NHS FORTH VALLEY
Highly Specialist Clinical Physiologist
Full-Time 37.5 hrs per week, Permanent
Salary: Band 7, £29,789 - £39,273 per annum, pro rata
A vacancy has become available within the Cardiology Department for a reliable and
enthusiastic individual to join their friendly, industrious team. The post will cover
our Forth Valley sites ( SRI and FDRI and new hospital ) .
The department performs a range of services including, 24 hr Ambulatory monitoring,
Exercise Tolerance Testing, , ICD implant and follow up Pacemaker follow-up,
Studies, Transthoracic & Transoesophageal Echocardiograms.
GP Open access services including Echocardiography,Rapid Access Chest Pain Clinic
and Rapid Access Atrial Fibrillation Clinic.
Qualifications and experience
Relevant previous experience as a Specialist Echocardiographer and In-service
training gaining a complete and in depth knowledge of Cardiac Procedures and
Interpretation of results
• BSC in Physiological Measurement
• HNC in Physiological measurement
• BSE accreditation – British Society of Echocardiography(post graduate
• State Registered with RCCP
• ILS Intermediate Life Support from the Resuscitation Council (UK)
• ..Continuing professional development in all specialist fields to
maintain registration and competence
Informal enquiries to: Joanne Cusack - Acting Cardiology Services Manager
Tel no 01786 434165
All post are open to full-time and job share candidates.
Application forms and job descriptions (quoting relevant post title and reference
number) are available by e-mailing FV-UHB.Recruitment@nhs.net or by
telephoning the recruitment answerline on 01786 447488.
Closing Date: 15th January 2009 at 12 Noon
Show 18th December 2009
Job Title: Advanced Specialist Clinical Physiologist in Cardiac Rhythm
Management/Pacemaker/ICD follow up
Responsible to ;Cardiology Services Manager
Department(s):Cardiology Stirling Royal Infirmary
Job Holder Reference:
No of Job Holders: 1
ROLE OF UNIT
General medical care including the provision of emergency services in acute
medicine, specialty and sub specialty outpatient services, care of the elderly &
rehabilitation and Division-wide AHP services
ROLE OF DEPARTMENT
The Cardiology Investigation Service provides a Clinically effective supply on
demand access for patients from all Wards and Departments in Stirling Royal
2. JOB PURPOSE
The post holder has a major role in the delivery of the Rhythm Management
Service/Pacemaker /Internal Cardiac Defibrillator follow up service at Stirling Royal
Infirmary including deputising for the Clinical Lead . Independent problem solving
which is entirely dependant on in depth knowledge of Drug/Internal Cardiac
Defibrillator and Pacemaker interactions.The postholder must also be capable of
differentiating appropriate and inappropriate shock therapy and appropriately manage
patients who are having frequent shocks from their Internal Device.management/
referrals for replacement devices or further Medical Intervention when required form
an integral role of this post. Careful and sensitive Patient counselling is a very
important demanding part of this service Responding to requests for assessment of
emergency admissions .The postholder also has to be a skilled trainer in interpretation
and management of difficult results from specialised and highly specialised cardiac
investigations and ensure this is timeously done to support best possible clinical
practice, rapid diagnosis and patient care.
3. ORGANISATIONAL POSITION
Cardiology Services Manager/Clinical Lead Physiologist
Forth Valley Lead Clinical Physiologist
In Rhythm Management
and Pacemaker/ICD follow up
Highly Specialist Clinical Physiologist Highly Specialist Clinical
In Cardiac Rhythm Management Physiologist Echocardiography
or Rapid Access Chest Pain Clinic
Student Cardiac Physiologist
ROLE OF DEPARTMENT
The Cardiology Investigation Service provides a Clinically effective supply on
demand access for patients from all wards and Departments in Stirling Royal
Infirmary also service provider
of the Forth Valley Rapid Access Chest Pain Clinics and GP Open Access
The post holder has a major role in the provision of a highly skilled , professional and
clinically effective Cardiac Rhythm Management service at Stirling Royal Infirmary
including direct Clinical responsibility for Pacemaker/Internal Cardiac Defibrillator
Follow up Clinics and deputises for the Forth Valley Clinical Lead in Rhythm
The postholder has a key role in training and guidance of Specialist and Registered
Practitioners in Clinical Physiology , SHOs and Specialist Nursing Staff in all
procedures within the service particularly Pacemaker follow up and Exercise
5. KEY DUTIES/RESPONSIBILITIES
• Sole charge of allocated Pacemaker/Internal cardiac Defibrillator follow up
Clinics including; interrogation and /or reprogramming as Clinically indicated.
• Independent problem solving which is entirely dependant on an indepth
knowledge of Drug/Internal Cardiac Defibrillator and Pacemaker interactions,
referrals for replacement devices or further Medical Intervention when
required form an integral role of this post.
• The postholder is responsible for differentiating appropriate and inappropriate
shock therapy and managing patients having frequent shocks from their
Internal Device. Careful and sensitive Patient counselling is a very important
demanding part of this service.
• Provision of Emergency response to requests of assessment of Patients
admitted with devices , pre operative and post mortem disablement of devices
• Provision of Emergency response to requests of assessment of Patients with
• A lead role in the provision of a highly skilled, professional and clinically
effective Cardiac Investigation service to all departments throughout the Trust.
• Independently performing and reporting of highly specialised and specialised
investigations. Reports sent directly to referring clinician. Responsible for
telephoned notification to Physicians of grossly abnormal results requiring
immediate intervention .
• The postholder is a member of the Echocardioography team at SRI working
towards British Society of Echocardiography Accreditation.
• Supervision, preparation, careful observation, assessment of patients, with
interpretation of haemodynamic and abnormal functional results during
Exercise Tolerance Testing and Rapid Access Chest Pain Clinics and
providing first line response to emergency situations when required.
• Skilled knowledge and interpretation of Exercise Tolerance Tests and 24 hour
ECG recordings results to ensure appropriate management of patient
investigation, diagnosis and follow up.
• Ensuring Medical staff are notified of abnormal results requiring urgent
treatment or change in management. Ensuring any outpatient recognised to be
at risk from results of Investigations is reviewed by a Physician before leaving
• Accountable for own professional actions and reports whilst working with
Professional Codes of Practise/Guidelines and Trust policy and procedures.
Departmental policies and procedures should also be followed
• The post-holder will be expected to advise Cardiac and Clinical staff on
Interpretation of results giving an opinion and advice on action to be taken in
order that true and accurate reports are filed in patient notes and planned
treatment can proceed or should be delayed until further investigations can be
• The post holder is required to act on any acute, new or conflicting findings
from results of all procedures
• The post-holder will work unsupervised in all areas .
• The post-holder will supervise junior staff as required.
6. SYSTEMS AND EQUIPMENT
The postholder is expected to have a skilled knowledge and practical experience of all
Electromedical equipment in use in Departments, including fault finding and liaison
with medical Physics/external Engineers/ Manufacturers etc as appropriate.
All types of Cardiac Ultrasound machines in use in Departments.
Exercise Tolerance Testing equipment
Ambulatory ECG recording equipment and Analyser
24 hr BP monitoring equipment
All the above equipment is computerised with various Databases and/or Measurement
Local Databases for Annual Audit of Rapid Access Chest Pain Clinic and monthly
7. ASSIGNMENT AND REVIEW OF WORK
• Rostered by Head of service to take Clinical responsibility for the following
Pacemaker /ICD follow up Clinics, Echocardiograms , Exercise Tolerance
Tests and 24 hr Tape Analysis, including practice, reporting and teaching .
• For each rostered session post holder has responsibility for prioritisation of
patient list , dependant on clinical need and ensuring efficient service to all
• The post holder is also required to adjust lists at short notice to allow for
• Planning and management of allocated Pacemaker/Internal Cardiac
Defibrillator sessions including interrogation,assessment and /or
reprogramming and decisions on any changes in treatment or settings or need
for replacement devices forms an integral part of this post.
• The postholder is responsible for recognising any deterioration in patient
during Investigations and is expected to instigate Emergency procedures.
• Patient Health and Safety
8. COMMUNICATIONS AND WORKING RELATIONSHIPS
The post holder must have highly developed communications skills. These must be
allied to an accurate knowledge and understanding of the well-established forms of
communication in order to provide complex information to highly specialised clinical
staff in a knowledgeable and professional manner and convey the same
information/results to patients and relatives at a level that can be clearly understood.
The post holder will demonstrate a balanced and equitable approach to managing
difficult situations for patients ,staff and visitors.
Daily communication by phone and face to face with all levels of staff throughout the
organisation in a concise, professional and reasonable manner.
-communicate complex Pacemaker data to Cardiologists, Medical staff of all
grades,GP’s and other clinical colleagues.
-Regular communication with ward staff and specialist nurses with regards to results
and actions required
- Regular communication with other clinical departments in order ensure
appropriate testing is carried out so that the patient flow is clinically and
physically optimised for the patients care and treatment.
- Regular communication with other members of the department with regard to
patient welfare and care, equipment and administration problems that may
arise on a day to day basis
-Liaise with GP’s and departments with regards to ongoing patient care and follow
Liaise with Pacemaker Representatives re equipment ,Medical Devices
Alerts/complex programming issues.
- Liaise with suppliers to maintain optimal stock control, order clarification etc.
Patients, carers and relatives
-Communicate to patients the arrangement of appointments and any information
relevant to their procedure.
- Sensitively and carefully counsel and guide patients with Pacemakers and
Internal cardiac Defibrillators both face to face and on the phone.
- With patients agreement explain the role of devices to patients relatives.
- Instruct patients at an appropriately pitched level, what to expect during their
investigations and why. In this manner to actively encourage their co-
operation in order to achieve the best possible results/outcome from their test/
- Communicate to non English speaking patients through an appropriate
interpreter and respect any cultural and religious requirement
- Sensively communicate with children,mentally handicapped and psychiatric
Communicate with colleagues on a day to day basis and feedback any problems with
9a. PHYSICAL DEMANDS OF THE JOB
Daily exposure to prolonged standing or sitting in awkward positions during
Daily exposure to Manoevering of patients in wheelchairs prior to and post
Constant manipulation requiring manual dexterity in Application of electrodes
,leads,belts stc during investigations.
Manual handling of Pacemaker programmers on a daily basis from ledge under worktop
to desk level
Occasional transfer of equipment,couches ,beds etc within the Department.
Daily contact with patients who have MRSA.
Occasional blocks of contact with Norovirus/winter vomiting bug.
Frequent contact with airborne infections .
Unavoidable Close physical contact with patients.
Occasional unexpected exposure to bodily fluids in course of duties
9b. MENTAL/EMOTIONAL DEMANDS OF THE JOB
3-4 hour Pacemaker follow up/ICD sessions with detailed scrutiny of and prolonged
concentration on measurements and numerous various recordings and parameters with
frequent exposure to unpredictable or grossly abnormal results requiring
Dealing compassionately and professionally with anxious and sometimes traumatised
patients or relatives on a daily basis .
Responding daily to unexpected and emergency requests from all parts of the Hospital
(during busy departmental lists) for urgent assessment of pacemakers/ICDs on very sick
patients who have suddenly deteriorated or been inappropriately subjected to Internal
Constant demand for coping with a wide range of unpredictable situations on a daily
10. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO
Bsc in Physiological Measurement
ONC in Physiological Measurement
HNC in Physiological measurement
BPEG or NASPE ( post graduate Pacemaker follow up qualification)
State Registered with RCCP
ILS- Intermediate Life Support from the Resuscitation Council (UK)
Minimum of 3 years experience as a Specialist Clinical Physiologist in Pacemaker
follow up and Rhythm Management years in-service training gaining a complete and
in depth knowledge of cardiac procedures including interpretation and management of
Continuing professional development in all specialist fields to maintain registration
Skilled Expertise in Practice of Pacemaker/ICD follow up
Skilled Expertise in Exercise Tolerance Testing and Analysis
Skilled Expertise in ECG Interpretation.
Skilled Expertise in 24 hr ECG rhythm recording Analysis
Skilled Expertise or interest in Echocardiography
11. JOB DESCRIPTION AGREEMENT
Job Holder’s Signature:
Head of Department Signature:
NHS FORTH VALLEY
Terms and Conditions: The terms and conditions of service are those laid down
by the Agenda for Change Handbook.
Salary Scale: Band 7, £29,789 - £39,273 per annum, pro rata
Staff taking up a new appointment with NHS Forth
Valley will normally enter the scale at the minimum of
the pay band/range. Any appointments above the
lowest point of the pay band/range will be subject to
verification of previous NHS service, or experience
outside the NHS, which is given in recognition of
relevant complete years of experience.
Hours: Full-Time 37.5 hours per week
Employees may be required to vary the pattern of their
working week subject to the exigencies of the service.
Annual Leave: 27 days rising to 29 days after 5 years service and to 33
days after 10 years service plus 8 public holidays (pro
202.5 hours rising to 217.5 hours after 5 years service
and to 247.5 hours after 10 years service plus 60 hours
public holiday. (pro-rata)
Superannuation: The post is superannuable under the Scottish Public
Pensions Agency Scheme and your remuneration will be
subject to deduction unless you choose to opt out of the
Medical Examination: No appointment can be confirmed until a satisfactory
medical examination has been undergone.
Criminal Convictions The duties of this post mean that you will either have
Disclosure Check: regular contact with a) children and young people under
the age of 18, b) the elderly, sick and disabled people or
c) have a greater degree of involvement with children or
vulnerable adults. Candidates who are successful at
interview for this post will therefore be required to
declare and consent to the validation of any criminal
convictions by means of a standard/enhanced
Disclosure check carried out by Disclosure Scotland
under the provisions of Part V of the Police Act 1997
prior to any offer of appointment being made. This post
is covered by the provisions of the Rehabilitation of
Offenders Act 1974 (Exceptions) Order 1975 and you
are therefore required to declare information not only
about “current” convictions but also about previous
convictions which are otherwise regarded as “spent”. In
the event of employment, any failure to disclose such
convictions could result in the withdrawal of any offer,
disciplinary action or dismissal by NHS Forth Valley.
Confidentiality: In the course of your duties you may have access to
confidential information concerning patients or staff.
Unauthorized disclosure or removal of information may
lead to consideration of disciplinary action.
Equality in Employment: NHS Forth Valley fully supports the principle of
equality in employment and opposes all forms of
unlawful and / or unfair discrimination which cannot be
shown to be justified. NHS Forth Valley is committed to
ensuring equality of treatment for both present and
Tobacco Policy: It is the policy of NHS Forth Valley to discourage the habit
of smoking within the organization and to provide a smoke
The NHS Forth Valley policy is to establish no smoking
as the norm and smoking is not permitted anywhere
within NHS Forth Valley premises including residences
The Occupational Health Service will assist members of
staff who wish to stop smoking by providing or
facilitating the following services:
• Information on smoking and ways to stop
• Personal support
• Health Education materials and helpline
• Nicotine replacement therapy
• Smoking Cessation support
Copies of the Tobacco Policy are available from HR Co-
ordinators or via the NHS Forth Valley Intranet.
Health & Safety: All employees have a responsibility for their own health
& safety and the health & safety of others who may be
affected by what they do. Employees also have a duty
to co-operate with their employer by following NHS
Forth Valley policies and procedures and safe systems
of work; by using equipment safely and by bringing any
shortcomings in health and safety arrangements to the
attention of their employer. Where something is
provided in the interests of health & safety employees
must not interfere or misuse it. All employees have a
legal responsibility to report any shortcomings in terms
of this in their area. Managers and supervisors have a
responsibility for monitoring health & safety
arrangements and ensuring staff are following policies
and procedures and safe systems of work.
Partnership Agreement: Contributing to the development of partnership working
by: supporting NHS Forth Valley in delivering its goals
and objectives; supporting continuous improvement in
own performance and the performance of the
department, directorate and NHS Forth Valley;
attending training, development and other activities
aimed at improving own skills and for the benefit of the
organisation and patient care.
Nursery Facilities: There is an independently run on-site nursery at Stirling
Royal Infirmary. With places open to staff and the
general public. For further information please contact:
Chapter One Childcare (SRI site): 01786 465112
Completed application forms should be returned to:
Falkirk & District Royal Infirmary
FALKIRK FK1 5QE
Closing Date: 15th January 2010 at 12 Noon
Ref No: 1209597
If you have not received a letter within 6 weeks of the above closing date you can
assume that you have been unsuccessful in being shortlisted.