Guy's and St Thomas' NHS Foundation Trust
Lead Cardiac Physiologist
The closing date is 01 March 2026
This is an exciting opportunity for an experienced and highly skilled Cardiac Physiologist to lead the Non‑Invasive Cardiac Physiology service across Wimpole Street Specialist Care and the Royal Brompton Hospital Private Consulting Rooms. The post holder will provide expert clinical leadership and be responsible for the day‑to‑day operational management, strategic development and delivery of a high‑quality non‑invasive diagnostic service.
The Lead Cardiac Physiologist will oversee workforce planning, service improvement, governance and quality assurance, ensuring a safe, efficient and patient‑centred service that reflects the standards and values of Guy's and St Thomas' NHS Foundation Trust. The role requires advanced technical expertise across the full range of non‑invasive cardiac investigations, as well as strong leadership, communication and problem‑solving skills.
The post holder will work collaboratively with consultant cardiologists, senior physiologists, private patient services, finance, marketing and business development teams to support ongoing service growth, innovation and an excellent private care patient experience. This senior role provides a key opportunity to influence the ongoing development of a premium cardiac diagnostic service.
Responsibilities
* Provide overall technical and clinical leadership for all non‑invasive cardiac investigations, ensuring consistent high‑quality diagnostic outputs and timely reporting.
* Lead the operational delivery of the non‑invasive service across Wimpole Street and Royal Brompton private consulting rooms, ensuring safe, effective and efficient day‑to‑day workflow.
* Perform and oversee advanced non‑invasive procedures including Holter/event analysis, ETT, CPET, ILR follow‑up, and pacemaker/ICD/CRTD remote and in‑person monitoring.
* Lead on staff training, supervision, competency assessment, CPD and performance management for the non‑invasive physiology team.
* Ensure compliance with Trust policies, clinical governance requirements, CQC standards and statutory regulations.
* Oversee equipment maintenance, service contracts, safety checks and liaison with Clinical Engineering.
* Lead or support investigations into incidents, complaints and patient concerns, implementing improvement plans where required.
* Contribute to business planning, financial management and achievement of departmental financial targets and cost‑improvement initiatives.
* Maintain awareness of competitor service offerings and contribute to commercial development of the private cardiac diagnostic service.
* Work collaboratively with consultants, administrative teams and multidisciplinary colleagues to support the smooth and efficient running of private patient pathways.
* Maintain expert‑level clinical competence and perform advanced cardiac diagnostic techniques independently.
* Acquire, analyse and interpret complex clinical data, providing expert opinion and reviewing conflicting or atypical results.
* Ensure robust implementation, monitoring and compliance with Trust policies, SOPs, quality standards and regulatory requirements.
* Support service development initiatives, including new diagnostic pathways and the introduction of new technologies.
* Lead on complaints handling, incident investigations and embedding learning outcomes.
* Ensure adherence to infection prevention and control standards, equipment cleaning procedures and safety protocols.
* Maintain high standards of housekeeping, environment of care and safety within the non‑invasive department.
* Collect, review and present audit data to support service evaluation and improvement.
* Support research and innovation activities where relevant.
* Ensure accurate and secure documentation, data management and reporting for clinical, statistical and research purposes.
* Lead recruitment, induction, mentoring and supervision of team members.
* Carry out appraisals, performance reviews and management of staff development plans.
* Ensure the team maintains required competencies and has access to appropriate CPD, training and educational opportunities.
* Manage leave, sickness reporting and staffing rotas to ensure safe service coverage.
* Lead delivery of specialist training and education for non‑invasive cardiac physiology across the team.
* Maintain and develop personal professional knowledge, skills and competencies in line with regulatory and Trust standards.
* Communicate complex and sensitive information clearly to patients, relatives and colleagues.
* Support MDT communication, consultant liaison and high‑quality private patient customer service.
* Act as a key point of contact for operational, clinical and service‑related queries.
* Support implementation and review of Trust and private patient policies, ensuring team compliance.
* Contribute to business planning, financial performance monitoring and meeting income targets.
* Identify opportunities for cost improvement, resource optimisation and commercial growth.
* Maintain awareness of competitor services and contribute to strategic positioning of the private cardiac diagnostics offer.
Person Specification
Skills & Abilities
* Strong leadership and team‑management skills with ability to coordinate daily operations.
* Excellent communication, organisation and problem‑solving skills; competent with EPIC, Pacenet and similar systems.
Experience & Knowledge
* Experience supervising/mentoring staff & strong understanding of governance, safety standards, and quality assurance.
* Significant experience performing a wide range of non‑invasive cardiac investigations, including Holter/Event monitoring and analysis, Exercise Tolerance Testing (ETT), and Cardiopulmonary Exercise Testing (CPET).
* Independent follow‑up and management of cardiac rhythm devices, including Pacemakers (PPM), Implantable Cardioverter Defibrillators (ICD), Cardiac Resynchronisation Therapy devices (CRT‑P/D), and Implantable Loop Recorders (ILR), including remote monitoring.
* Experience with private patient pathways, budgeting/resource planning, or service development.
Qualifications & Professional Registration
* Recognised BSc in Cardiac Physiology (PTP/STP or equivalent) and HCPC/RCCP registration.
* Immediate Life Support (ILS/PILS/EPLS) certification & evidence of ongoing training.
* BHRS/IBHRE accreditation or working towards this.
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.
Compensation
£64,156 to £71,148 a year + Additional RRP £5,275 pa (Annual review March 2026)
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