To autonomously manage, co-ordinate and direct training pathway associated with the Echocardiography Service in the Cardio-Respiratory Department at Lancashire Teaching Hospitals NHS Trust. The post-holder will be responsible for all trainee highly specialised cardiac physiologists working in this area. The post-holder will be a highly skilled cardiac physiologist working as an independent practitioner to directly deliver patient care and well-being. To lead/mentor colleagues working towards successful BSE accreditation To ensure that performance of their duties and clinical practices conforms to agreed national policies and procedures, which reflect current scientific and technical knowledge and principles of practice according to guidelines of the respective professional bodies. To perform, unsupervised, all routine non-invasive techniques/investigations of the department and provide advice and/or reports to clinicians. To be able to perform, unsupervised, advanced non-invasive techniques/investigations of the department and provide advice and/or reports to clinicians on the appropriateness of diagnostic investigations. Ability to provide a range of complex facts, analysis and interpretation to all areas of investigation within the Cardio Respiratory Department. To produce complex reports as an independent practitioner in echocardiography To assist Consultant Cardiologist in routine and complex procedures. Observation and recording of cardiac physiological measurements. To provide accurate measurements and factual reports. To perform first line resuscitation with defibrillation. To provide immediate real time diagnostic information to medics and advise the need for any further tests. To assist in audit procedures of the service. To assist in diagnostic studies utilising TOE, pericardiocentesis, bubble contrast and stress echo studies, if required. To assist in the performance of 3D and TDI examinations as the service develops To perform follow up procedures as a competent, independent practitioner To provide an out of hours on call service To assist in piloting new service developments in echocardiography To interpret and report clinical results within all investigations performed by the department. To assist the Manager in the production of audit, review and quality assurance Responsible for direct follow up of patients, if required