NHS FORTH VALLEY
Acute Hospitals NHS Trust
Forth Valley Medical Directorate
Specialist Clinical Physiologist
Part-time 18 hours per week, Permanent
Salary: Band 6, £24,831 - £33,436 per annum, pro rata
We are seeking to recruit an enthusiastic individual to come and join our friendly and
industrious team in Cardiology. The post will initially cover the two sites in Forth
Valley (Stirling and Falkirk) until the opening of our new, unified, purpose-built
hospital at Larbert. The departments perform a wide range of non-invasive tests
including Exercise Tolerance Testing, 24 hour Ambulatory monitoring and analysis,
Pacemaker and ICD follow up and Standard & Specialist Echocardiographic studies.
There is also an established ICD implant service.
Essential qualifications include HNC Physiological Measurement/BSc Cardiology,
State Registration with RCCP and ILS (Intermediate Life Support) from the
Resuscitation Council (UK). Proof of continuing professional development is desired.
There would be opportunity for developing skills.
Further information and informal enquiries to:
Joanne Cusack - Acting Head of Cardiology Investigations Services, Forth Valley
Tel: 01786 434165 E-mail: email@example.com
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: 29th January 2010
Redeployment – 12th January 2010
NHS FORTH VALLEY
1. JOB DETAILS
Job Title: Specialist Clinical Physiologist
Responsible to: Forth Valley Cardiology Investigation Services Manager
Department(s): Cardiology (Stirling Royal Infirmary and Falkirk District Royal
Job Holder Reference:
No of Job Holders: 1
a. ROLE OF UNIT
General medical care including the provision of emergency services in acute
medicine, specialty and subspecialty outpatient services, care of the elderly &
rehabilitation and Division-wide AHP services.
b. 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 Echocardiography Services.
2. JOB PURPOSE
The post holder is a senior member of the 24 hour Electrocardiography Tape Analysis
and the Exercise Tolerance Test Service and provides Clinical Reports to all grades of
Hospital Medical Staff and General practitioners. The post holder is also responsible
for in-service Clinical Physiologist training in these areas.
Unit General Manager
Unit Service Manager
Forth Valley Cardiology Investigations Services Manager
Forth Valley Arrhythmia Manager of FDRI Cardiology
Services Manager Service and Falkirk GP open access
Highly Specialist Clinical Physiologists
Specialist Clinical Physiologists
Student Clinical Physiologist
Assistant Technical Officers
Specialist Clinical Physiologist independently analysing 24 hour Electrocardiography
recordings and issuing clinical reports.
Specialist Clinical Physiologist independently reporting and performing Exercise
The post holder will be expected to identify and take appropriate prioritised action on
any abnormal results. These may include urgent discussion with a Cardiologist or urgent
admission, prioritised Cardiology clinic referral, arrangement of further investigations
notification, guidance or discussion with GPs, all grades of Medical staff or Specialist
Supervision and Training of SHOs, Cardiology specialist nurses, less experienced
Clinical Physiology staff in 24 hour Tape Analysis and Exercise Tolerance Testing and
5. KEY DUTIES/RESPONSIBILITIES
• Sole charge of 24 hour tape analysis sessions, including training and guidance
of less experienced Clinical Physiologists, Nursing and SHO staff in
management of patients and interpretation of results.
• Responsible for the care and maintenance of the ambulatory monitoring
equipment and analysis system.
• Supervision, preparation, careful observation, assessment, interpretation of
haemodynamic and abnormal ECG response during Physiologist led exercise
tolerance testing sessions. Providing first line response to emergency
situations when required.
• Training and guidance of SHOs, Cardiology Nurses less experienced Clinical
Physiology staff during Exercise Tolerance Tests
• Adhering to the national guidelines (British Cardiac Society) for exercise
testing with regards to the provision of this service.
• Ensuring Medical staff are notified of abnormal results for urgent treatment
• Skilled knowledge of contraindications and interpretation of results to ensure
appropriate management of patient investigation, diagnosis and follow up.
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 work unsupervised in all areas.
• The post-holder will supervise and train less experienced staff as required.
6. SYSTEMS AND EQUIPMENT
The post holder 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.
Exercise Tolerance Testing equipment
Ambulatory ECG recording equipment and analyser
24 hour 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 provision
of 24 hour Tape Analysis, Ambulatory BP monitoring and Physiologist Led
Exercise testing session.
• For each rostered session post holder has responsibility for prioritisation and
review of patient list dependant on clinical need whilst also ensuring efficient
service to outpatient clinics.
• The post holder is also required to adjust lists at short notice to allow for
• The post holder is on call throughout working day to supervise and teach less
experienced colleagues in 24 hour ECG complex rhythm analysis.
• The post holder will receive urgent and planned requests for Exercise
Tolerance Testing including Interpretation of results.
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, email and face to face with all levels of staff
throughout the organisation in a concise, professional and reasonable manner.
- Communicate complex 24 hour results to cardiologists, GP’s and other clinical
- Regular communication with ward staff and specialist nurses with regards to
appointments and results.
- 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.
- Liaise with other health authorities and departments with regards to ongoing
Patients, carers and relatives
- Communicate to patients the arrangement of appointments and any information
relevant to their procedure.
- Instruct patients at an appropriately pitched level what to expect during their
investigations and why. In this manner, actively encourage their co-operation in
order to achieve the best possible results/outcome from their test/procedure.
- Communicate to non English speaking patients through an appropriate interpreter
and respect any cultural and religious interpreter.
- Communicate with colleagues on a day to day basis and feedback any problems
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 use of Ultrasound probes and
application of electrodes during investigations.
Daily contact with patients with MRSA
Occasional blocks of contact with Norovirus/winter vomiting bug
Frequent contact with airborne infections.
9b. MENTAL/EMOTIONAL DEMANDS OF THE JOB
3-4 hour 24 hr tape Analysis sessions with detailed scrutiny of and concentration on high
speed flowing ECG recordings of Cardiac rhythms with frequent exposure to abnormal
results involving wide range of patients.
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.
Constant demand for coping with a wide range of unpredictable situations on a daily
10. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE
BSc in Physiological Measurement
HNC Physiological Measurement
ASCST - Associate member of the Society of Cardiological Science and Technology
State Registered with RCCP
ILS - Intermediate Life Support from the Resuscitation Council (UK)
6 years in-service training gaining a complete knowledge of cardiac procedures
Continuing Professional Development in all specialist fields including 2 years as a
Practitioner in Clinical Physiology
Expertise in 24 hour ECG rhythm recording analysis
Expertise in Exercise Tolerance Testing and analysis
Expertise in ECG interpretation
Interest in Pacing/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 6, £24,831 - £33,436 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: Part-time 18 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: 29th January 2010
Ref No: 0110006
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.