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Highly specialist cardiac physiologist (cardiac rhythm management)

London
Permanent
NHS
Cardiac physiologist
€59,676 a year
Posted: 3 December
Offer description

Highly Specialist Cardiac Physiologist (Cardiac Rhythm Management)

The closing date is 14 December 2025

To perform clinical physiology duties within the sphere of 'Cardiac Rhythm Management', acting as a physiologist / clinical scientist in this area. The post holder will provide specialist professional direction and expertise in the technical environment of the device implantation and follow-up as well as other aspects of CRM. They will act as a resource within the department to provide expert and specialist advice.

The post holder will be responsible for maintaining and developing standards of performance and competency within cardiac rhythm management.

The post-holder will continuously monitor day-to-day service delivery, and suggest/recommend actions for improvement to the Head of Invasive Cardiac Physiology.


Main duties of the job

Post holder to perform the duties of a highly specialist independent practitioner, to competently perform a wide range of complex and highly complex specialised cardiac investigations, both invasive and non-invasive; including electrophysiology studies, complex devices implants and follow-up; analysis, interpretation and reporting of results.

Specific areas include, but not restricted to:

* Electrophysiology (diagnostic & therapeutic)
* Implantation and follow-up of Implantable Cardioverter Defibrillators (inc. S-ICD and EV-ICD)
* Implantation and follow-up of Pacemakers including Conduction Tissue Pacing, leadless and wireless devices
* Implantation and follow-up of Cardiac Re-synchronisation Therapy devices
* Implantation and follow up of Implanted Cardiac Monitors
* Follow-up of remote / home monitoring devices

To ensure appropriate and thorough documentation of all procedures on the departmental IT system, (PaceNet and EPIC) to record all aspects of the service.

To act as an expert clinical role model and resource to staff in order to optimise quality of care delivery through facilitation of evidence based/best practice care.

To work clinically up to 90% of their total working hours as the service requires. Clinical work includes on site working across the trust estate as well as home working. The post includes a commitment to a non-residential on call.


About us

These are exciting times in the rhythm management service at Guy's & St. Thomas'. We have one of the most dynamic training programmes at both undergraduate and postgraduate levels including the higher specialist scientific programme (HSST). We implant a wide range of device including leadless and wireless system, large CSP pacing cohort, epicardial pacing and EP for a range of arrhythmia including an established VT programme. We can offer the opportunity to develop skills in our paediatric service at Evelina Children's Hospital on the St. Thomas' site.


Job responsibilities

The post holder will be required to keep their professional, specialist scientific and clinical knowledge and skills up to date and to engage in and promote evidence-based practice within their field. They will be fully aware of, and work within, their professional scope of practice and within the standards of conduct, performance and ethics for their professional and regulatory bodies. The post holder will lead audit and practice reviews within their area of expertise. They will be expected to act as a role model and mentor to trainees and to junior colleagues.

The post holder will be responsible for the evaluation and introduction of specialist scientific and technical knowledge and equipment within the cardiac rhythm management area. They will provide scientific expertise to other health professionals including its analysis and interpretation within the clinical decision-making process. They will provide complex scientific information in an accessible manner to non-experts. They will be responsible for the monitoring and assurance of the scientific quality of their area and will develop and implement processes to demonstrate and maintain its quality. The post holder will require IT knowledge and skills commensurate with their role as a healthcare scientist specialist within their field.


Person Specification


Knowledge/Qualifications

* BSc in cardiac physiology or relevant alternative
* Professional Cardiac CRM Exams (BHRS/IBHRE/EHRA)
* Hold an ILS or ALS certificate
* Evidence of post graduate study in clinical or management area
* Higher training qualification (ie Cert Ed, FAETC)
* Clinical Assessment for Healthcare Scientists MSc module or equivalent
* Professional registration with HCPC as a Clinical Scientist


Skills

* Broad knowledge of CRM, including practice with a wide array of complex technical equipment.
* Excellent written and oral communication skills.
* Demonstrate ability to communicate effectively at all levels in a multi-professional environment.
* Able to build teams and work comfortably and effectively in a team environment.
* Able to perform a clinical examination of the cardiovascular system
* Formal training in Good Clinical Practice
* Knowledge of cardiac science across a broad range of subjects at a level which allows data interpretation and provision of an expert scientific opinion to contribute to patient management.


Experience

* Demonstrate relevant experience at specialist or higher level for CRM and interventional cardiac procedures
* Ability to work as a solo practitioner at a highly specialist level in electrophysiology and devices including investigation, interpretation, reporting and recommending alternative investigations.
* Experience of staff and budget management
* Experience of providing training & Assessment


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

£56,276 to £63,176 a yearp.a. inc HCA + RRP £5275 (reviewed 31st March 2026)

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