To take the lead role in managing the ERCP and EUS referral waiting list for endoscopic examination following medically agreed protocols and criteria and also help in prioritising patients according to clinical needs in accordance with agreed protocols/criteria. To be point of contact for ERCP and EUS referrals from inpatients, outpatients, GP practices, Emergency Department, medical and surgical wards/departments directly into the service. To assess the patients (Inpatients and outpatients) suitability for the endoscopic procedure. To identify those patients who can safely be discharged and return for their procedure as an outpatient and ensure any patient returning for an outpatient procedure leaves with a booked appointment and instructions regarding any preparation. To assess plan and implement programmes of evidenced based care. To ensure interventions are undertaken in line with best practice guidance. Participate in and coordinate the Pancreatobiloary and ERCP MDT and action the outcome. Participate in the clinical governance process, including adverse incident reporting/investigation, the management of complaints, as appropriate, and collect and collate data as required by the role in order to support internal and external professional and operational bodies. Act as point of contact for all inpatients and those discharged to return as an outpatient. To work with medical teams, ward staff and the endoscopy unit to ensure the patient is fully prepared both physically and mentally so that the procedure can take place without delay. Monitor/evaluate outcomes of services and care in conjunction with the departmental manager. Assist with the introduction of new ideas and practices. Positively contribute to the development of nursing and healthcare services within areas of responsibility. Carry out and fulfil all delegated responsibilities. Promote and demonstrate innovative practice and implement changes, as required. To lead the ERCP and EUS lists and procedures being carried out. Train new members of staff in ERCP and EUS. Draw on a diverse range of knowledge in their decision-making to determine evidence-based therapeutic interventions To support in Pancreaticobiliary assessment clinics, assessing/triaging patients and directing them to the appropriate pathway, in line with developed protocols. To be accountable for coordinating patient care within the pancreaticobiliary clinics and to contribute to the management of resources within the service To be responsible and accountable for the provision of expert and specialised care, in collaboration with the specialist MDT To be responsible for the implementation of audit, quality and risk management initiatives and support the evaluation of the HPB service To represent the Trust and the speciality at internal and external meetings .