Leeds Teaching Hospitals

Highly Specialised Cardiac Physiologist/Clinical Scientist

This job is now closed

Job summary

We have an exciting opportunity for a highly motivated, ambitious and experienced Healthcare Scientist to join our Cardiac Rhythm Management (CRM) team at Leeds Teaching Hospitals Trust. You will become part of a dynamic and progressive department that is committed to the development of Healthcare Science and implementation of best clinical practice.

We actively support formal educational programmes, participation at CRM conferences, Healthcare Science events and flexible working is available to support a work life balance.

Our CRM service has approximately 5500 patients under in-clinic and remote follow-up within the region, so provides a stimulating Tertiary centre environment. During COVID-19 we were proud to have delivered home monitoring to >95% of our patients across 5 device manufacturers at speed, to maintain patient safety and provide important reassurance. This allowed an interesting opportunity to expand our remote monitoring services and adapt our follow-up service.

Main duties of the job

The postholder will lead our remote monitoring service and work closely with the Invasive Service Manager to ensure the clinical team provides a high quality service, further supported by a dedicated remote monitoring admin coordinator. The postholder will work with the other service leads and be included in the forward planning, digital development and strategic management of CRM services.

This stimulating role will allow the post holder the opportunity to maintain or gain new skills by rotating across all CRM and/or EP services, including lead extractions, paediatrics, complex device implants, Scientist led box change and HF device clinic services.

Excellent communication and leadership skills are required to work alongside experienced and friendly multidisciplinary colleagues, although we are keen to promote and support autonomous advanced practice.

Interested in knowing more? Get in touch to arrange a call or a visit to the department.

About us

Leeds Teaching Hospitals NHS Trust is one of the largest acute health providers in the UK. We perform a wide range of simple and complex device implants and provide an out-of-hours on call service. The successful applicant will join a team of over 120 staff members, including over 80 Cardio-Respiratory Healthcare Scientists. You will work closely with expert colleagues across the Cardio-Respiratoy Physiology department and develop your own knowledge and skills at the same time.

At LTHT, we aim to be a fair and supportive hospital with positive, caring teams who are champions of the Leeds Way values. Our values are part of what make us different from other Trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Date posted

16 March 2023

Pay scheme

Agenda for change

Band

Band 7

Salary

£41,659 to £47,672 a year

Contract

Permanent

Working pattern

Full-time

Reference number

C9298-CRS-070

Job locations

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Job description

Job responsibilities

Principal Duties & Areas of Responsibility

Clinical Duties

To be professionally and legally accountable for all aspect of own work, including the management of patients in your care.

Participates in rotational requirements within the cardiorespiratory department in non-invasive and respiratory services where required. On call and 24/7 provision of acute emergency services may be required (e.g Cardiac Catheter Labs and/or Implantable Cardiac Devices). Demonstrating a high level of autonomy, often giving advice to medical staff with limited specialist knowledge thus directly influencing patient care outcomes.

Routinely undertakes assessment of both in-patients and out-patients prior to a range of investigations and uses own discretion in order to ensure the patient is suitable for the investigation.

Gives lead specialist advice during highly complex situations where analytical judgement is required to all other members of the multi-disciplinary team including consultant physicians.

Carries out all aspects of clinical work as approved by their Line Manager.

Lead Specialist in own clinical field. Implements change in own specialist area based on own experience and evidence based practice.

Works within and towards national guidelines and directives, e.g. NICE guidelines.

Works as an autonomous practitioner within established departmental policies and those recognised by international organisations e.g. American Heart Association, Heart Rhythm Society - UK , Association for Respiratory Technology and Physiology, and Academy for Healthcare Science

Communicates with all members of the multidisciplinary team to ensure the best possible care for patients, including: negotiating, reassurance, empathy, and persuasiveness.

Communicates sensitive information about routine and complex investigations to patients and relatives/carers including children and those with learning and/or physical disabilities.

Calibrates and manipulates a wide range of complex, expensive, technical equipment which process, create, update and store information.

Performs / provides factual reports on a number of the following investigations on a region-wide range of patients including acutely ill paediatric and elderly patients and those with a range of physical and learning disabilities:

These investigations would be dependent on the applicants skill set and area of clinical expertise (Cardiac, Respiratory or Sleep).

- Cardiopulmonary exercise testing (CPX)

- 12 lead electrocardiographs (ECG)

- Advanced ambulatory monitoring techniques

- Advanced haemodynamic assessments/calculations

- Capillary blood gases

- Cardiac ultrasound imaging (TTE)

- Complex Electrophysiology studies and 3D mapping studies

- Complex Implantable Cardioverter Defibrillators (ICDs) implantations

- Complex Permanent Pacemaker (PPM) implantations

- Complex PPM/ICD lead extractions

- Exercise testing under Medical supervision

- Field exercise tests

- Fitness to fly assessments

- Full pulmonary function testing

- Mannitol challenge testing

- Percutaneous Coronary Intervention (PCI)

- Physiologist led Exercise Tolerance Testing (ETT)

- Physiologist led PPM and ICD follow-up

- Respiratory muscle assessments

- Routine cardiac angiography and haemodynamic assessment

- Sleep physiology analysis and CPAP.

- Temporary pacemaker insertions

- Therapeutic radiofrequency ablation

Reports equipment faults in accordance with departmental policy.

Demonstrates personal duty of care for safe use of expensive and highly complex equipment. Is responsible for ensuring that others are fully trained in the safe use of such equipment within their specialist area.

Responsible for maintenance of stock levels by ordering from pre-agreed tender schedules and by seeking new resources as service demands change.

Responsible for day to day security of expensive equipment, e.g. portable devices.

Professional

Responsible for maintaining own technical competencies in clinical areas.

Responsible for reporting clinical incidents and adverse events to the Service Manager.

Maintain state registration.

Responsible for formal mentorship and coordination of training for designated staff in training within own specialist area.

Provides highly specialist training on a day to day basis for doctors and physiologists.

Be an active member of the in-service training programme by attendance at, and participation in, in-service training programmes, tutorials, individual training sessions, external courses and peer review.

Undertakes Continuing Professional Development (CPD) in accordance with Personal Development Plan (PDP) as developed with Line Manager.

Attends and participates in departmental staff meetings.

Maintains and develops current knowledge of evidence based practice in the each clinical area.

Responsible for the implementation and evaluation of capital and consumable equipment prior to purchase to ensure the equipment fulfils both service requirements and budget restrictions.

Frequently undertakes collection of data for use in audit, research projects and equipment testing.

Regularly undertakes clinical trials involving new and emerging technologies.

Regularly provides training in highly specialist physiological techniques to staff members including specialist physiologists and Medical staff.

Collaborates with the Service Manager towards changes that may impact the wider service provision.

Organisational

Ability to prioritise and organise the clinical caseload within a designated area of Cardiorespiratory. . Includes planning and organisation of expected and acute workload and deployment of more junior staff within that area.

Accountable for the delivery and day to day management of the delegated area of responsibility within their speciality.