focused
- Excellent interpersonal skills
- A strong commitment to openness, honesty, inclusiveness
- Flexible approach to role.
- Able to work under pressure.
- Reliable and adaptable
- High levels of personal motivation and ability to motivate others.
- Ability to work sensibly and collaboratively across the 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
Person Specification
Qualifications
Essential
- Registered Practitioner with current NMC Registration
- Experience of teaching/mentorship with recognised qualification
- Educated to degree level or equivalent
- Evidence of continuing clinical and professional development
Desirable
- Relevant post graduate qualification
- Attendance on a leadership programme or equivalent
- Completion of the Nurse Prescribing course
Experience
Essential
- Experience of working within an Endoscopy setting or related/relevant care setting
- Experience of working in partnership with the MDT
- Demonstrable experience of managing change within a clinical environment
- Experience of clinical audit and research
- Knowledge and understanding of JAG, JETS and GRS accreditation requirements
- Multi professional working
- Clinical expertise within speciality
Knowledge
Essential
- Demonstrable commitment to and specialised expertise/knowledge in Endoscopy and related fields
- Knowledge of current developments in nursing and political awareness in the NHS
- Knowledge of current nursing issues
- Knowledge of Trust objectives and vision
Communication Skills
Essential
- Excellent verbal and non verbal communication skills
Desirable
- Advances communication skills - breaking bad news etc
Skills
Essential
- Effective managerial, leadership and motivation skills
- People management skills
- IT competent using word/excel and hospital programmes including iPM, ICE and Solus
- Able to initiate and develop evidence based practice
- Ability to relate theory to practice
- Ability to work autonomously
- Excellent time management and prioritisation skills
- Venepuncture and cannulation skills
Personal Characteristics
Essential
- Team focused
- Excellent interpersonal skills
- A strong commitment to openness, honesty, inclusiveness
- Flexible approach to role.
- Able to work under pressure.
- Reliable and adaptable
- High levels of personal motivation and ability to motivate others.
- Ability to work sensibly and collaboratively across the 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
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 (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional 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 (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
