Liverpool Heart and Chest Hospital

Waiting List / RTT Clerk

The closing date is 20 July 2025

Job summary

We are seeking two organised, detail-oriented, and motivated individuals who are passionate about supporting patient care behind the scenes. As Waiting List RTT Clerks, you will join our dedicated administrative team and play a key role in the effective management of patient pathways across the Trust.

Working closely with consultants, Cath Lab and theatre co-ordinators, and Pathway Co-ordinators, you will help ensure elective day case and inpatient pathways are managed efficiently. You will be responsible for ensuring that procedure lists are consistently booked to maximise utilisation, minimise on-the-day cancellations, and support the achievement of national RTT targets.

A key part of your role will be carrying out comprehensive validation of patient pathways in line with Department of Health Referral to Treatment (RTT) guidelines, ensuring accuracy and timeliness throughout the patient journey.

Main duties of the job

To be a member of the professional waiting list/ RTT Team that provides comprehensive, high-quality outpatient and waiting list management services for the organisation.

To manage a number of specialty patient lists operating in accordance with the Trusts Access Policy and in line with national Targets ensuring efficient and effective use of cath lab and theatre sessions.

Exercise initiative and use independent judgement, knowledge and analysis to book patients, dependent on their individual clinical needs and their complexity. Work in a demanding environment dealing with complex and sensitive information on a daily basis.

Provide an information and communication link between the patient and their admission to hospital.

Responsible for decision-making with situations arising from the duties and responsibilities described below to ensure an effective, organised, comprehensive and efficient, high quality patient centred clerical service.

Working closely with the operational management teams and clinicians to enable effective management of the patient pathway.

About us

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

Please visit our website - https://www.lhch.nhs.uk/

Please follow this link for a tour of our site - https://bit.ly/36ylsoq

Details

Date posted

15 July 2025

Pay scheme

Agenda for change

Band

Band 3

Salary

£24,071 to £25,674 a year Per Annum

Contract

Permanent

Working pattern

Full-time

Reference number

410-MED-7333982

Job locations

Liverpool Heart & Chest Hospital

Thomas Drive

Liverpool

L14 3PE


Job description

Job responsibilities

1. Main duties & responsibilities

To provide a comprehensive inpatient service to Patients and RTT validation.

2. Waiting list/Inpatient Management

1. To be named contact point liaising with patients, relatives and/or carers as well as medical representatives, GPs, nursing staff, clinicall team and support services to ensure the admission is appropriately planned and managed. This can be face to face, over the telephone, in writing or electronic.

2. Accurate addition of patients to the waiting list ensuring any relevant notes recorded.

3. To provide advice to patients with matters relating to their admission (pre and post operative guidance) and with regard to their position on the waiting list.

4. To plan multiple cath lab/theatre/procedure lists up to six weeks in advance, using clinical knowledge, medical terminology and information to meet the patients 18 week, diagnostic, cancer and/or 28 day rescheduling targets.

5. Ensure that with effective planning and organisation the cath lab/theatre/procedure lists are utilised to their maximum potential which requires taking in to account specific patient needs, cancelling/rescheduling patients, replacing short notice cancellations, liaising with the clinicians to ensure theatre list order taking into account all patient and theatre information.

6. Responsible for communicating information and changes relating to elective admissions, cath lab theatre lists etc with regards intended procedures, specific kit requirements, specific anaesthetic input to relevant staff Trust wide.

7. Identify, attempt to resolve and pre-empt situations which may result in a breach of access targets. Regularly analyse waiting list information to ensure compliance with national waiting time standards and escalate in a timely manner any requirements for additional capacity to ensure patients are treated within waiting time standards

8. To work flexibly according to the needs of the service including covering for colleagues during periods of leave.

9. Liaise with flow co-ordinators in the case of patients being put on stand-by or cancelled due to extraneous circumstances (i.e. bed unavailability)

10. Ensure that all patients are placed on PAS as soon as patients booking is confirmed.

11. Ensure finalised lists are forwarded to the respective pathway coordinators for circulation allowing adequate preparation by cath lab and theatres in order to minimise cancellations (currently 48hours circulation)

3. 18 Week RTT Validation

1. To monitor patients on the PTL by investigating each individual patient pathway, utilising multiple Trust information systems to identify and validate the RTT status.

2. To assess, analyse, interpret and adjust information recorded on the Trusts Patient

3. Administration System using own judgement to ensure the accurate recording of a patients pathway.

4. To work in conjunction with the Information Department to provide support in processing error/exception/duplicate reports and with the management of the 18 week PTL.

5. Monitor the 18 week pathway for allocated specialties and liaise with various staff, including pathway, operational/service managers

6. To ensure action is taken to resolve issues or escalated as necessary.

7. To maintain an up to date understanding of relevant local and national policies and procedures pertinent to 18 week RTT rules.

8. To understand and be able to apply the 18 week RTT target rules to individual patient pathways, ensuring that all admissions, waiting list entries, outpatient appointments and attendances outside of clinic are linked to the correct pathway ID.

9. To have an understanding of, and to fully utilise Trust systems to monitor and maintain the 18 week PTL accurately, including:

PAS (Patient Administration System)

EMIS

Power BI reporting tool

The purpose should remain constant, but the duties and responsibilities may vary over time within the overall role and level of the post.

Job description

Job responsibilities

1. Main duties & responsibilities

To provide a comprehensive inpatient service to Patients and RTT validation.

2. Waiting list/Inpatient Management

1. To be named contact point liaising with patients, relatives and/or carers as well as medical representatives, GPs, nursing staff, clinicall team and support services to ensure the admission is appropriately planned and managed. This can be face to face, over the telephone, in writing or electronic.

2. Accurate addition of patients to the waiting list ensuring any relevant notes recorded.

3. To provide advice to patients with matters relating to their admission (pre and post operative guidance) and with regard to their position on the waiting list.

4. To plan multiple cath lab/theatre/procedure lists up to six weeks in advance, using clinical knowledge, medical terminology and information to meet the patients 18 week, diagnostic, cancer and/or 28 day rescheduling targets.

5. Ensure that with effective planning and organisation the cath lab/theatre/procedure lists are utilised to their maximum potential which requires taking in to account specific patient needs, cancelling/rescheduling patients, replacing short notice cancellations, liaising with the clinicians to ensure theatre list order taking into account all patient and theatre information.

6. Responsible for communicating information and changes relating to elective admissions, cath lab theatre lists etc with regards intended procedures, specific kit requirements, specific anaesthetic input to relevant staff Trust wide.

7. Identify, attempt to resolve and pre-empt situations which may result in a breach of access targets. Regularly analyse waiting list information to ensure compliance with national waiting time standards and escalate in a timely manner any requirements for additional capacity to ensure patients are treated within waiting time standards

8. To work flexibly according to the needs of the service including covering for colleagues during periods of leave.

9. Liaise with flow co-ordinators in the case of patients being put on stand-by or cancelled due to extraneous circumstances (i.e. bed unavailability)

10. Ensure that all patients are placed on PAS as soon as patients booking is confirmed.

11. Ensure finalised lists are forwarded to the respective pathway coordinators for circulation allowing adequate preparation by cath lab and theatres in order to minimise cancellations (currently 48hours circulation)

3. 18 Week RTT Validation

1. To monitor patients on the PTL by investigating each individual patient pathway, utilising multiple Trust information systems to identify and validate the RTT status.

2. To assess, analyse, interpret and adjust information recorded on the Trusts Patient

3. Administration System using own judgement to ensure the accurate recording of a patients pathway.

4. To work in conjunction with the Information Department to provide support in processing error/exception/duplicate reports and with the management of the 18 week PTL.

5. Monitor the 18 week pathway for allocated specialties and liaise with various staff, including pathway, operational/service managers

6. To ensure action is taken to resolve issues or escalated as necessary.

7. To maintain an up to date understanding of relevant local and national policies and procedures pertinent to 18 week RTT rules.

8. To understand and be able to apply the 18 week RTT target rules to individual patient pathways, ensuring that all admissions, waiting list entries, outpatient appointments and attendances outside of clinic are linked to the correct pathway ID.

9. To have an understanding of, and to fully utilise Trust systems to monitor and maintain the 18 week PTL accurately, including:

PAS (Patient Administration System)

EMIS

Power BI reporting tool

The purpose should remain constant, but the duties and responsibilities may vary over time within the overall role and level of the post.

Person Specification

Education & Qualifications

Essential

  • GCSE English or Equivalent, relevant experience/training in NHS Waiting Lists
  • relevant experience/training in NHS Waiting Lists

Knowledge

Essential

  • Advanced knowledge of 18 week and waiting list processes.
  • Microsoft Word and Microsoft Packages
  • Conversant with secretarial procedures/administrative practices.

Desirable

  • PAS & Patient Pathway Management
  • Medical Terminology

Experience

Essential

  • Previous secretarial/office expereience Waiting list Management
  • Working in a team
  • Maintaining confidentiality
  • Waiting list Management

Desirable

  • Previous NHS Experience
  • Advanced Keyboard Skills

Skills & Abilities

Essential

  • Excellent communication and interpersonal skills
  • Ability to prioritise
  • reliable and works to high standards
  • adaptable to change
  • excellent organisational and time management skills
  • able to work on own initiative

Desirable

  • problem solving
  • Open & Honest
Person Specification

Education & Qualifications

Essential

  • GCSE English or Equivalent, relevant experience/training in NHS Waiting Lists
  • relevant experience/training in NHS Waiting Lists

Knowledge

Essential

  • Advanced knowledge of 18 week and waiting list processes.
  • Microsoft Word and Microsoft Packages
  • Conversant with secretarial procedures/administrative practices.

Desirable

  • PAS & Patient Pathway Management
  • Medical Terminology

Experience

Essential

  • Previous secretarial/office expereience Waiting list Management
  • Working in a team
  • Maintaining confidentiality
  • Waiting list Management

Desirable

  • Previous NHS Experience
  • Advanced Keyboard Skills

Skills & Abilities

Essential

  • Excellent communication and interpersonal skills
  • Ability to prioritise
  • reliable and works to high standards
  • adaptable to change
  • excellent organisational and time management skills
  • able to work on own initiative

Desirable

  • problem solving
  • Open & Honest

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.

Employer details

Employer name

Liverpool Heart and Chest Hospital

Address

Liverpool Heart & Chest Hospital

Thomas Drive

Liverpool

L14 3PE


Employer's website

https://www.lhch.nhs.uk/ (Opens in a new tab)

Employer details

Employer name

Liverpool Heart and Chest Hospital

Address

Liverpool Heart & Chest Hospital

Thomas Drive

Liverpool

L14 3PE


Employer's website

https://www.lhch.nhs.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Service Line Manager

Jordan Kness

jordan.kness@lhch.nhs.uk

Details

Date posted

15 July 2025

Pay scheme

Agenda for change

Band

Band 3

Salary

£24,071 to £25,674 a year Per Annum

Contract

Permanent

Working pattern

Full-time

Reference number

410-MED-7333982

Job locations

Liverpool Heart & Chest Hospital

Thomas Drive

Liverpool

L14 3PE


Supporting documents

Privacy notice

Liverpool Heart and Chest Hospital's privacy notice (opens in a new tab)