Advanced Nurse Practitioner- Colorectal Direct to Test

Advanced Nurse Practitioner
- Colorectal Direct to Test Band 8a

Main area Colorectal Grade Band 8a Contract Permanent Hours Full time - 37.5 hours per week Job  
-GO-ND

Site St George's Hospital SW17 0QT
Town Tooting, London Salary £66,274 - £73,496 pa Inclusive of HCAS Dependant on experience Salary period Yearly Closing 30/08/2026 23:59

We are seeking an experienced and highly motivated JAG-accredited Advanced Nurse Practitioner to join our Colorectal Cancer team and lead the delivery of the Direct to Test (DTT) pathway for patients referred with lower gastrointestinal symptoms.

This is an exciting opportunity for an autonomous practitioner with advanced clinical assessment, diagnostic reasoning and endoscopy skills to play a pivotal role in improving timely access to diagnostic services and supporting achievement of national cancer standards. The successful candidate will independently assess, triage and manage patients through the colorectal diagnostic pathway, requesting and interpreting investigations and undertaking lower GI endoscopic procedures within their scope of practice.

Working closely with colorectal surgeons, gastroenterologists, radiologists, endoscopy teams and cancer nurse specialists, you will contribute to service development, pathway improvement and delivery of high-quality, patient-centred care. The role offers opportunities to further develop the four pillars of advanced practice through clinical leadership, education, research and quality improvement activities.

Applicants must be a registered nurse with a Master's degree in Advanced Practice (or equivalent), independent prescribing qualification and JAG accreditation as a Nurse Endoscopist, with substantial experience in colorectal, gastroenterology and/or endoscopy services.

As the Advanced Nurse Practitioner for the Colorectal Direct to Test (DTT) pathway, you will provide expert autonomous clinical assessment, investigation and management of patients referred with lower gastrointestinal symptoms, including those on suspected cancer pathways.

Key responsibilities include:

• Independently assessing and triaging patients referred to the colorectal DTT service.
• Requesting, interpreting and acting upon diagnostic investigations in line with agreed protocols.
• Managing patients throughout the diagnostic pathway, ensuring timely investigation, diagnosis and discharge where appropriate.
• Working collaboratively with colorectal surgeons, gastroenterologists, radiologists, endoscopy teams and cancer nurse specialists to deliver seamless patient care.
• Supporting achievement of national cancer waiting time targets, including the Faster Diagnosis Standard.
• Contributing to colorectal multidisciplinary team discussions and service development initiatives.
• Leading on audit, quality improvement and pathway redesign projects to enhance patient experience and service efficiency.
• Acting as a clinical leader, educator and role model, supporting the development of nursing and multidisciplinary colleagues.

This is a highly autonomous role requiring advanced clinical decision-making skills, expert endoscopy practice and a commitment to delivering high-quality, patient-centred cancer care.

St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.

Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area;
St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility…