Chief Sleep Physiologist / Physiotherapist / Nurse

The successful candidate will play an active role in this busy and prestigious department, working across our Medical and Surgical wards. You will have strong experience in Sleep and ideally in Ventilation also. You will be actively involved in the team roster and have experience in the setting up/analyzing of diagnostic sleep studies (e.g-Respiratory Polygraphy and Full Polysomnography) and in implementing treatment with CPAP therapy and Noninvasive ventilation in the inpatient and outpatient setting. You will be directly involved in the training and support of junior staff running teaching sessions and facilitating competency requirements. The role will require you to participate in consultant lead CPAP and NIV clinics both face to face and virtual. You will also be actively involved with line managing and the appraising of junior staff . You will also be involved in the development of the service e.g - assisting with business case and Capital bid proposals,
and will attend face to face or virtual meetings with other service managers and Clinical Lead.
You will be expected to participate in our on-call rota (phone support only) if you are working a late shift.
The successful candidate will be required to work closely with all the consultants and other clinical physiologists in the department and other members of the MDT. It is essential that you are self-motivated and have good communication skills., To be able to, without supervision, perform/ analyse all sleep diagnostic tests e.g-Full Polysomnography (PSG), MSLT and MWT tests. To lead in teaching/training junior staff in this and manage students undertaking the STP, PTP and other National School of Healthcare Science apprenticeships.
To be able to without supervision, set up and troubleshoot adult patients on CPAP, Noninvasive ventilation (NIV) and Tracheostomy invasive ventilation (TIV).
To be able to setup all diagnostic tests with patients for home based tests
To be able to proficiently use "telemonitoring" platforms currently used amongst our CPAP/NIV patients
To deliver teaching/training and general advice on all sleep studies, CPAP and NIV to junior staff, the wider MDT and externally where required.
To assist in the evaluation of new sleep study/NIV equipment and respiratory support techniques
To actively partake in Sleep & ventilation led Outpatient clinics under supervision of the duty Sleep & Ventilation Consultant.
To assist in liaising with the incumbent service and maintenance contractors (currently Baywater) to resolve any day-to-day issues or problems related to Ventilator patients
To actively assist in managing junior staff in development, training, performance appraisals and with the recruitment and selection of new staff to the Sleep & Ventilation department.
To deputise for the Band 8a Lead in their absence.
To demonstrate care and respect, for both patients and fellow staff members., Royal Brompton & Harefield NHS Hospital is the largest heart and lung centre in the UK and among the largest in Europe. In February 2021 Royal Brompton and Harefield NHS Foundation Trust joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. The merger sees the creation of a newly expanded Guy's and St Thomas' NHS Foundation Trust, with Royal Brompton and Harefield forming a new Clinical Group within the Trust., To be able, without supervision, perform and analyse all sleep diagnostic tests e.g -Full Polysomnography (PSG), MSLT and MWT tests. To lead in teaching/training of junior staff and manage students undertaking the STP, PTP and other National School of Healthcare Science apprenticeships.
To be able without supervision, set up and troubleshoot adult patients on CPAP, Noninvasive ventilation (NIV) and Tracheostomy invasive ventilation (TIV). To assist in the teaching/training of these skills to junior staff.
To be able to setup all home sleep diagnostic tests e.g - Respiratory polygraphy (+/- LMs), Home 02/C02, with a patient and follow up with a video call to facilitate the patient setting up the kit for an overnight test at home.
To be able to proficiently use and provide "telemonitoring" services currently in use amongst our CPAP/NIV patients
To assist in liaising with the incumbent service and maintenance contractors (currently Baywater) to resolve any day-to-day issues or problems related to Ventilator patients
To actively assist in the management of junior staff including developmental needs, training, performance appraisals, the recruitment and selection of new staff to the Sleep & Ventilation department.
To deputise for the Band 8a Lead in their absence.
To contribute to the continuous development of the Trust as a member of Respiratory Medicine and as a potential member of a range of Trust quality/process improvement project groups.
To demonstrate care and respect, for both patients and fellow staff members.
Main tasks and responsibilities
+ Patient/Customer care
Daily patient contact and responsibility for the immediate welfare of patients, relatives and visitors whilst present in the department.
Dealing/managing with patients who may be stressed, upset or acutely ill.
Using appropriate methods of encouragement and persuasion to ensure accurate results are obtained.
To respect patients, need for privacy, religious beliefs and confidentiality.
To take personal responsibility for compliance with all Trust and Departmental infection control policies and procedures. See Trust policies and Departmental local health and safety rules.
+ Policy & Service development
To agree and take a role in developing and implementing Trust policies.
To actively take a role in developing and implementing Trust policies.
To actively participate in the development, regular update and promotion of departmental policies and protocols.
To actively participate in Seminars, Conferences, Educational programs at the Trust, at Local & National level.
Support and actively participate in data collection and patient centred research.
To assist in the development of new tests/services provided by the department.
+ People management
To take an active role in selecting, interviewing and retaining all staff
To be involved in the induction, and to review training and professional development of new staff within the department.
To perform annual appraisals for band 6 and below staff.
To contribute to the training of other health professionals both within the Trust and from outside if required.
· Communication
To relay patient information to staff members within the department, when relevant, and to the medical teams responsible for that patient.
To liaise with support and service staff both internal and external to the trust.
To communicate with suppliers regarding supplies, standing orders and equipment orders. To discuss equipment problems with engineers from manufacturing/supply companies.
To communicate any changes to practice or protocols to departmental staff during departmental meetings.
To work effectively as a team member and as line manager to junior staff.
To be encouraging, flexible and enthusiastic towards other staff.
· Resource Management
To order using the Trust procurement system (Oracle) non-stock items of supplies/small pieces of equipment up to value of £1,000. To also be able to use Eleanor to order stock items as required.
To assist the Lead by monitoring and reviewing stock levels of all equipment required by the Service and the wider department and ordering as required on Oracle (Eleanor).
To deputise for the Lead in their absence at meetings or committees as a representative of the department.
To maintain and develop further SOPS in line with departmental activities.
· Information Management
To have basic computing skills and be able to use commonly used software packages and systems, e.g Microsoft Word, Excel, Teams. You will be required to learn how to use various software packages and applications relevant to the service and the wider Trust such as PATS, EPIC, ICCA, NOX, Vizi-download, Somnomed, Rescan, Airview etc..
To be able to input/download data from diagnostic and therapeutic devices for review and analysis.
To be able to produce accurate diagnostic and therapeutic reports and upload these to relevant patient databases.
To perform specific backup processes of tests/reports so these are stored and backed up properly.
To follow all departmental protocols and guidelines and contribute to their update.
· Further sections
To ensure all team members have a real voice in the development of the Respiratory Support Service to patients/customers
To maximise the potential of all team members and to ensure that all team members have a meaningful appraisal/personal development plan that includes feedback to the individual from a selection of internal customers and team members
To provide a safe and attractive working environment for team members within available resources
To attend and play a part in corporate groups as a representative of the directorate and team to represent the Trust at regional and national conferences and on working groups as appropriate
To abide by the NHS Code of conduct for managers, the Trust's Core behaviours for staff and managers and all other Trust policies, codes and practices, including standing financial instructions, research governance, clinical governance, patient and public involvement and health and safety.
Additional Duties
· Teaching /Training
To actively participate in the training/development of new staff to the department and the continuous development of existing staff with particular emphasis on: achieving/maintaining competencies in Sleep (and NIV) & the setting up/analysing of all sleep studies with particular emphasis on the scoring/staging of PSG studies.
To provide teaching/training and general advice on CPAP (and NIV) to junior staff and the wider MDT and externally where required
· Professional
To attend regional meetings and national conferences.
· General
· To lead in the sleep service deputising for the lead in sleep and ventilation.
· To maintain and troubleshoot all sleep diagnostic services and devices and, when required, introduce new models of working and diagnostic services when available.
· To assist in departmental business cases, capital bids and demand and capacity assessments.
+ To be physically capable of manoeuvring patients and equipment to be able to perform tests effectively.
+ To assist the Lead in coordinating and managing the team roster
+ To assist in providing cover of sleep studies over a late shift (currently 1:30pm - 9:30pm) where there are unforeseen circumstances (e.g-sickness and difficulty in Junior staff covering this)
+ To perform all the relevant quality control procedures within the Unit and be able to act on the results accordingly.
+ To maintain and repair departmental equipment in conjunction with the onsite Clinical Engineering department when necessary.
+ To maintain and report to Estates any repairs needed Fulham Wing Sleep labs/offices.
+ To assist in keeping a regular review of stock levels of equipment in the department and to place required orders through the Oracle system
+ To assist in maintaining good organisation and order of of the equipment cupboards in the Sleep & Ventilation department.
+ To actively provide support and supervision to junior staff members on the Wards and in clinic's (virtual and face to face).
+ To provide support and supervision to the RSS Admin Service manager and the administration team when working during work shifts.
+ To be able to review and troubleshoot any problems or concerns from patients on the phone or video calls.
+ To liaise with the service and maintenance contractor (currently Baywater) to register new patients via VIF's or to place Callouts for Ventilators issues or for any other related issues.
+ To manage your own daily workload of patients from your rostered tasks and any other allocated tasks from the Lead due to unforeseen absence or activity in the department.
+ To partake in Sleep & ventilation Outpatient clinics onsite or virtual
+ Involvement in evaluating and bench testing sleep study equipment.
+ Involvement in departmental research projects, including publications where necessary.
+ To perform general administrative duties.
+ To perform sleep studies when required in the intensive care unit and wards.
+ Being able to perform and being familiar with procedures for testing patients, who pose a risk of infection, disinfecting contaminated equipment and disposal of hazardous materials.
+ To check, interpret and when necessary report on, all physiological results.
+ Involvement in Continuous Professional Development (CPD) and attendance at relevant internal/external courses, seminars, lectures etc deemed appropriate to your role by management
· Any other duty as deemed necessary by the Sleep & NIV Lead.
· To attend mandatory training courses including : Manual Handling, Fire, Health and Safety, Resuscitation (adults and paediatric), Infection Control and Blood Handling.
Guy's and St Thomas' celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study's at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual's personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
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This is an exciting opportunity for a highly motivated, enthusiastic and experienced clinician who is interested in developing their career in Sleep and Ventilation. This is an exciting role within our dynamic and well-respected Sleep and Ventilation service that will provide the successful candidate with a wonderful opportunity to practice and develop their skills and expertise in the management of patients with sleep related respiratory conditions and other complex conditions requiring ventilatory support. Based at the Royal Brompton Hospital in Chelsea, you will play an active role in this busy and prestigious department, working across our Medical and Surgical wards.

Guy's and St Thomas' is among the UK's busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy's is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary's Hospital in Sidcup. St Thomas' has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children's Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy's and St Thomas' NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King's Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King's College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of 'good'. Our adult community services achieved a rating of 'outstanding'.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.