Clinical Nurse Endoscopist

Chelsea and Westminster Hospital NHS Foundation Trust; Hounslow; On-site; GBP 61,000 - 69,000; Full time

Job summary

A leading healthcare provider in Hounslow seeks a Clinical Nurse Endoscopist to deliver a nurse-led endoscopy service. Responsibilities include managing patient caseloads, performing high-quality diagnostic and therapeutic procedures, and ensuring compliance with accreditation standards. Applicants must be registered nurses with NMC registration and have JAG accreditation. Salary ranges from £61,631 to £68,623 per year, and a DBS check is required. Join a diverse team committed to innovative healthcare delivery.

Qualifications

• Qualified nurse endoscopist with JAG sign-off and evidence of audits.
• Ability to work autonomously and as part of a multidisciplinary team.
• Continual professional development in endoscopy.

Responsibilities

• Provide high-quality endoscopic procedures for patients.
• Manage own patient caseload and ensure compliance with standards.
• Develop strategies to promote and improve endoscopy services.

Skills

Clinical governance

Patient-centered care

NMC code of conduct

Endoscopy procedures

Education

Registered Nurse with UK NMC registration

Independent non-medical prescriber

JAG accredited in colonoscopy and gastroscopy

Job description

Clinical Nurse Endoscopist

Closing date: 13 January 2026.

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 work 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. You will manage your own case‑load and deliver high standards of care while achieving national targets and ensuring JAG accreditation.

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, employing professional behaviour that encourages and coaches others to their current competencies while seeking opportunities to enhance their roles.
• Provide highly skilled endoscopy ensuring interventions are undertaken in line with best‑practice guidance.
• Ensure your and others’ clinical practice is patient‑centred and evidence‑based in accordance with the NMC Code of Practice and other professional codes and standards.
• Monitor and maintain high standards of documentation and record keeping in line with the NMC Standard for Record Keeping, with systems and processes in place for daily checking and challenging any inaccuracies or omissions.
• Adhere to and ensure adherence to Trust policies and procedures at all times.
• Perform weekly effective gastrointestinal endoscopy within agreed protocols and guidelines.
• Provide up to five lists a week, including some back‑filling lists during times of other endoscopists’ absence.
• Have highly developed specialist knowledge, supported by theory and experience, and maintain professional knowledge at degree level supplemented by specialist training at Masters level.
• Develop pathways and protocols to operate at departmental level, Trust level and beyond, informing diagnosis and treatment using evidence‑based practice.
• Deliver nursing care in accordance with NMC code of conduct, hospital policy, and in collaboration with medical staff and other multidisciplinary team members.
• 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 that has been discussed with them, including a comprehensive assessment of clinical risks.
• Ensure effective multidisciplinary team‑working to achieve effective care, treatment and efficient resource use.
• Ensure treatment and care is documented, including variances.
• Work with the Endoscopy Administration Co‑ordinator to ensure that access to diagnostic tests and treatment is coordinated.
• Provide clinical and managerial leadership that promotes effective multidisciplinary contribution to service delivery.
• Deal with highly complex clinical situations; recognise and instigate treatment in patients experiencing adverse events or reactions.

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 initiating 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 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, including 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; escalated as necessary.
• Assist in investigating untoward incidents and support the Trust to provide an open and fair culture encouraging the reporting of errors and untoward incidents.
• Attend relevant Trust‑based meetings, providing 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 such as cancer waits related to own area of practice through education.
• Ensure compliance with 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 regarding endoscopy services, and adherence to policies and guidelines.
• Have involvement and responsibility for the endoscopy department’s 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, cognition or physical or mental health conditions.

Person Specification

• Education and Qualifications – Registered Nurse with UK NMC registration, registered non‑medical prescriber, JAG accredited and independent in colonoscopy and gastroscopy.
• Knowledge – NMC standards and requirements, computer literacy, confidentiality awareness, JAG knowledge, health and safety issues, legislation relevant to the post, updated research and evidence‑based practice.
• 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 and ability to present to a team, knowledge of national and local targets related to endoscopy.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure & Barring Service (DBS) check.

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.

Salary – £61,631 to £68,623 a year, per annum inclusive of HCAS.

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.