jobdescriptions.co.uk · web viewchief cardiac physiologist. january . a message from our chief...
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South West London Acute Provider Collaborative
Maps
Candidate BriefChief Cardiac PhysiologistJanuary
South West London Acute Provider Collaborative
Maps
A message from our Chief Executive, Daniel Elkeles
Thank you for showing an interest in working with us. I am truly proud to be the Chief Executive of Epsom and St Helier – we run high performing hospitals with a strong track record in providing high quality care, delivering operational standards and meeting our financial targets. In addition to that, we are proud to host joint ventures with our partners in mental health, social care, community health and GPs in Surrey Downs and Sutton, providing adult community, children’s therapy and sexual health services as part of Sutton Health and Care, and adult community services as part of Surrey Downs Health and Care. We are committed to providing seamless joined up care for the 500,000 people we serve as their local hospitals and community services. We also have the privilege of running the South West London Elective Orthopaedic Centre at Epsom Hospital and a GP practice in Leatherhead.
Our future looks very bright and there has never been a better time to join our team. In September 2019, the Government announced a £500 million investment into our Trust to develop a new major specialist emergency care hospital. This investment will allow us to create a state-of-the-art hospital facility for our sickest patients. We are planning for this to open in 2025. This money also provides us with the funds to finish the refurbishment of our hospital buildings on both the Epsom and St Helier sites, and support our workforce to provide great care to our patients, every day.
We have been rated Good by the CQC and welcome applications from individuals committed to being part of the team to maintain and build on this.
We know that all of our achievements are only possible because of the commitment, team work and expertise of our staff – and we truly value the dedication our teams show. As a result, we want Epsom and St Helier to be an outstanding place to work where staff are treated with, and treat others with, respect at all times.
There is simply no place for bullying, racism, discrimination or other poor behaviours in our hospitals and we work together to ensure that respect is at the heart of every interaction we have with one another and our patients.
By choosing to work here, we all also choose to be role models of respect. We can make this commitment thanks to a recent comprehensive review of the culture of our organisation (including more than 3,000 pieces of feedback from our staff and patients and thousands of us going through bespoke training and workshops), which showed us that ‘above all we value respect’ and gave us the tools to make sure we can live by this powerful value.
So if you want to be part of creating a truly integrated health and care service, where hospital staff, community health staff, mental health teams, primary care staff and social care teams
South West London Acute Provider Collaborative
Maps
work closely together; help us to develop a brand new specialist emergency care hospital; and do it in an increasingly respectful environment, then we are the place to come and develop your career.
I hope you do decide to join the wonderful team at Epsom and St Helier, and in the meantime, I would be happy to receive feedback or questions – you can email me at [email protected] or follow me on Twitter @daniel_elkeles.
Best wishes
Daniel
Our ambition is to provide an outstanding level of care to our patients and communities.
Above all we value respect. This means everyone at the Trust – whether a member of staff, a patient or their loved ones – can
South West London Acute Provider Collaborative
Maps
expect to be treated with respect, whatever their role or background. This ensures kind, positive, professional teamwork, delivering great care to every patient, every day.
By choosing to work here, you also choose to value and role model respect. This means having respect for the Trust and your roles and responsibilities, as well as colleagues, patients and anyone who interacts with the Trust.
We offer an extensive range of services, including cancer, pathology, surgery, and gynaecology to 500,000 people in south west London and north east Surrey. We operate two busy general hospitals, Epsom Hospital and St Helier Hospital, and run services from other locations, including Sutton Hospital.
St Helier Hospital is home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children, while Epsom Hospital is home to the South West London Elective Orthopaedic Centre (SWLEOC). Both Epsom and St Helier hospitals have Accident and Emergency departments (A&E) and Maternity services (Obstetrics).
We also play an active role in the local healthcare economy, and are the lead provider in two innovative health and care partnerships.
In Surrey Downs (that’s the Epsom, East Elmbridge and Dorking areas), we have partnered with CSH Surrey, the three GP federations in the Surrey Downs area, and Surrey County Council (who are an associate member), to provide adult community health services. This innovative partnership is called Surrey Downs Health and Care.
In Sutton, we have joined forces with the London Borough of Sutton, Sutton GP Services and South West London and St George’s Mental Health Trust to provide adult and children’s community health services and sexual health services to local people. Together, we are called Sutton Health and Care – you can visit our website www.suttonhealthandcare.nhs.uk.
Job Title: Chief Cardiac Physiologist
Grade: Science and Technical AfC Band 7
Hours: 37.5 hrs/week
Responsible to: Cardiology Technical Manager
Clinically responsible to: Consultant Cardiologists
Job summary:To provide specialist Cardiology technical investigations and to work in a
minimum of one area as an independent practitioner.
The successful candidate will take on responsibility for the investigation,
reporting, diagnoses and where appropriate alteration to therapy and patient care
needs within their area.
Working practice should be in accordance with occupational guidelines set out
for each investigation, but you will have sufficient expertise to adapt practice to
meet the requirements of the service area.
The successful candidate will need to work in all areas of non-invasive diagnostic
cardiology investigations across Epsom and St. Helier Hospitals
Duties and responsibilitiesTechnical
1. To be an independent Practitioner at a specialist technical level in the
performance of simple and complex Cardiology investigations, diagnosis
and treatment where applicable.
2. To be able to demonstrate ability as a specialist Physiologist in at least
one of the following disciplines:
A. Simple, complex and multi-chamber pacemaker implants and follow-ups and Implantable defibrillator follow-ups/implants
To be competent in performing the following to a high standard in accordance
with HRUK/IBHRE and Department standards:
Single and dual chamber pacemaker implant including hardware selection
Single and dual chamber pacemaker follow-up including trouble shooting,
program optimization and clinical recommendations to medical staff
Multi-chamber pacemaker implants and follow-ups
Multi-chamber implantable defibrillator follow-ups
Maintain CCAD database.
Responsible for, in association with the lead physiologist in the
maintenance of pacing hardware and accessory stock levels.
Work with Arrhythmia and Heart Failure Specialist Nurses to provide
specialist counseling and follow-up of complex arrhythmia and heart
failure patients with implanted devices.
Maintain up to date knowledge of specialist technical developments and
be aware of their clinical implications.
EchocardiographyTransthoracic echocardiography (TTE)
Perform transthoracic echocardiograms to a high standard in accordance
to British Society of Echocardiography and Departmental minimum
standards
Identify and advise when transthoracic echocardiography is insufficient for
a clinical diagnosis and proactively suggest and arrange
alternative/additional investigations
Produce an accurate and comprehensive report for each study
maintain up to date knowledge of the specialty technical developments
and be aware of the future clinical implications
Transoesophageal echocardiography (TOE)
assist with TOE including interpretation, record keeping and patient care
Stress echocardiography
perform stress echocardiograms and assist with all aspects of the
procedure including record keeping and patient safety.
Contrast echocardiography
perform contrast echocardiograms and assist with all aspects of the
procedure including record keeping and patient safety.
Assist with image archiving of echo images and back-up of data
Routine maintenance of echo equipment
Non-invasive Cardiology Perform and interpret ECGs’, 24hr holter tapes and 24hr Non-invasive
ambulatory BP monitoring
Perform and report on exercise tolerance tests in accordance to British
Cardiac Society guidelines and Departmental standards
Prescribe appropriate exercise protocols on evidence basis and patient
suitability
Discuss with a multi-disciplinary team on suitability and safety of exercise
tolerance test for patients as required
To report on direct access ECGs’
Respiratory function investigationsTo be competent in performing the following without supervision
Perform and report on respiratory function investigation
To be able to carry out basic maintenance and calibration of the
equipment including troubleshooting
Operational1. To be responsible for the day to day running of the area in which they are
working, ensuring that all equipment are operational, equipment and non-
disposable items are cleaned and stock levels are sufficiently maintained.
2. To be competent in the use of different software based applications in
data entry, the reporting of investigations and monitoring patient activity.
3. To participate and develop the in-service training and technical
competency of junior staff/trainees within the department.
4. To participate in the training of other disciplines as and when required.
5. To participate in the delivery of KSF appraisal process
6. To keep abreast of new developments in products and techniques within
interventional and diagnostic Cardiology.
7. To become involved in the support of research projects where appropriate
8. To identify adverse incidents and be aware and participate in the reporting
of these incidents as per Trust’s Incident Reporting Procedures.
9. To liaise with staff of other disciplines, ensuring effective communication.
Resource1. To participate in the recruitment and retention of staff as per Trust’s
procedural guidelines.
2. To develop competency in clinical supervision and participate/carry out
competency assessments on Trainees and Junior medical staff.
3. To participate in the training and supervision of trainees and Junior
Medical staff
4. To initiate and participate in clinical audit and act on it to improve quality of
service
5. To understand basic budgetary principles and use of resources in a cost
effective manner under the direction of the Technical Manager.
6. To ensure an effective stock control where required and that staff are
aware of the economical use of supplies and the trials of new product.
7. To liase with the Cardiology Technical Manager in ensuring the
purchasing and negotiations of supplies are within Trust’s policy.
8. To maintain Departmental statistical records.
Clinical GovernanceThe post holder will need to be aware the following are in place and to work
towards best practice.
1. Up to date Protocols and procedure
2. Up to date Patient information
3. Effective Clinical audit
4. Clinical risk
5. Health and Safety
6. Infection control
General responsibilities
1. To have responsibilities for the Health, Safety and Welfare of self and others
and to comply at all times with the Health and Safety Regulations.
2. To ensure patient and health record confidentiality at all times and to comply
with the Data Protection Act requirements.
3. To comply with the Trust’s Equal Opportunities policy and to promote equality
of opportunity at all times.
4. To undertake such other duties as may be required from time to time as are
consistent with the responsibilities of this position and grade
5. This job description is a reflection of the current position and may change in
emphasis or detail in the light of subsequent service or organizational
developments.
This job description is intended to give a general indication of the range of work
undertaken and will vary with the changing demands and priorities within the
Department.
Chief Cardiac Physiologist (AfC Band 7) - Person Specification
Essential Method of Assessment
Qualifications The successful candidate must have a BTEC
Higher National Certificate in Medical Physics
and Physiological Measurement or BSc Clinical
Physiology and extensive experience of
technical cardiology.
Membership of a relevant professional
organization obtained by examination eg BSE,
NASPE/IBHRE.
Registration with RCCP and Immediate life
Support certification would be essential.
Application and
interview
Experience The candidate must be experienced in all
aspects of technical Cardiology, including
practice with a wide array of technical
equipment.
Experience in applying theoretical knowledge
into patient care.
Extensive practical experience in technical
cardiology, with experience at a senior level of
independent practice including investigation,
interpretation, reporting, altering therapy and
recommending alternative investigations.
Specialist knowledge of Pacemaker implantation
and follow-up and ICD follow-up with evidence
of maintenance and development of skills to the
level required for professional registration.
To be able to identify when emergency medical
Application, test and
interview
intervention is required and take appropriate
action
Able to use specialised IT software for
Cardiology Investigations and maintain
appropriate Departmental and National
database.
Responsible for data entry for reporting,
monitoring activity and accurate record keeping.
Familiar with patient administration system such
as iPM and able to use Word, Excel to set up
documents and spreadsheet.
Knowledge and
skills
Advanced knowledge of one discipline of
technical Cardiology.
Specialist knowledge of medical devices,
investigation, diagnosis and therapy in either
pacing, echocardiography or non-invasive or
invasive Cardiology investigations.
To be able to identify when emergency medical
intervention is required and take appropriate
action
Specialist competency in a minimum of one
discipline with evidence of maintenance and
development of skills to the level required for
professional registration.
Able to use specialised IT software for
Cardiology Investigations and maintain
appropriate Departmental and National
database.
Responsible for data entry for reporting,
monitoring activity and accurate record keeping.
Familiar with patient administration system such
Application and
interview
as iPM and able to use Word, Excel to set up
documents and spreadsheet.
Personal
attributes
Able to communicate highly complex technical
information to a multi-disciplinary team.
Able to plan and deliver an effective training
program to trainees and other professional
groups on complex investigations.
Effective written and verbal communication
skills. Able to manage a small team of staff.
Able to prioritise and manage own work
Able to exercise initiative when dealing with
situations.
Able to concentrate during complex Cardiology
investigations and reporting e.g performing and
reporting on echocardiograms and complex
Pacing/ICD checks.
Able to sustain periods of intense concentration
Able to cope with a high pressure and
distressing environment in the clinical area e.g.
liasing with other clinical staff patients and
relatives with life threatening conditions, cope
with patient fatality during investigation and
treatment
Application and
interview
Other relevant requirements
Use of fine tools with a high degree of manual
dexterity, coordination and sensory skill when
performing investigations on patients e.g.
cardiac ultrasound, respiratory function and
pacing checks.
Understanding of relevant legislation, national
standards, professional and local guidelines eg
Health and Safety, BCS guidelines, Clinical
Application and
interview
Governance, etc. Work to an agreed
occupational policy, assist in the development of
standards using evidence base.
Occasional requirement to move heavy
equipment.
The use safe manual handling technique is
required to move and position patients for
investigations
Frequent contact with emotionally challenging
conditions with critically ill patients and able to
deal patient fatality during investigation.
Understanding of hazards posed by: blood
products and body fluids, needle stick and
sharps related injuries, infective patients and
cross contamination
Hazardous agents used within Technical
Cardiology such as cleaning agents for
transoesophageal probe.
Contact with aggressive patients and relatives.