Chief Cardiac Physiologist
The closing date is 22 May 2026
The Senior Pacing Physiologist (Band 6) is an experienced cardiac physiologist responsible for the delivery of a comprehensive pacing service, including the assessment, follow‑up and optimisation of patients with implanted cardiac rhythm management devices. The post holder works autonomously within their scope of practice, providing expert clinical care while supporting service development, governance and the training of junior staff. The role involves close collaboration with cardiology consultants, heart failure teams, catheter lab staff and multidisciplinary colleagues to ensure safe, effective and patient‑centred care. The post holder is expected to contribute to quality improvement, service innovation and the maintenance of high clinical standards.
Main duties of the job
* Independently analyse and report ambulatory ECG recordings, event monitors, BP monitors and ILRs
* Perform and report a range of cardiac diagnostic investigations, including exercise tolerance tests, haemodynamic monitoring in the cath lab, pacemaker follow‑up and device implantation support
* Undertake complex device follow‑ups following appropriate training and supervision
* Perform transthoracic echocardiography and provide accurate reports once fully competent
* Interpret, document and present findings in line with local and national guidelines
* Use relevant patient administration and cardiology IT systems (e.g. Alexhealth, CRIS)
* Support service delivery through flexibility, including cross‑site cover when required
* Contribute to training, supervision and the development of junior staff and trainees
* Support protocol development, research activity and clinical governance
* Maintain equipment, a safe working environment and personal professional development
Detailed job description and main responsibilities
* Independently analyse 24‑hour (or longer) ECG recordings using Pathfinder Digital or Pathfinder SL and provide accurate factual reports
* Independently analyse Event Monitor and BP monitors and provide accurate reports
* Lead exercise tolerance tests assisted by more junior staff
* Independently perform haemodynamic monitoring in the cardiac catheterisation laboratory
* Download, interpret and report ILRs
* Perform pacemaker follow‑up and provide technical support during device implantation; make adjustments based on findings as appropriate or as directed by the pacing consultant
* After a period of training and supervision perform complex device follow‑ups
* Independently perform transthoracic echocardiography and provide an accurate report following training and a period of supervision
* Interpret and present findings and outcomes of all diagnostic procedures undertaken
* Work within local and national guidelines and directives (e.g. NICE)
* Use the hospital patient administration system (Cosmic)
* Use the cardiology patient management system (CRIS)
* Maintain a clean working environment
* Provide cover at other sites in the case of unexpected absence
* Assist with research projects undertaken
* Contribute to and support the learning and development of others in the performance and technique of tests performed within the department
* Actively participate in the training of trainees and other staff
* Supervise assistant technical officers and trainee cardiac physiologists involved in the provision of cardiology services
* Assist in the development of protocols for cardiac investigations
* Identify own training needs and maintain own skill development and mandatory training
* Ensure equipment is maintained and checked as per departmental protocols, report any faults to medical electronics following Trust procedure and provide staff with necessary information about any equipment used in the department
Person Specification
Qualifications
* Cardiac Physiology degree or equivalent (BTEC/HTEC)
* BSE accreditation / IBHRE
* ILS training
* Registration with RCCP/AHCS
Experience
* Previous experience of independently performing ECGs, exercise stress tests, Holter monitoring and analysis, cardiac catheterisation/IABP, device, pacemaker and ICD implant and follow‑up
* Evidence of continued professional development
* Experience of supervision and training of juniors
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 name
The Princess Alexandra Hospital NHS Trust
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