Job summary Role: Senior Clinical Fellow (SPR) in Heart Failure /Transplant Medicine Location: Harefield Hospital This is a registrar-level post in Advanced Heart Failure/Transplant Medicine; the successful applicant will join a dynamic team with an international reputation. Harefield Hospital provides specialist cardiothoracic services including interventional cardiology, thoracic and cardiac surgery. This post is to commence in July for a period of 6 months with a possible extension by mutual agreement (up to a maximum of 23 months where appropriate). This post offers clinical experience and training in advanced heart failure, ventricular assist device support and clinical management after heart transplantation. It is suitable for those seeking a post CCT fellowship in advanced heart failure and for current trainees in cardiovascular medicine who wish to have a period of out-of-programme training in advanced heart failure. The post holder will undertake an active role in inpatient care and participate in outpatient clinics as well as the EWTD-compliant on-call rota. Main duties of the job To work as full-time medical team member of the Trust's multi-disciplinary transplant team. To provide clinical management and support to heart failure patients receiving mechanical circulatory support. Such support is primarily used as a bridge to transplantation. To provide clinical teaching to medical team members, with particular emphasis on management of advanced heart failure, ventricular assist devices and post-transplant long term care. To conduct clinical audit and retrospective analysis of clinical data, with emphasis on training and mentoring junior team members. About us Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.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.We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities. Date posted 14 February 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £70,425 a year pro rota Contract Fixed term Duration 6 months Working pattern Full-time Reference number 196-MED4714 Job locations Harefield Hospital Hillend Road UXBRIDGE UB9 6JH Job description Job responsibilities Clinical Responsibilities To work as a full-time clinical member of the multi-disciplinary team, including participation and presentation at weekly Multi-disciplinary Team Meetings and other meetings in the Division and Trust. To ensure good communication is maintained within the Transplant service at Harefield Hospital, working in collaboration with medical and surgical colleagues, other departments and services. To assist when required in the Angiography Laboratory. To attend and lead Outpatient Clinics. To arrange for the transfer of patients to/from other hospitals or discharge home; including a transfer/discharge summary. To perform minor surgical procedures such as chest aspiration, chest drain insertion, central venous lines and arterial blood gases etc. Supervise and train junior staff allocated to the Transplant Service. To undertake regular ward rounds to ensure effective management during the in-patient stay. To keep the Ward Sister and Consultant informed of any patient who is giving cause for concern. To communicate to a patients relative the progress of that patent. To dictate / input all urgent discharge summaries only and ensure that these are forwarded to the patients General Practitioner or hospital of transfer as soon as possible after the patient is discharged. To be available for emergency calls to ITU and other parts of the hospital as required (i.e. Cardiac Arrest). Participate in the Medical Audit Programme and update relevant patient database programmes. Participate fully in the service and training programme of the Transplant Service and Heart Division. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise. On Call Participate in an on-call rota covering inpatient activity and emergency work. This may involve cross cover to Lung Failure and Cardiology Services. The Middle Grade Doctors provide second on call to ST1-3 doctors and on a 1:7 rota. They are resident on-call 8am to 8pm daily with availability by telephone thereafter. Job description Job responsibilities Clinical Responsibilities To work as a full-time clinical member of the multi-disciplinary team, including participation and presentation at weekly Multi-disciplinary Team Meetings and other meetings in the Division and Trust. To ensure good communication is maintained within the Transplant service at Harefield Hospital, working in collaboration with medical and surgical colleagues, other departments and services. To assist when required in the Angiography Laboratory. To attend and lead Outpatient Clinics. To arrange for the transfer of patients to/from other hospitals or discharge home; including a transfer/discharge summary. To perform minor surgical procedures such as chest aspiration, chest drain insertion, central venous lines and arterial blood gases etc. Supervise and train junior staff allocated to the Transplant Service. To undertake regular ward rounds to ensure effective management during the in-patient stay. To keep the Ward Sister and Consultant informed of any patient who is giving cause for concern. To communicate to a patients relative the progress of that patent. To dictate / input all urgent discharge summaries only and ensure that these are forwarded to the patients General Practitioner or hospital of transfer as soon as possible after the patient is discharged. To be available for emergency calls to ITU and other parts of the hospital as required (i.e. Cardiac Arrest). Participate in the Medical Audit Programme and update relevant patient database programmes. Participate fully in the service and training programme of the Transplant Service and Heart Division. To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise. On Call Participate in an on-call rota covering inpatient activity and emergency work. This may involve cross cover to Lung Failure and Cardiology Services. The Middle Grade Doctors provide second on call to ST1-3 doctors and on a 1:7 rota. They are resident on-call 8am to 8pm daily with availability by telephone thereafter. Person Specification Qualifications / Training Essential Full GMC registration MRCP, or equivalent Must have at some experience in the UK in a substantive post or equivalent experience Advanced life support training Desirable Teaching experience at of medical students and FY1/2 or ST1/2 or similar posts. Experience Essential Experience assisting with heart failure cardiology procedures including echo, right heart catheterisation and diagnostic coronary angiography Research experience with significant publication record and contributions to major professional conferences. Advanced life support training. Desirable Experience of the pre and post-operative medical care of heart failure patients undergoing heart and Lung transplantation or VAD insertion Experience of the long-term follow up of heart transplant patients including the management of immunosuppression Participation in a recognised scheme of continuing medical education. Skills, Knowledge and Abilities Essential Proficient and efficient handling medical problems Evidence of safe sound practical procedures Good interpersonal and communications skills Desirable Sound knowledge of Heart and Lung Failure, and Transplantation Ability to contribute to research and teaching at national level Sound knowledge of radiation protection. Person Specification Qualifications / Training Essential Full GMC registration MRCP, or equivalent Must have at some experience in the UK in a substantive post or equivalent experience Advanced life support training Desirable Teaching experience at of medical students and FY1/2 or ST1/2 or similar posts. Experience Essential Experience assisting with heart failure cardiology procedures including echo, right heart catheterisation and diagnostic coronary angiography Research experience with significant publication record and contributions to major professional conferences. Advanced life support training. Desirable Experience of the pre and post-operative medical care of heart failure patients undergoing heart and Lung transplantation or VAD insertion Experience of the long-term follow up of heart transplant patients including the management of immunosuppression Participation in a recognised scheme of continuing medical education. Skills, Knowledge and Abilities Essential Proficient and efficient handling medical problems Evidence of safe sound practical procedures Good interpersonal and communications skills Desirable Sound knowledge of Heart and Lung Failure, and Transplantation Ability to contribute to research and teaching at national level Sound knowledge of radiation protection. 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab). From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab). UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Guy's and St Thomas' NHS Foundation Trust Address Harefield Hospital Hillend Road UXBRIDGE UB9 6JH Employer's website https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)