Job summary
This post is still awaiting Royal College approval.
This is a substantive post to support cardiac implantable device procedures within NUH and growth of our heart failure service.The post will also contribute to the acute cardiology service providing additional support for the increased number of patients admitted with acute general cardiac conditions and deliver cardiology (general and specialist) outpatient clinics. The successful applicant will have broad experience in all aspects of clinical cardiology, with particular expertise in complex device therapy. The appointee will participate in the cardiology on-call rota, teaching programmes and will be eligible for Clinical Teacher status in the University of Nottingham.Most activity will be delivered within the tertiary centre at NUH. The appointee will participate in the Consultant of the week rota rotating through the Acute Cardiac Unit and in-patient wards currently on a 3:20 rotation. They will also participate in the QMC rota. Weekend on-call is 48 hours from Saturday 9am until Monday 9am also on a 1:10. On-call frequency may change with future appointments and service improvements. Time off in-lieu is given for weekend working.
Main duties of the job
Applications are invited for the post of Consultant Cardiologist (devices/heart failure) available from October 2022. This is a permanent post.
The successful applicant will join a team of 20 full time consultant cardiologists. They will contribute to a comprehensive consultant-led secondary and tertiary cardiology service primarily based in the Trent Cardiac Centre, Nottingham University Hospitals NHS Trust. They will undertake outpatient clinics and ward rounds to supervise care of inpatients admitted under the cardiology service and provide a specialist consult service to other inpatients when on call. They will undertake device implantation and supervise review of devices. There is also a requirement to contribute to the acute medicine service with an evening review shift 10 times per year. They will contribute to the non-interventional cardiology on-call rota which is currently 1:10 but may be subject to change.
Full job description and indicative job plan is available on line.
About us
Cardiac services are delivered over both NUH campuses at Queens Medical Centre (QMC) and Nottingham City (NCH). The consultant cardiologists at Nottingham University Hospitals provide secondary and tertiary cardiology services. The tertiary catchment covers Nottingham and surrounding districts, North Nottinghamshire, and parts of Lincolnshire and Derbyshire (population approximately 1.3 million). Secondary cardiology services in Nottingham are provided over both campuses with the majority of acute cardiac admissions through the Emergency Department based on the QMC campus.
The Trent Cardiac Centre (TCC) is a purpose built three storey build that opened in 2005 providing two new cardiac catheter laboratories with a day case unit and facilities for day case echocardiography. The building also includes two cardiac surgical theatres, dedicated intensive care and high dependency units with combined cardiology and cardiac surgical ward accommodation. An additional two cardiac catheter laboratories used for diagnostic angiography, cardiac pacing and cardiac electrophysiology are based in the radiology department.
Job description
Job responsibilities
This is a substantive post to primarily support the volume of simple and complex device procedures within the Trust. An additional contribution to either electrophysiology or heart failure service is desirable.The post will also contribute to the acute cardiology service providing additional support for the increased number of patients admitted with acute general cardiac conditions and deliver cardiology (general and specialist) outpatient clinics. The successful applicant will join a team of 18 full time consultant cardiologists and will contribute to a comprehensive consultant-led secondary and tertiary cardiology service. He/she will have broad experience in all aspects of clinical cardiology, with particular expertise in complex device therapy. The appointee will participate in the cardiology on-call rota, teaching programmes and will be eligible for Clinical Teacher status in the University of Nottingham.Most activity will be delivered within the tertiary centre at NUH. The appointee will participate in the Consultant of the week rota rotating through the Acute Cardiac Unit and in-patient wards currently on a 3:20 rotation. They will also participate in the QMC rota. Weekend on-call is 48 hours from Saturday 9am until Monday 9am also on a 1:10. On-call frequency may change with future appointments and service improvements. Time off in-lieu is given for weekend working.THE SPECIALTYCardiac services are delivered over both NUH campuses at Queens Medical Centre (QMC) and Nottingham City (NCH). The consultant cardiologists at Nottingham University Hospitals provide secondary and tertiary cardiology services. The tertiary catchment covers Nottingham and surrounding districts, North Nottinghamshire, and parts of Lincolnshire and Derbyshire (population approximately 1.3 million). Secondary cardiology services in Nottingham are provided over both campuses with the majority of acute cardiac admissions through the Emergency Department based on the QMC campus.The service was reconfigured in December 2017 to deliver in-patient services exclusively on the City Hospital (NCH) Campus. Patients admitted through the Emergency Department at QMC are triaged and transferred when indicated directly to NCH campus. There are no in-patient cardiology beds on the QMC Campus. There is a daily Consultant out-reach service on the QMC Campus supported by a Specialist Registrar in Cardiology and specialist cardiac nurses who together comprise the Cardiac Assessment Team. Consultant cover for QMC campus is currently round the clock.The in-patient cardiology service is wholly based on the Nottingham City campus and consists of a 20-bed Level-2 Acute Cardiac Unit based on Morris Ward in the Trent Cardiac Centre (TCC). There is a daily Consultant ward round supported by a Specialist Registrar and more junior ward Doctors (CT, F2 and F1) in Cardiology across all our in-patient ward areas. Cardiology Consultant and Registrar level cover is provided every day around the clock. The remainder of Morris ward contains cardiac surgical patients. A further 32 Level-1 cardiology beds are located on Papplewick Ward and 22 low dependency, non-monitored beds on Patience 1 Ward which also houses our newly opened 4 bay ambulatory heart failure unit. Patients undergoing procedures are admitted to the 8 bedded short stay unit based in the Trent Cardiac Centre.The Trent Cardiac Centre (TCC) is a purpose built three storey build that opened in 2005 providing two new cardiac catheter laboratories with a day case unit and facilities for day case echocardiography. The building also includes two cardiac surgical theatres, dedicated intensive care and high dependency units with combined cardiology and cardiac surgical ward accommodation. An additional two cardiac catheter laboratories used for diagnostic angiography, cardiac pacing and cardiac electrophysiology are based in the radiology department.Cardiac Electrophysiology and Devices:All CIED implantation takes place on the NCH campus. Most ICD procedures are performed under conscious moderate sedation. Arrhythmia services have access to 2-3 GA slots per week for the purpose of device extraction and complex EPS / ablation. We perform around 20 extractions per year employing both superior and / or femoral approaches. In 2014 we started sub-cutaneous ICD implants which are now mostly performed with serratus anterior plane block and conscious sedation; and in 2015 leadless pacemaker implants and His bundle pacing. There were 114 ILR implants and as of 2018 this is an Allied Professional led activity. We have also developed an Emergency Pacing Pathway, whereby patients with high grade AV block and asystole are admitted directly by ambulance to the Trent Cardiac Centre and can potentially undergo emergency permanent pacing if appropriate.Cardiac electrophysiology with ablation is performed on the NCH campus. The NUH atrialfibrillation program began in 2009 and we have an actively growing VT ablation programme.Cardiac surgery was established at Nottingham City Hospital in late 1995 and now provides a comprehensive adult cardiac surgical service to mid-Trent. There are 4 cardiac surgeons and 5 cardiac anaesthetists. In 2019, 570 cardiac surgical procedures were undertaken in NUH. The cardiac surgical department holds monthly mortality and morbidity meetings and publishes an annual report, which is available on the hospital website.ClinicalThe post holder will participate fully in the departments activities, including inpatient and outpatient work. A full range of cardiology emergency and elective patients are admitted to Nottingham University Hospitals NHS Trust and the appointee will be responsible for the management of those patients admitted under his/her care irrespective of sub speciality.Work with consultant colleagues to provide a comprehensive elective and emergency Cardiology service including reciprocal cover for periods of leave. Appointee will have continuing responsibility for the care of patients in his/her chargeThis appointment has a sub-speciality focus. A range of complex device and electrophysiology interventions are currently carried out within the catheter labs and it is expected that this post will contribute to this. The appointee will help maintain volume of in-patient flow with a view to patients achieving access to pacing within 48 hours of admission. In addition a contribution to electrophysiology/ablation or heart failure service is desirableThe post holder will be expected to contribute to combined cardiac and cardiac surgical case meetings at NCH. There will be an agreed and equitable share of facilities and support (including junior and middle grade medical staff) with the other consultants in cardiology.These duties are subject to review from time to time in the light of the changing requirements of the service. If alterations to the described duties are required these will be mutually agreed between the appointee, his/her Consultant colleagues, and the Trust.The person appointed will be required to devote substantially the whole of his/her time to the duties of the post and give them priority at all times.
Job description
Job responsibilities
This is a substantive post to primarily support the volume of simple and complex device procedures within the Trust. An additional contribution to either electrophysiology or heart failure service is desirable.The post will also contribute to the acute cardiology service providing additional support for the increased number of patients admitted with acute general cardiac conditions and deliver cardiology (general and specialist) outpatient clinics. The successful applicant will join a team of 18 full time consultant cardiologists and will contribute to a comprehensive consultant-led secondary and tertiary cardiology service. He/she will have broad experience in all aspects of clinical cardiology, with particular expertise in complex device therapy. The appointee will participate in the cardiology on-call rota, teaching programmes and will be eligible for Clinical Teacher status in the University of Nottingham.Most activity will be delivered within the tertiary centre at NUH. The appointee will participate in the Consultant of the week rota rotating through the Acute Cardiac Unit and in-patient wards currently on a 3:20 rotation. They will also participate in the QMC rota. Weekend on-call is 48 hours from Saturday 9am until Monday 9am also on a 1:10. On-call frequency may change with future appointments and service improvements. Time off in-lieu is given for weekend working.THE SPECIALTYCardiac services are delivered over both NUH campuses at Queens Medical Centre (QMC) and Nottingham City (NCH). The consultant cardiologists at Nottingham University Hospitals provide secondary and tertiary cardiology services. The tertiary catchment covers Nottingham and surrounding districts, North Nottinghamshire, and parts of Lincolnshire and Derbyshire (population approximately 1.3 million). Secondary cardiology services in Nottingham are provided over both campuses with the majority of acute cardiac admissions through the Emergency Department based on the QMC campus.The service was reconfigured in December 2017 to deliver in-patient services exclusively on the City Hospital (NCH) Campus. Patients admitted through the Emergency Department at QMC are triaged and transferred when indicated directly to NCH campus. There are no in-patient cardiology beds on the QMC Campus. There is a daily Consultant out-reach service on the QMC Campus supported by a Specialist Registrar in Cardiology and specialist cardiac nurses who together comprise the Cardiac Assessment Team. Consultant cover for QMC campus is currently round the clock.The in-patient cardiology service is wholly based on the Nottingham City campus and consists of a 20-bed Level-2 Acute Cardiac Unit based on Morris Ward in the Trent Cardiac Centre (TCC). There is a daily Consultant ward round supported by a Specialist Registrar and more junior ward Doctors (CT, F2 and F1) in Cardiology across all our in-patient ward areas. Cardiology Consultant and Registrar level cover is provided every day around the clock. The remainder of Morris ward contains cardiac surgical patients. A further 32 Level-1 cardiology beds are located on Papplewick Ward and 22 low dependency, non-monitored beds on Patience 1 Ward which also houses our newly opened 4 bay ambulatory heart failure unit. Patients undergoing procedures are admitted to the 8 bedded short stay unit based in the Trent Cardiac Centre.The Trent Cardiac Centre (TCC) is a purpose built three storey build that opened in 2005 providing two new cardiac catheter laboratories with a day case unit and facilities for day case echocardiography. The building also includes two cardiac surgical theatres, dedicated intensive care and high dependency units with combined cardiology and cardiac surgical ward accommodation. An additional two cardiac catheter laboratories used for diagnostic angiography, cardiac pacing and cardiac electrophysiology are based in the radiology department.Cardiac Electrophysiology and Devices:All CIED implantation takes place on the NCH campus. Most ICD procedures are performed under conscious moderate sedation. Arrhythmia services have access to 2-3 GA slots per week for the purpose of device extraction and complex EPS / ablation. We perform around 20 extractions per year employing both superior and / or femoral approaches. In 2014 we started sub-cutaneous ICD implants which are now mostly performed with serratus anterior plane block and conscious sedation; and in 2015 leadless pacemaker implants and His bundle pacing. There were 114 ILR implants and as of 2018 this is an Allied Professional led activity. We have also developed an Emergency Pacing Pathway, whereby patients with high grade AV block and asystole are admitted directly by ambulance to the Trent Cardiac Centre and can potentially undergo emergency permanent pacing if appropriate.Cardiac electrophysiology with ablation is performed on the NCH campus. The NUH atrialfibrillation program began in 2009 and we have an actively growing VT ablation programme.Cardiac surgery was established at Nottingham City Hospital in late 1995 and now provides a comprehensive adult cardiac surgical service to mid-Trent. There are 4 cardiac surgeons and 5 cardiac anaesthetists. In 2019, 570 cardiac surgical procedures were undertaken in NUH. The cardiac surgical department holds monthly mortality and morbidity meetings and publishes an annual report, which is available on the hospital website.ClinicalThe post holder will participate fully in the departments activities, including inpatient and outpatient work. A full range of cardiology emergency and elective patients are admitted to Nottingham University Hospitals NHS Trust and the appointee will be responsible for the management of those patients admitted under his/her care irrespective of sub speciality.Work with consultant colleagues to provide a comprehensive elective and emergency Cardiology service including reciprocal cover for periods of leave. Appointee will have continuing responsibility for the care of patients in his/her chargeThis appointment has a sub-speciality focus. A range of complex device and electrophysiology interventions are currently carried out within the catheter labs and it is expected that this post will contribute to this. The appointee will help maintain volume of in-patient flow with a view to patients achieving access to pacing within 48 hours of admission. In addition a contribution to electrophysiology/ablation or heart failure service is desirableThe post holder will be expected to contribute to combined cardiac and cardiac surgical case meetings at NCH. There will be an agreed and equitable share of facilities and support (including junior and middle grade medical staff) with the other consultants in cardiology.These duties are subject to review from time to time in the light of the changing requirements of the service. If alterations to the described duties are required these will be mutually agreed between the appointee, his/her Consultant colleagues, and the Trust.The person appointed will be required to devote substantially the whole of his/her time to the duties of the post and give them priority at all times.
Person Specification
Professional registration
Essential
- Full GMC registration
- Eligible to be included on the specialist register
- CCT expected within 6 months of interview date
Professional qualifications
Essential
Desirable
clinical skills
Essential
- Wide experience in cardiovascular medicine
- Expertise in simple and complex device implantation
Desirable
- Interventional Electrophysiology
- Device extraction
- Heart failure expertise
Teaching, Audit & Research
Essential
- Evidence of participation in Clinical Audit.
- Able to teach and support junior staff effectively
Desirable
- Original high quality research publications relevant to proposed sub-speciality area of interest
Management Skills
Essential
- Able to develop, present and operationalise coherent ideas for service development/delivery
- Able to delegate appropriately
- Able to work in a team
Desirable
- Higher management degree or qualification or training
- Experience of change management
Personal Skills/Qualities
Essential
- Able to work flexibly in a changing health service
- Able to use the Trust's IT support systems
Person Specification
Professional registration
Essential
- Full GMC registration
- Eligible to be included on the specialist register
- CCT expected within 6 months of interview date
Professional qualifications
Essential
Desirable
clinical skills
Essential
- Wide experience in cardiovascular medicine
- Expertise in simple and complex device implantation
Desirable
- Interventional Electrophysiology
- Device extraction
- Heart failure expertise
Teaching, Audit & Research
Essential
- Evidence of participation in Clinical Audit.
- Able to teach and support junior staff effectively
Desirable
- Original high quality research publications relevant to proposed sub-speciality area of interest
Management Skills
Essential
- Able to develop, present and operationalise coherent ideas for service development/delivery
- Able to delegate appropriately
- Able to work in a team
Desirable
- Higher management degree or qualification or training
- Experience of change management
Personal Skills/Qualities
Essential
- Able to work flexibly in a changing health service
- Able to use the Trust's IT support systems
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.
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 (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
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.
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 (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Employer details
Employer name
Nottingham University Hospitals NHS Trusts
Address
Nottingham University Hospitals NHS Trust - City Hospital Campus
Hucknall Road
Nottingham
NG5 1PB
Employer's website
https://www.nuh.nhs.uk/ (Opens in a new tab)