Highly Specialist Cardiac Physiologist (Echocardiographer)

Our working days run from 8am until 5pm and Saturday working lists are routine. Successful candidates will be based at Harefield Echo Department., This position is for a BSE accredited (or equivalent), independently reporting echocardiographer. The post holder will perform their own transthoracic echo lists and provide reports and expert opinions to other health professionals. The post holder will perform studies within a specialist area of echocardiography (e.g. stress echo, bubbles, or TOE) and will be expected to contribute to non-clinical projects as required (e.g. QA and audit, infection control, machine and IT maintenance or stock control). Key Relationships The post holder will work as part of a multidisciplinary team consisting of physiologists, echocardiographers, consultant cardiologists, junior doctors, nurses, healthcare assistants, clerical and administrative staff and our porter. The post will involve training physiologists and doctors and the post holder will be expected to act as a role model and mentor to the trainees., + Professional / Clinical responsibilities + Perform transthoracic echocardiograms to a high standard in accordance with BSE guidelines and department minimum standards. + Identify and advise when transthoracic echocardiography is insufficient to answer the clinical question and proactively suggest and arrange alternative/additional investigations. + Produce an accurate and comprehensive report for each study, + Ensure that personal knowledge base is current to reflect change in clinical echocardiography. + Depending on previous experience or agreed internal training programme and sign off, perform specialist echo to a high standard as follows:

• Assist with transoesophageal echocardiograms including record keeping (in particular probe infection control measures), interpretation and patient care.
• Perform stress echocardiograms (exercise and pharmacological) and assist with all aspects of the procedure including record keeping, interpretation and patient safety.
• Perform 3D echocardiograms with appropriate record keeping, interpretation and archiving.
• Perform contrast/bubble contrast echocardiography including keeping adequate stock levels of consumables, record keeping, interpretation and patient safety.
• Perform complex dyssynchrony studies pre and post device implant including appropriate analysis and archiving.
• Perform complex adult congenital studies including record keeping, interpretation and patient care.
• Perform research studies as required with appropriate record keeping, interpretation and archiving.
• Perform other highly specialist technical and specialist technical roles as required including ECG interpretation.
• To assist in protocol development and maintenance to agreed national, international or local standards in liaison with the Head of Echocardiography and the Clinical Lead for Echo and Non Invasive Cardiology.
• To assist with triaging echo requests for appropriateness and relevancy, prioritising caseload depending on clinical urgency on a rotational basis.
Teaching and professional development
• Train physiologists, cardiology registrars, intensivists, general practitioners to BSE individual accreditation standard, taking professional responsibility for the trainees' studies.
• Teach other echocardiographers to a standard of excellence within post holder's specialist area.
• Teach cardiac registrars to basic level including signing off their studies.
• Maintain own CPD as directed by Trust guidelines, including Performance Development Review (PDR) and mandatory training commensurate with the role.
• Update own CPD to meet BSE reaccreditation standard.
• Support other staff in acquiring CPD.
Management and leadership
• Manage own workload routinely and that of other staff members when necessary.
• Write and implement the echo department rota on a rotational basis.
• Monitor inpatient waiting lists and ensure any delays or shortfalls in service are promptly reported to the Head of Echocardiography and assist in taking remedial action.
• Manage stock within specialist area.
• Organise equipment maintenance within specialist area.
• Lead a small team within specialist area.
• Represent specialist area at departmental meetings.
• To assist in the recruitment of cardiac physiologists/clinical scientists and to identify and implement retention strategies in conjunction with the Head of Echocardiography and Principal Cardiac Physiologist.
• To support the Head of Echocardiography in implementing Trust initiatives and strategies within the Directorate.
• To manage own time to ensure balance between clinical and administrative duties.
Information Management
• Use Trust and department software to analyse, report and archive studies appropriately.
• Provide data for audit projects and contribute towards department QA process.
• To contribute to the development of research within cardiology, ensuring that requirements are adhered to and data is saved according to protocol.
General The post holder will be expected to undertake any duties, commensurate with grade, that are necessary for the smooth running of the directorate. The post holder is required to follow Trust policies and procedures which are regularly updated including: To ensure that all clinical duties are carried out in such a manner as to ensure safety and compliance with any locally agreed protocols. 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. Please apply for this post by clicking "Apply Online Now."

This position would suit an echocardiographer with a good grounding in transthoracic echocardiography and an interest in developing their skills within a specialist area. We have some flexibility in direction of role development so the field of expertise will depend on the individual's aptitude and interest in conjunction with service requirements. The successful candidate will be expected to motivate, develop and lead a small team within their area, be responsible for specialist training and service development and to work closely with the Head of Echocardiography to achieve this. BSE accreditation or an equivalent qualification is essential.

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., Harefield Hospital s situated in the leafy suburbs on the outskirts of London. The hospital has an on-site nursery, along with a wide range of further innovative programmes and resources to help you enjoy a healthy lifestyle and maintain a great work/life balance. Harefield Cardiology sees an extensive range of patients with Heart Disease and many with complex pathology.