Clinical Perform Gastroscopy and Colonoscopy procedures as part of the weekly schedule in the endoscopy unit. Undertake direct patient care, post holder expected to undertake 5 service list a week, and also contributing to review of histology clinics Undertake procedures within the agreed protocols and guidelines Manage a caseload of patients Obtain informed consent from patients undergoing gastrointestinal endoscopy. Identify clinical abnormalities and act upon them within agreed protocols Develop protocols and guidelines for the clinical area and speciality. Ensure all patients have a plan of care which has been discussed with them. The plan must include a comprehensive assessment of clinical risks Ensure that treatment and care is documented, including variances Work closely with the Endoscopy Administrators to ensure that access to diagnostic tests and treatment is co-ordinated Provide clinical and managerial leadership that promotes an effective multi disciplinary contribution to the provision of service delivery Deal with highly complex clinical situations; recognise and instigate treatment in patients experiencing an adverse event or reaction Undertake the training required to operate as an independent Bowel Screen practitioner Deliver nursing care in accordance with NMC code of conduct, and hospital policy, in collaboration with medical staff and other members of the multi-disciplinary team. Ensure effective multi-disciplinary team-working to achieve effective care and treatment and efficient resource use Give bad news to patients and/or their relatives and carers eg informing them of a cancer or life threatening disease. Be equipped and able to respond to urgent and emergency situations ie, perforation bleeding, cardiac arrest etc Be a non medical independent nurse prescriber / willingness to undertake to be able to prescribe IV sedation, muscle relaxants, etc Autonomously discharge or plan care for patients with benign gastric/colorectal/rectal conditions at the end of successful treatment and autonomously discharge asymptomatic patients with normal findings Education To have highly developed specialist knowledge underpinned through theory and experience. Professional knowledge at degree level and supplemented by specialist training at Masters level Provide clinical leadership and expert nursing service within Endoscopy Develop and update educational programmes for staff, patients and their relatives. Provide expert advice to nursing and medical colleagues at all levels regarding the management of lower GI/upper GI disease Lead on developments and innovations in nursing practice throughout the Trust Provide a leadership role model, developing and demonstrating expert knowledge and high standards of clinical practice Act as a role model and mentor to staff, providing formal and informal education and support for them in their provision of care for the colorectal patients Maintain own professional development through annual/bi-annual appraisal of clinical performance and the production of a professional development plan Establish links with key educational providers enabling maximum teaching and learning opportunities.. Update own education needs by attendance at courses, conferences and study days, in addition to mandatory training. Management Co-ordinate own workload Participate in service reviews and audits of the service to ensure continued compliance with JAG accreditation. Identify opportunities for service development and role re- design. Act as a change agent and innovator, planning and evaluating change within the gastro/endoscopy unit. Research / Audit Participate in the annual JAG audits. To collaborate in the audit of nurse endoscopy practice across the Trust. To promote and participate in nursing research within endoscopy to promote evidence based practice at Trust and National level. Professional Responsibilities To be aware of and act in accordance with national policy procedures, legislation and NMC standards. To secure regular clinical supervision with an appropriate supervisor To adhere to Whittington Health NHS Trust policies and procedures at all times. To be aware of one's own continuous professional development needs and maintain an annual personal development plan.