Senior Endoscopy Fellow -Advanced Diagnostic & Therapeutic Colonoscopy

Job summary
The post is embedded within the Advanced Complex Polyp Service in Cardiff, which supports both the local symptomatic service and the national bowel screening programme. Cardiff is a tertiary centre for the management of complex polyps within the Bowel Screening Wales programme and hosts the National Referral Centre for complex polyp management. The service has a well-established and longstanding structured complex polyp multidisciplinary team (MDT), supporting both locally referred symptomatic cases and nationally referred screening-related complex polyps.

This post is aimed at senior gastroenterology trainees (ST5+ or equivalent) or post-CCT clinicians who are independently accredited (JAG certified or equivalent) in diagnostic colonoscopy and practising independently. This fellowship is suitable for trainees undertaking an out of programme experience (OOPE) and may contribute to recognised elements of higher specialty training, subject to approval by the relevant training programme director. Applicants should demonstrate competence in standard colonoscopic polypectomy, a clear interest in advanced lesion assessment and complex polyp management and would suit individuals interested in achieving future accreditation for bowel cancer screening.

The role combines defined service delivery with structured mentoring and supervised exposure to advanced therapeutic endoscopy within a high-volume tertiary unit.

Main duties of the job
The successful candidate will undertake a minimum of three service endoscopy lists per week, with an additional list every alternate week (equivalent to 3.5 service lists weekly on average).

In addition, the Fellow will participate in dedicated mentored endoscopy sessions and support the Endotherapy MDT for symptomatic complex polyp cases, contributing to structured lesion assessment and case discussion and experience significant learning opportunities related to complex decision making in these settings.

Alternate-week outpatient clinics will be timetabled, providing exposure to complex polyp assessment, multidisciplinary decision-making and management planning.Two programmed sessions per week will be protected for audit, research and quality improvement activity. The postholder will be expected to complete at least one project during the placement and to submit work for presentation at a national meeting and publication where appropriate.

About us
Cardiff and Vale University Health Board is one of the largest Integrated Health Boards in the UK, employing over 17,000 staff, providing over 100 specialist services. Working across 6 hospital sites, we have a diverse range of career opportunities to offer. Serving over 500,000 people living in Cardiff and the Vale, we are focussed on the health and care needs of our local population whilst working with our partners to develop regional services. Together we are committed to improving health outcomes for everyone, delivering excellent care and support.

Our mission is "Living Well, Caring Well, Working Together", and our vision is that every person's chance of leading a healthy life should be equal. Our 10-year transformation and improvement strategy, Shaping Our Future Wellbeing, is our chance to work collaboratively with the public and our workforce to make our health board more sustainable for the future.

Details
Date posted: 14 July 2026
Pay scheme: Hospital medical and dental staff
Grade: Doctor - other
Salary: £47,946 to £74,328 a year Per Annum (No On-Call Commitments)
Contract: Fixed term
Duration: 12 months
Working pattern: Full-time
Reference number: 001-MP049.26-A
Job locations: University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, United Kingdom

Person Specification
Ability
Essential

• Commitment to team approach and multidisciplinary working
• Counselling and communication skills
• Progression in clinical training to core training level or above
• Commitment to a career in Gastroenterology and Endoscopy

Desirable

• Computing skills
• Postgraduate examinations eg. MRCP Part 1/2

Research
Essential

• Intention to be research-active during career

Desirable

• Active research interests
• Understanding, knowledge and experience of research in the NHS
• A realistic and deliverable proposal for a personal project, to be undertaken during the fellowship

Qualifications
Essential

• MBBS Or Equivalent
• Full GMC Registration (with License to Practice)
• GCP (Good Clinical Practice) Certificated
• MRCP or equivalent qualification

Desirable

• European Specialty Examination in Gastroenterology

Experience
Essential

• Full JAG Accreditation in Gastroscopy and Colonoscopy
• Demonstration of Endoscopy Key Performance Indicators within JAG standards
• To be eligible for appointment at the ST5+ level within this role you are required to have completed Specialty Registrar or equivalent training to ST5+ level passing the associated competencies

Desirable

• Exposure to advanced endoscopy techniques
• Certificate of attendance at JAG Train the trainers course

Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Cardiff and Vale University Health Board
Address: University Hospital of Wales, Heath Park, Cardiff, CF14 4XW, United Kingdom
Employer's website: https://cavuhb.nhs.wales/

Employer contact details
For questions about the job, contact:
Consultant Gastroenterologist, Dr Rajeswari Ramaraj
Email: Rajeswari.Ramaraj@wales.nhs.uk

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975. Cardiff and Vale University Health Board is an equal opportunities employer.