Clinical Endoscopist Trainee, CTWinWorcesterinWorcesterPUBLISHED WED 19 MAR 2025

Worcestershire Acute Hospitals NHS Trust has a busy and vibrant endoscopy department and currently provides endoscopy services to the population of Worcestershire at Worcestershire Royal Hospital, the Alexandra Hospital, Kidderminster Treatment Centre, Malvern Community Hospital and Evesham Community Hospital. There are 11 endoscopy rooms across the sites. In addition to diagnostic and therapeutic GI endoscopy, we currently provide bronchoscopy and EBUS, cystoscopy and endoscopic ultrasound. The Bowel Cancer Screening Programme is fully established within the Trust. There are plans to expand the provision of endoscopy services at the Alexandra Hospital and Kidderminster Treatment Centre.

We are looking to recruit an enthusiastic highly motivated Health Care Professional to commence Clinical Endoscopist training in August 2023, you will be joining a well- established clinical endoscopist team.

You must be able to work effectively as part of a team have excellent communication skills and have a willingness to learn. Previous experience of working in an endoscopy unit would be desirable.

On completion of training you will have 5 independent clinical endoscopy sessions per week.

The Trust forms part of the West Midlands Endoscopy Training Academy, delivering high-quality JAG-accredited skills courses and immersive training. An enthusiasm and willingness to support the Academy and its training once you are working independently will be required.

To undertake clinical assessments and discuss with referring doctor any clinical risk that would jeopardise a safe endoscopy episode.

To carry out endoscopy procedures under supervision, using informed consent and with due regard to patient safety and safe use of equipment. Identify abnormalities, assessing, initiating and reviewing treatment in accordance with agreed BCSP policies and individuals scope of practice.

To undertake supervised endoscopic procedures such as colonoscopy & flexible sigmoidoscopy.

To monitor/review and take appropriate action on histology results under supervision.

To provide conscious sedation as appropriate using informed consent according to recognised training programmes and where appropriate administer reversal agents according to protocol.

To provide other appropriate IV interventions as per Trust Training programmes.

About us

Main Duties

• To undertake clinical assessments and discuss with referring doctor any clinical risk that would jeopardise a safe endoscopy episode.
• To carry out endoscopy procedures under supervision, using informed consent and with due regard to patient safety and safe use of equipment. Identify abnormalities, assessing, initiating and reviewing treatment in accordance with agreed BCSP policies and individuals scope of practice.
• To undertake supervised endoscopic procedures such as colonoscopy & flexible sigmoidoscopy.
• To monitor/review and take appropriate action on histology results under supervision.
• To provide conscious sedation as appropriate using informed consent according to recognised training programmes and where appropriate administer reversal agents according to protocol.
• To provide other appropriate IV interventions as per Trust Training programmes.
• To support the delivery and development of the specialist service through the use of effective evidence based practice in line with agreed national standards for patient safety and monitoring as part of the Directorate Team.
• To use knowledge and developed skills ensure that patients and carers receive appropriate health education pre and post procedure
• To offer psychological support to patients with cancers and their families from diagnosis and in conjunction with other healthcare professionals, as appropriate.
• Participate in data inputting and produce endoscopy reports on individual patients, after each procedure, providing the diagnosis, suggested treatment, medical follow-up and referral, as necessary to medical specialists, as required for the treatment of each patient.
• To promote a patient focused approach to care in collaboration with all relevant health professionals.
• To provide information which enables patients to make choices about adopting a healthier lifestyle?
• To complete all patient documentation correctly.
• To work with the Directorate Management Team and Unit Managers in establishing and monitoring protocols / care pathways.
• To participate in the promotion and maintenance of effective communication with patients, relatives and other staff.
• To support peoples equality, diversity and rights at all times.
• To safeguard vulnerable adults in accordance with agreed policies and procedures.
• To ensure that patient safety is maintained by the delegation of patient care to nurses with appropriate level of skill at all times and report any accidents / incidents to the Departmental Manager.

General Duties

• To develop own teaching skills and participate in staff / student education programmes.
• Ensure minimal procedure numbers required for JAG accreditation are performed, ensure JAG and GRS key performance indicators are in line with recommended minimum standards
• To help maintain a suitable learning environment for staff and act as a facilitator in the supervision and teaching of less experienced staff.
• To attend Trust / local orientation programmes and mandatory training sessions.
• To be responsible for developing and sustaining own knowledge, clinical skills and professional awareness in accordance with PREP / Revalidation requirements and to maintain a professional portfolio with evidence of reflective practice.
• To contribute to annual appraisal and be responsible for own Personal Development Programme
• Attend courses and conferences to keep up to date with recent research and practice changes.
• To provide training and development of the junior staff, student nurses and health care assistants to ensure a high level of nursing care is provided to patients.
• To maintain a professional attitude at all times, developing the role of the Nurse Endoscopist in the best interest of the patient /profession in accordance with their Professional Code of Conduct and Scope of Professional Practice.

• Acts as an ambassador/role model for the organisation and their profession
• Maintains their Professional Registration, ensuring that own work and the work of other staff always adhere to the required code of conduct
• Act as a role model and clinical expert, demonstrating high standards of care and clinical leadership within the speciality.
• Participate in local and national audits as required
• To promote and deliver Health Education within the clinical area and advise patients, relatives and others in Health Promotion issues where necessary
• Ensure that high standards of care are maintained within the department and where necessary address issues with the Unit Manager
• Maintain a clinical portfolio and log in accordance with standards and guidelines of the Joint Advisory Group on Gastrointestinal Endoscopy (subgroup of the Committees on Higher Medical Education of the Royal College of Surgeons & Other medical Royal Colleges).
• To monitor the safe and effective use of all equipment and the economic use of supplies.
• To inform and discuss any nursing issues with Matron or Unit Manager.