Overview

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 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 practice, and to work at a high level of practice. The post holder will 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 post holder will provide effective leadership, working closely with the nursing team, Consultants and MDT colleagues while upholding the Trust values.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—and award-winning clinics across North West London. Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, AandE, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us as 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 Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex. We are committed to equal opportunities and welcome applications from individuals from the global majority, veterans and underrepresented communities. We value diverse perspectives and are committed to an environment where all voices are heard, respected, and empowered to succeed.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.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, addressing 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 procedures (e.g., ERCP, EUS, Stent insertions, dilations and high-risk procedures).Be responsible for booking interventional procedures (e.g., ERCP, EUS, stenting, dilatation) and work closely with the interventional team.Support Endoscopy in maintaining the Joint Advisory Group’s (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.Ensure standards and waiting times are met to provide a quality service, in line with Trust targets.Responsible for the correct administration of prescribed medication including bowel preparation and prescribe bowel preparation under the patient’s group directive (PGD).Maintain a safe environment for patients and staff, aware of hazards and take appropriate action as necessary.Discuss all endoscopic procedures with patients so they are fully informed of what the procedure entails, including risks and benefits, and act as patient advocate to support informed choices at all stages.Establish an effective communication network with the multidisciplinary team and collaborate with wards and the Endoscopy Decontamination Unit (EDU).Contribute to the Clinical Governance agenda, ensuring practice is evidence based and monitored by audit.Facilitate safe discharge planning with follow up using specialist knowledge of endoscopic procedures, risks and recovery.Regularly set the agenda based on information from the nursing structure to update staff on developments and issues.Person specification

Job title:

Lead Pre-assessment Nurse EndoscopyBand:

7Division:

Clinical SupportEducation and qualifications

Registered Nurse (Essential)Degree / Dip HE (Essential)Teaching and Assessing Qualification (Essential)Professional knowledge acquired by specialist course or equivalent experience (Essential)Leadership qualification (Desirable)Experience

Endoscopy experience at senior band 6 or band 7 in Pre-Assessment setting (Essential)Experience participating in clinical audit (Essential)Aware of national agenda and changes to improve endoscopy services (Essential)Ability to develop medium and long-term plans to meet service needs and ensure sustainability (Essential)Experience facilitating staff engagement interventions and motivating teams (Essential)Leadership experience (Essential)Experience in developing clinical standards, protocols and guidelines (Essential)Knowledge and experience in JAG standards for Endoscopy (Essential)In-depth knowledge of endoscopic procedures (Essential)Ability to lead a team (Desirable)Substantial post-registration experience as a senior band 6 or equivalent in Endoscopy (Desirable)Skills and knowledge

Knowledge of current initiatives and developments related to the specialty (Essential)Excellent communication, interpersonal and leadership skills (Essential)Ability to organise, plan and prioritise workload to meet deadlines (Essential)Knowledge of current advances in Pre-Assessment patient management (Essential)Ability to work collaboratively in an MDT (Essential)Ability to use initiative to solve problems and develop the service (Essential)Skills in managing and supporting patients with Pre-Assessment nursing (Essential)Effective time management of self/others and ability to motivate and support others to achieve goals (Essential)Ability to establish a role and develop collaborative working relationships with different teams (Desirable)Skills in service redesign (Desirable)Ability to problem-solve and prioritise and to work to deadlines (Desirable)Personal qualities

Demonstrates initiative (Essential)Approachable (Essential)Flexible and adaptable (Essential)Ability to work under pressure, flexibly and as part of a team (Essential)Good communication and interpersonal skills (Essential)Delivers work of consistent and high quality (Essential)Positive mindset regarding change, learning, and continuous improvement (Essential)Takes responsibility and is accountable for delivering to agreed objectives (Essential)Self-motivated and able to motivate others as part of a wider team (Essential)This advert closes on Sunday 21 Sep 2025

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