Job overview
·To be a highly specialised nurse working with a specified group of cardiology patients and taking responsibility for their on-going clinical management.
·In collaboration with the Consultant Nurse in Cardiology, manage the continuing care of patients who are undergoing PCI.
·To deliver a high standard of care to cardiology patients.
Closing Date: 10th November at Midnight
Interview Date: 20th November 2025
Main duties of the job
Running nurse-led preadmission clinics.
Running nurse-led follow-up clinics for patients post PCI.
Nurse-led discharge
Optimisation of secondary prevention.
Acting as a resource for advice on management of patients with coronary artery disease.
Working for our organisation
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.
When you join us, you become a valued member of the Evelina London community and can access the wider Evelina and Nightingale education academies. Choosing us as your employer affords you opportunities to be part of a Trust which recognises the value of sharing expertise, research and education between community and acute services.
The Cardiology Specialist Nurses are a team of specialist nurses who work within a variety of areas of cardiology including patients undergoing coronary intervention, aortic valve, and mitral and tricuspid valve intervention.
The team are led by the Consultant Nurse in Cardiology and run a variety of nurse-led services.
Detailed job description and main responsibilities
Clinical
1. To manage the outpatient follow-up care for patients who have undergone PCI including the assessment, planning, implementation, and evaluation of that care.
2. To arrange admission dates for procedures and follow-up appointments as per PCI follow-up protocol.
3. Use expert judgement and analytical and problem-solving skills in the surveillance and recognition of changes in the patients’ condition, referring to senior/medical staff as necessary.
4. To independently manage a caseload of patients and the associated responsibilities.
5. To ensure accuracy of documentation and to maintain an efficient and accurate record system with relevant information in agreement with the cardiology team.
6. To be aware of the legal implications of all patient related records.
7. To be responsible for data entry and maintaining the BCIS/CCAD patient database.
8. To assist with the running of pre-admission clinics for all elective cardiology admissions.
9. To participate in nurse-led discharge.
10. To manage the psychological issues related to caring for patients on a long-term basis.
11. To assist with the running of other cardiology nurse-led services.
12. To act as an expert resource for patients/relatives/colleagues relating to the care of their caseload of patients.
13. To maintain patient’s confidentiality, privacy, dignity, religious and cultural needs at all times.
14. To be an independent non-medical prescriber.
15. To prescribe within scope of practice /area of competency.
16. To follow locally approved clinical guidelines and NICE and be within the formulary.
17. To provide cost effective prescribing activity.
18. To regularly review prescribing activity and implement change as necessary.
19. To have prescribing activity audited annually.
20. To work within the framework of the Trust Non-Medical Prescribing Protocol.
21. To interpret blood results, ECGs and other non-invasive tests and act accordingly.
22. To maintain an environment for safe and effective patient care in accordance with the Trust Risk Management Policy.
23. To work effectively within the Trust's adult multidisciplinary cardiology team as required ensuring an individualised, evidence based optimum service for each patient and their family.
24. To act as advocate for cardiology patients enabling them to express their needs effectively when dealing with the multidisciplinary team.
25. To promote collaborative relationships with other health care professionals for the benefit of quality patient care.
26. To maintain effective channels of communication within the multidisciplinary team and promote effective interpersonal skills.
27. To facilitate a seamless service between the Trust and locally based services by ensuring good on-going communication between tertiary, secondary and primary care.
28. To actively promote a healthy lifestyle for patients & staff in line with national strategy requirements.
29. To deputise for the Consultant Nurse in Cardiology when required.
Management
30. To develop and maintain clinical skills and knowledge of the speciality of cardiology that are evidenced based aiming to achieve a 'best practice' principle.
31. To act as a role model and clinical expert for staff providing education as appropriate.
32. To work in partnership with colleagues, having accountability for decisions made (in accordance with the NMC Code of Professional Conduct).
·To develop professional practice through reflection, participation on post registration courses and attendance at meetings and conferences.
·To identify and be responsible for own professional and managerial development in liaison with the Consultant Nurse and Lead Nurse.
·To contribute to the development of positive staff morale and team cohesiveness.
·To utilise appropriate resources within the Trust to provide a consultation, education, technical or information service as needed for self, staff, or patients.
33. To co-ordinate departmental activities ensuring there is adequate cover for annual leave and study leave.
34. To ensure staff, equipment and resources are managed effectively.
35. To access and utilise all IT services appropriate to the service.
36. To maintain high standards of nursing care within own practice and monitor the performance of junior staff.
37. To act as a professional representative of the Cardiology department and the Trust.
38. To attend suitable course/conferences and hold membership of appropriate professional organisations.
39. Participate in the Trust appraisal and personal development plan schemes by meeting with their manager at least annually.
40. To abide by the Trust’s core behaviours for staff and all other Trust policies.
Service Development
·To ensure the constant provision of effective, high quality nursing care to all cardiology patients.
41. Plan and lead local audit as required, ensure findings are disseminated appropriately and recommendations implemented.
42. To support and work with the cardiology multidisciplinary team in the introduction of clinical changes.
43. To be actively involved in the development and implementation of cardiology related protocols and procedures in conjunction with other members of the multidisciplinary team.
44. To keep up to date with new advances treatment and new developments in the world of cardiology research and actively seek ways of implementing new ideas into clinical practice.
45. To be actively involved in the production of departmental and divisional reports.
46. To participate in the presentation and publication of relevant research and best practice initiatives.
47. To attend and actively contribute to departmental and multidisciplinary meetings and actively participate in committee meetings as requested.
48. To develop and maintain operational policies, standards, guidelines, and procedures and ensure those kept within the department are up to date and monitored as per Trust procedure.
49. To represent the Trust nationally and internationally.
Quality and Patient Safety
50. To assist with the development and implementation of quality assurance programmes.
51. To participate in departmental and divisional audit activities.
52. To implement changes in care practices as indicated by audit results and current research findings including those identified within the Nursing strategy.
·Be aware of and act in accordance with the Patients’ Charter for the care of cardiology patients.
·To be aware of and act in accordance with the National Service Framework for Coronary Heart Disease, NICE guidelines, and Trust Cardiology guidelines.
·To participate promptly and effectively with the investigation of complaints and incidents in line with Trust policy and procedure.
53. To comply with and participate in the Trust’s framework for Clinical Governance within the department.
54. Identify clinical risks and ensure that appropriate action is implemented in accordance with the Trust risk management policy.
Research
55. To maintain an active awareness of clinical and professional developments within cardiology and to disseminate that knowledge to all colleagues.
56. To identify and suggest relevant areas for research within cardiology nursing which will benefit patient care.
57. To lead on nursing research including publishing papers and speaking at conferences/meetings.
58. To encourage other staff to recognise the need for nursing research.
59. To assist in introducing and applying research findings along with members of the cardiology team.
60. To participate in research studies as appropriate.
Teaching
61. To mentor pre and post-registration students and health support workers as requested.
62. To participate in the in-house adult education programme and to undertake informal teaching of colleagues and ward nursing staff as required.
63. To be actively involved with conferences and meetings developing presenting skills in the national and international setting.
Person specification
Qualifications
Essential criteria
64. RGN
65. Cardiac experience
66. ALS/ILS
67. Professional related BSc
68. Post registration cardiac certificate
69. Evidence of continuing professional development at post graduate level
70. Mentorship in practice qualification or equivalent
Desirable criteria
71. MSc
72. Registered NMP
Experience
Essential criteria
73. Extensive post registration experience in cardiology
74. Experience of change management
75. Evidence of the development of advanced nursing skills
76. Experience or research and audit
Desirable criteria
77. Previous experience as a CNS
78. Running nurse-led clinics
Skills/Knowledge
Essential criteria
79. Leadership skills
80. Proven teaching and assessing skills
81. Ability to apply research to practice
Desirable criteria
82. Involvement in Trust initiatives/committees
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.