About this role
Job summary
The Heart, Lung and Critical Care Clinical Group at Guy's and St Thomas' NHS Foundation Trust (GSTT) is looking to appoint a substantive consultant cardiac electrophysiologist with a special interest in Adult Congenital Heart Disease (ACHD). This is a replacement post to maintain deliver of electrophysiology and cardiac electronic device implantation as well as to support the growth and development of a cross site clinical and academic programme focused on the management of cardiac arrhythmias in adults with congenital heart disease.
The post-holder will be a fully trained and independent consultant cardiologist and electrophysiologist. The individual will be able to perform outpatient clinics independently, run catheter laboratory electrophysiology intervention and device lists for investigation and treatment of patients with cardiac arrhythmias as well as participate in the Consultant of the Week and Arrhythmia on-call rotas. The successful candidate will support the catheter laboratories and wards by supervising the resident specialist trainees and clinical fellows in the day-to-day delivery of care. The post will involve close working with the Arrhythmia Clinical Nurse Specialists to prepare patients for their procedures and to coordinate inter-hospital transfers for treatment.
Main duties of the job
The post is a substantive 10 PA consultant appointment delivering a fixed weekly timetable across two sites (St Thomas' and Royal Brompton/ELCH), including catheter laboratory EP and device lists, Arrhythmia and ACHD MDTs, ACHD EP clinic, general outpatient clinics and ward cover. The post holder is also required to participate in the Consultant of the Week rota (1 in 27), the EP Consultant of the Week rota (1 in 7) and the Category A Arrhythmia on-call rota (1 in 7). This pattern of cross-site DCC commitments, fixed MDT attendance and three separate on-call rotas cannot be discharged on a less-than-full-time basis without creating gaps in scheduled lists, MDT representation and out-of-hours cover. LTFT working will be considered for the appointed candidate where compatible with service need, in line with the JD.
About us
Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation. We are among the UK's busiest, most successful foundation trusts.
At the Guy's and St Thomas' sites, we provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.
We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.We strive to recruit and retain the best staff as the dedication and skills of our employees lie at the heart of our organisation and ensure that our services are of the highest quality, safe and focused on our patients.
Job description Job responsibilities
Provide High Quality Care to Patients
The post holder must be medically qualified and maintain GMC full and specialist registration and hold a current licence to practise
The post holder must develop and maintain the competencies required to carry out the duties required of the post.
The post holder must ensure prompt attendance at agreed direct clinical care Programmed Activities.
The post holder must ensure patients are involved in decisions about their care and to respond to their views.
Research, Teaching and Training
The post holder will collaborate with academic and clinical colleagues to enhance the Trusts and the Colleges translational research portfolio, at all times meeting the full requirements of Research Governance. The postholder will be actively involved in the further development of the Cardiac Arrhythmia Research Programme with specific focus on Adult Congenital Heart Disease.
The post holder may be required to provide teaching to medical undergraduates and members of other health care professions as required by the Clinical Lead and Clinical Director.
The post holder may be required to act as educational supervisor and appraiser as delegated by the Clinical Director to ensure external accreditation of training post.
The post holder will be expected to contribute to the training and support of doctors and physiologists in training.
Performance Management
The post holder will work with medical, nursing, laboratory and managerial colleagues to ensure high performance in the following areas:
Clinical efficiency e.g. LOS reductions, reducing cancelled interventions and DNA rates.
Quality of outcomes e.g. infection control targets, reducing re-admission rates, complaint response times.
Financial management e.g. identification, implementation and achievement of cost improvement programmes and participating in efforts to ensure services are provided cost effectively ensuring accuracy of clinical data for the team.
Operational efficiency e.g. day-case rates, waiting list activity and demand management.
Maintaining and promoting a high level of proficiency with the use of the EPIC Electronic Patient Record
Medical Staff Management
The post holder will work with colleagues to ensure junior doctors hours are compliant in line with EWTD and New Deal. The post holder will participate in the recruitment of junior medical staff as and when required. The post holder will participate in team objective setting and team-based job planning as part of the annual job planning cycle. The post holder will participate in team objective setting as part of the annual job planning cycle. The post holder will be responsible for the annual appraisal (educational and clinical supervision) of all doctors in training, Trust doctors, Clinical Fellows and non-consultant grades as delegated by the Clinical Director/General Manager. Governance
The post holder will review their clinical outcomes against external benchmarking data where appropriate, to identify and advise variances to the Clinical Director. They will participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented. They will work closely with the Directorate, Patient and Public Involvement panels in relation to clinical and services developments as delegated by the Clinical Director. They will participate in ensuring NICE requirements are reviewed, implemented and monitored in the speciality areas. They will ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis. They will keep fully informed about best practice in their speciality areas and ensure implications for practice changes are discussed with the Clinical Director. They will role model good practice for infection control to all members of the multidisciplinary team. Strategy and Business Planning
The post holder will participate in the business planning and objective setting process for the directorate and Trust where appropriate. They will represent the Trust at appropriate clinical networks/other external clinical meetings, as delegated by the Clinical Lead and Director. Leadership and Team Working
The post holder will demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national or local initiatives. They will work collaboratively with all members of the multi-disciplinary team and Kings Health Partners as required. They will resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties. They will adhere to Trust/departmental guidelines on leave including reporting absence.
Person Specification
Qualifications and Training: Essential
MRCP or equivalent Full and Specialist registration (and with a licence to practice) with the GMC as holding a CCT in Cardiology or equivalent Full training in Electrophysiology
Clinical Experience Essential
Specialist training in Electrophysiology and devices. Evidence of thorough and broad training and experience in cardiology. Independent device implantation including CRT and conduction system pacing ACHD arrhythmia clinical and interventional expertise Able to take responsibility for delivering service without direct supervision including independent arrhythmia ablation skills
Knowledge and Skills Essential
Understanding needs of service development Good interpersonal and communication skills in line with the Trust's Core Behavious Evidence of active involvement in governance and audit Experience and track record in education, training, teaching
Desirable
Ability to initiate & supervise research
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.
Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Guy's and St Thomas' NHS Foundation Trust
Address St Thomas' Hospital
London
SE1 7EH
United Kingdom
Employer's website https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)