Go back Guy's and St Thomas' NHS Foundation Trust
Deputy Superintendent Technologist / Radiographer
The closing date is 10 May 2026
Royal Brompton & Harefield hospital is the largest heart and lung centre in the UK and among the largest in Europe. We are a specialist hospital which are known throughout the world for our expertise, standard of care and research success.
We are a Cardiothoracic Imaging Department and have a close working relationship with Cardiology. We have an excellent proactive attitude towards the role development of Technologists/Radiographers and skills mix with other professions.
The Imaging Department has Cardiac Catheter Laboratories, an MRI, CT scanner, Nuclear Medicine Department, DR, CR and PACS.
An opportunity has arisen for an enthusiastic and forward-thinking Technologist/Radiographer who is interested in developing their role further in Nuclear Medicine.
The department has a dedicated cardiac gamma camera and a SPECT CT camera, with a variety of both cardiac and non-cardiac imaging. This role requires a candidate with good leadership and organisational skills to promote service development, participate in research activities and encourage an active learning environment.
Main duties of the job
The post holder is expected to work as a deputy superintendent radiographer/technologist helping run a busy Nuclear Medicine department. You will be required to undertake a wide variety of both cardiac and non-cardiac radioisotope examinations. As well as this, you will lead the cardiac stressing of patients.
About us
Our Nuclear Medicine department consists of around 15 members of staff which offers a dynamic and collaborative environment. It involves a mix of medical professionals, technologists/radiographers, physicists and support staff, all dedicated to providing advanced diagnostic services. The team works closely to ensure accurate imaging, safe handling of radioactive materials, and compassionate patient care. Despite the technical complexities, the environment fosters continuous learning and teamwork, making it rewarding for those interested in both medicine and cutting‑edge technology. The relatively small team size encourages close communication, efficient decision‑making, and a strong sense of community among colleagues. Overall, it's a role that combines expertise with a commitment to improving patient outcomes, all within a specialized, fast evolving medical field.
Job responsibilities
Patient/customer care (both direct and indirect)
* To authorise radioisotope examinations under protocol in accordance with IR(ME)R 2017 having first assessed the clinical requirements and sought guidance from hospital policies and procedures.
* To take the patients clinical history, relevant to the radioisotope examination.
* To act as an Operator under IR(ME)R 2017 regulations performing radioisotope examinations having sought guidance from hospital policies and procedures and understanding the clinical significance of the study.
* To accurately position patients for their radioisotope examinations taking care to follow the Trusts policy on manual handling.
* To prepare patients for cardiac stress testing by dynamic or pharmacological stress, including the positioning of 12 lead ECG.
* To assist with the stressing of cardiac patients by dynamic or pharmacological stress, including the use of treadmill, drawing up of medications and taking blood pressure measurements.
* To lead the stressing of cardiac patients having first decided whether to perform dynamic exercise or pharmacological stress. You will have sought guidance from hospital policies and procedures. You will be expected to take the lead rectifying any adverse patient outcome, until medical support arrives. You will accept responsibility for the diagnostic significance of your stress techniques and for the serious implications for patient safety.
* To advise patients with regards to stopping their medications prior to the radioisotope examination, having sought guidance from the hospital policies and procedures. You should understand both the implications for patient safety and the diagnostic significance.
* To provide advice and where appropriate counselling to anxious patients regarding the risks/benefits of using radioisotopes. You will be aware of the often emotive, complex, and sensitive nature of this information, and try to overcome these barriers.
* To provide comfort to those patients concerned about the implications to their health from the examination results.
* To decide whether to administer a range of drugs (in particular GTN and Frusemide), having sought guidance from the hospital policies and procedures. You should understand both the implications for patient safety and the diagnostic significance.
* To be competent in basic ECG recognition, including fatal arrhythmias.
* To perform those tasks required of an individual, trained to ALS standard during an arrest scenario.
* To ensure that radioisotopes are handled, stored, and disposed of in a safe manner and to ensure that such matters are appropriately recorded as required by various legislations.
* To be able to competently select the appropriate radioisotope for the scan, dispense the correct activity, according to ARSAC guidance, and to administer the radioisotope to the patient.
* To ensure that environmental monitoring is performed to assess any spillage of radioisotopes.
* To ensure that any spillage of radioisotopes is dealt with in an appropriate manner, including any spillages outside of the department, in line with the Trusts policies and procedures.
* Maintain a clean working environment including prompt cleaning and use of correct methods in cleaning up bodily fluid spillages, understanding, and dealing with infectious materials in accordance with hospital policy. To be vigilant in hand washing technique and the appropriate use of PPE.
* To perform the day-to-day maintenance and QC program of the gamma cameras and associated equipment.
* To carry out data analysis on radioisotope examinations. You will have to possess an in-depth understanding of the science underpinning the study, as you will often have to make difficult judgement using complex scientific assumptions. You will take personal responsibility for the decisions you make; appreciating the fact that colleagues may not have the skills to verify, what is often groundbreaking work.
* To interpret radioisotope examinations in line with the clinical history and make decisions on further imaging to be performed.
* To do data archiving of all clinical equipments being used in the NM department.
Please review job description for further information on the role responsibilities.
Person Specification
Education and Qualifications
* DCR, HNC, Medical Physics or equivalent degree
* HCPC or RCT registered
* MSc in Nuclear Medicine
* Post qualification experience of Nuclear Medicine
* NHS experience
Skills/Knowledge
* In depth understanding of the physics, clinical biology, radiochemistry and related sciences and their application within Nuclear Medicine
* Good understanding of the legislation's that govern Nuclear Medicine
* Good understanding and recognition of ECG
* ALS certificate holder
* Experience in cardiac lead stressing
* Managerial experience
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.
Guy's and St Thomas' NHS Foundation Trust
£55,524 to £62,652 a yearper annum incl. HCA outer London
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