Job summary Leeds Teaching Hospitals has an exciting opportunity for a Band 7 Highly Specialist Respiratory Physiologist/Team Lead to join our friendly and expanding team. The department is looking to recruit an enthusiastic and highly motivated individual with excellent leadership skills to lead the daily duties of the respiratory service, whilst also working autonomously in basic and advanced respiratory and sleep investigations. The successful candidate will be responsible for leading the Paediatric Respiratory Physiology service alongside leadership responsibility for the adult team. Experience of team work, communication and integration are essential. The respiratory and sleep department perform a wide range of routine and specialist investigations including full lung function, mannitol challenge testing, respiratory muscle testing, capillary blood gases, hypoxic challenge tests, sleep study analysis such as overnight oximetry, limited channel studies and actigraphy. The department also supports the CPAP and NIV team with CPAP initiation, remote monitoring and treatment interventions. The paediatric physiology service is an exciting new area for development, with the opportunity to lead on establishing specialist tests, whilst also being integrated within the adult service and having leadership responsibility. Expected Shortlisting Date 21/11/2024 Planned Interview Date 05/12/2024 Main duties of the job Highly Specialist Respiratory Physiologist will be expected to perform basic and advanced respiratory investigations on a rotational basis. This will include providing factual reports for a broad range of investigations (dependent on clinical skill set/area of specialty). Accountable for the day-to-day leadership/management in respiratory physiology services alongside the management team. In addition, having responsibility for the day to day running of the respiratory labs, ensuring the rotas are planned. Accountability for clinical supervision and training of other qualified professionals, junior and trainee staff. It is expected that the successful candidate regularly participates in continuing professional development, research and audit. About us Come and join our team in Leeds and become part of The Leeds Way sharing our vision and values. Our Trust is recognised for our staff engagement, great care and is rated GOOD by the Care Quality Commission. Leeds Teaching Hospitals NHS Trust is one of the largest acute providers in the UK and based in one of the fastest growing and vibrant cities in the North of England. The Cardio-Respiratory Clinical Service Unit aims to be fair and supportive with positive, caring teams who are champions of the Leeds Way values. Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. These values have been developed by our staff and set out what they see as important to how we work. Our five values are: Patient-centred Collaborative Fair Accountable Empowered Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions. Date posted 31 October 2024 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year Contract Permanent Working pattern Full-time, Flexible working Reference number C9298-CRS-228 Job locations Leeds General Infirmary Great George Street Leeds LS1 3EX Job description Job responsibilities Principal Duties & Areas of Responsibility Clinical Duties To be professionally and legally accountable for all aspect of own work, including the management of patients in your care. Participates in rotational requirements within the cardiorespiratory department in non-invasive and respiratory services where required. On call and 24/7 provision of acute emergency services may be required (e.g., Cardiac Catheter Labs and/or Implantable Cardiac Devices). Demonstrating a high level of autonomy, often giving advice to medical staff with limited specialist knowledge thus directly influencing patient care outcomes. Routinely undertakes assessment of both in-patients and out-patients prior to a range of investigations and uses own discretion in order to ensure the patient is suitable for the investigation. Gives lead specialist advice during highly complex situations where analytical judgement is required to all other members of the multi-disciplinary team including consultant physicians. Carries out all aspects of clinical work as approved by their Line Manager. Lead Specialist in own clinical field. Implements change in own specialist area based on own experience and evidence-based practice. Works within and towards national guidelines and directives, e.g., NICE guidelines. Works as an autonomous practitioner within established departmental policies and those recognised by international organisations e.g., American Heart Association, Heart Rhythm Society - UK, Association for Respiratory Technology and Physiology, and Academy for Healthcare Science Communicates with all members of the multidisciplinary team to ensure the best possible care for patients, including: negotiating, reassurance, empathy, and persuasiveness. Communicates sensitive information about routine and complex investigations to patients and relatives/carers including children and those with learning and/or physical disabilities. Calibrates and manipulates a wide range of complex, expensive, technical equipment which process, create, update and store information. Performs / provides factual reports on a number of the following investigations on a region-wide range of patients including acutely ill paediatric and elderly patients and those with a range of physical and learning disabilities: These investigations would be dependent on the applicants skill set and area of clinical expertise (Cardiac, Respiratory or Sleep). - Cardiopulmonary exercise testing (CPX) - 12 lead electrocardiographs (ECG) - Advanced ambulatory monitoring techniques - Advanced haemodynamic assessments/calculations - Capillary blood gases - Cardiac ultrasound imaging (TTE) - Complex Electrophysiology studies and 3D mapping studies - Complex Implantable Cardioverter Defibrillators (ICDs) implantations - Complex Permanent Pacemaker (PPM) implantations - Complex PPM/ICD lead extractions - Exercise testing under medical supervision - Field exercise tests - Fitness to fly assessments - Full pulmonary function testing - Mannitol challenge testing - Percutaneous Coronary Intervention (PCI) - Physiologist led Exercise Tolerance Testing (ETT) - Physiologist led PPM and ICD follow-up - Respiratory muscle assessments - Routine cardiac angiography and haemodynamic assessment - Sleep physiology analysis and CPAP. - Temporary pacemaker insertions - Therapeutic radiofrequency ablation Reports equipment faults in accordance with departmental policy. Demonstrates personal duty of care for safe use of expensive and highly complex equipment. Is responsible for ensuring that others are fully trained in the safe use of such equipment within their specialist area. Responsible for maintenance of stock levels by ordering from pre-agreed tender schedules and by seeking new resources as service demands change. Responsible for day-to-day security of expensive equipment, e.g., portable devices. Professional Responsible for maintaining own technical competencies in clinical areas. Responsible for reporting clinical incidents and adverse events to the Service Manager. Maintain state registration. Responsible for formal mentorship and coordination of training for designated staff in training within own specialist area. Provides highly specialist training on a day-to-day basis for doctors and physiologists. Be an active member of the in-service training programme by attendance at, and participation in, in-service training programmes, tutorials, individual training sessions, external courses and peer review. Undertakes Continuing Professional Development (CPD) in accordance with Personal Development Plan (PDP) as developed with Line Manager. Attends and participates in departmental staff meetings. Maintains and develops current knowledge of evidence-based practice in each clinical area. Responsible for the implementation and evaluation of capital and consumable equipment prior to purchase to ensure the equipment fulfils both service requirements and budget restrictions. Frequently undertakes collection of data for use in audit, research projects and equipment testing. Regularly undertakes clinical trials involving new and emerging technologies. Regularly provides training in highly specialist physiological techniques to staff members including specialist physiologists and medical staff. Collaborates with the Service Manager towards changes that may impact the wider service provision. Organisational Ability to prioritise and organise the clinical caseload within a designated area of Cardiorespiratory. Includes planning and organisation of expected and acute workload and deployment of more junior staff within that area. Accountable for the delivery and day to day management of the delegated area of responsibility within their speciality. Other Demonstrates the ability to prioritise and organise the clinical caseload within a designated area of Cardiorespiratory. Includes planning and organisation of expected and acute workload and deployment of more junior staff within that area. To be able to exercise initiative as an autonomous practitioner in specialist areas of the Cardiorespiratory Department. The individual uses his/her discretion to re-adjust plans as the clinical situation/need of the patient changes. Lead specialist in own clinical field, demonstrating highly specialist in-depth knowledge and theory. Communicates with all members of the multidisciplinary team to ensure the best possible care for the patient. Including giving detailed advice to other specialist professions which will influence patient care/outcomes. Communication skills including: - Negotiating, e.g., with physicians who demand investigations not achievable within the service limitations. - Reassurance, e.g., to patients who are anxious about their clinical findings. - Persuasiveness, e.g., to young children who are scared to undergo clinical procedures. Immediate Life Support training essential during procedures performed on acutely ill patients and those at very high risk of sudden cardiac death. To communicate information about specialist investigations to patients and relatives/carers including children and those with learning and/or physical disabilities. Performs, analyses and interprets a wide range of highly specialist and complex investigations, e.g., Pacemaker follow-up, Transthoracic echocardiography, physiologist led exercise testing and complex respiratory testing e.g., challenge testing, fitness to fly assessments, blood gases Generates factual reports that are documented in patient clinical notes and/or on relevant databases and directly used to influence patient management. These sources are used to aid audit and compilation of statistical information Has highly developed level of sensory skills and good hand to eye co-ordination in order to immediately analyse and respond to complex life-threatening physiological signs. Following interpretation of these the Physiologist uses judgemental skills in order to make instantaneous decisions about further patient care. Has a high level of manual dexterity with enhanced precision and timing skills in order to ensure the accurate application of a range of diagnostic tools, e.g., measurement of cardiac intervals to the nearest millisecond during electrophysiology studies (EPS). Expected to undertake informal training by means of periodic in-house assessments. Is forced to deal with confrontation from industry representatives who can be demanding and intrusive. To comply with the Trusts manual handling policy at all times. Job description Job responsibilities Principal Duties & Areas of Responsibility Clinical Duties To be professionally and legally accountable for all aspect of own work, including the management of patients in your care. Participates in rotational requirements within the cardiorespiratory department in non-invasive and respiratory services where required. On call and 24/7 provision of acute emergency services may be required (e.g., Cardiac Catheter Labs and/or Implantable Cardiac Devices). Demonstrating a high level of autonomy, often giving advice to medical staff with limited specialist knowledge thus directly influencing patient care outcomes. Routinely undertakes assessment of both in-patients and out-patients prior to a range of investigations and uses own discretion in order to ensure the patient is suitable for the investigation. Gives lead specialist advice during highly complex situations where analytical judgement is required to all other members of the multi-disciplinary team including consultant physicians. Carries out all aspects of clinical work as approved by their Line Manager. Lead Specialist in own clinical field. Implements change in own specialist area based on own experience and evidence-based practice. Works within and towards national guidelines and directives, e.g., NICE guidelines. Works as an autonomous practitioner within established departmental policies and those recognised by international organisations e.g., American Heart Association, Heart Rhythm Society - UK, Association for Respiratory Technology and Physiology, and Academy for Healthcare Science Communicates with all members of the multidisciplinary team to ensure the best possible care for patients, including: negotiating, reassurance, empathy, and persuasiveness. Communicates sensitive information about routine and complex investigations to patients and relatives/carers including children and those with learning and/or physical disabilities. Calibrates and manipulates a wide range of complex, expensive, technical equipment which process, create, update and store information. Performs / provides factual reports on a number of the following investigations on a region-wide range of patients including acutely ill paediatric and elderly patients and those with a range of physical and learning disabilities: These investigations would be dependent on the applicants skill set and area of clinical expertise (Cardiac, Respiratory or Sleep). - Cardiopulmonary exercise testing (CPX) - 12 lead electrocardiographs (ECG) - Advanced ambulatory monitoring techniques - Advanced haemodynamic assessments/calculations - Capillary blood gases - Cardiac ultrasound imaging (TTE) - Complex Electrophysiology studies and 3D mapping studies - Complex Implantable Cardioverter Defibrillators (ICDs) implantations - Complex Permanent Pacemaker (PPM) implantations - Complex PPM/ICD lead extractions - Exercise testing under medical supervision - Field exercise tests - Fitness to fly assessments - Full pulmonary function testing - Mannitol challenge testing - Percutaneous Coronary Intervention (PCI) - Physiologist led Exercise Tolerance Testing (ETT) - Physiologist led PPM and ICD follow-up - Respiratory muscle assessments - Routine cardiac angiography and haemodynamic assessment - Sleep physiology analysis and CPAP. - Temporary pacemaker insertions - Therapeutic radiofrequency ablation Reports equipment faults in accordance with departmental policy. Demonstrates personal duty of care for safe use of expensive and highly complex equipment. Is responsible for ensuring that others are fully trained in the safe use of such equipment within their specialist area. Responsible for maintenance of stock levels by ordering from pre-agreed tender schedules and by seeking new resources as service demands change. Responsible for day-to-day security of expensive equipment, e.g., portable devices. Professional Responsible for maintaining own technical competencies in clinical areas. Responsible for reporting clinical incidents and adverse events to the Service Manager. Maintain state registration. Responsible for formal mentorship and coordination of training for designated staff in training within own specialist area. Provides highly specialist training on a day-to-day basis for doctors and physiologists. Be an active member of the in-service training programme by attendance at, and participation in, in-service training programmes, tutorials, individual training sessions, external courses and peer review. Undertakes Continuing Professional Development (CPD) in accordance with Personal Development Plan (PDP) as developed with Line Manager. Attends and participates in departmental staff meetings. Maintains and develops current knowledge of evidence-based practice in each clinical area. Responsible for the implementation and evaluation of capital and consumable equipment prior to purchase to ensure the equipment fulfils both service requirements and budget restrictions. Frequently undertakes collection of data for use in audit, research projects and equipment testing. Regularly undertakes clinical trials involving new and emerging technologies. Regularly provides training in highly specialist physiological techniques to staff members including specialist physiologists and medical staff. Collaborates with the Service Manager towards changes that may impact the wider service provision. Organisational Ability to prioritise and organise the clinical caseload within a designated area of Cardiorespiratory. Includes planning and organisation of expected and acute workload and deployment of more junior staff within that area. Accountable for the delivery and day to day management of the delegated area of responsibility within their speciality. Other Demonstrates the ability to prioritise and organise the clinical caseload within a designated area of Cardiorespiratory. Includes planning and organisation of expected and acute workload and deployment of more junior staff within that area. To be able to exercise initiative as an autonomous practitioner in specialist areas of the Cardiorespiratory Department. The individual uses his/her discretion to re-adjust plans as the clinical situation/need of the patient changes. Lead specialist in own clinical field, demonstrating highly specialist in-depth knowledge and theory. Communicates with all members of the multidisciplinary team to ensure the best possible care for the patient. Including giving detailed advice to other specialist professions which will influence patient care/outcomes. Communication skills including: - Negotiating, e.g., with physicians who demand investigations not achievable within the service limitations. - Reassurance, e.g., to patients who are anxious about their clinical findings. - Persuasiveness, e.g., to young children who are scared to undergo clinical procedures. Immediate Life Support training essential during procedures performed on acutely ill patients and those at very high risk of sudden cardiac death. To communicate information about specialist investigations to patients and relatives/carers including children and those with learning and/or physical disabilities. Performs, analyses and interprets a wide range of highly specialist and complex investigations, e.g., Pacemaker follow-up, Transthoracic echocardiography, physiologist led exercise testing and complex respiratory testing e.g., challenge testing, fitness to fly assessments, blood gases Generates factual reports that are documented in patient clinical notes and/or on relevant databases and directly used to influence patient management. These sources are used to aid audit and compilation of statistical information Has highly developed level of sensory skills and good hand to eye co-ordination in order to immediately analyse and respond to complex life-threatening physiological signs. Following interpretation of these the Physiologist uses judgemental skills in order to make instantaneous decisions about further patient care. Has a high level of manual dexterity with enhanced precision and timing skills in order to ensure the accurate application of a range of diagnostic tools, e.g., measurement of cardiac intervals to the nearest millisecond during electrophysiology studies (EPS). Expected to undertake informal training by means of periodic in-house assessments. Is forced to deal with confrontation from industry representatives who can be demanding and intrusive. To comply with the Trusts manual handling policy at all times. Person Specification Qualifications Essential BSc in Clinical Physiology, MSc Clinical Science, or equivalent qualification Professional registration (RCCP, AHCS or HCPC) or; able to evidence registration would be achieved within 6 months of starting in role Desirable Masters level study HCPC Clinical Scientist registration Experience Essential Highly specialist skills and knowledge within the relevant field in accordance with national guidelines. Demonstrates leadership Paediatric experience/understanding Skills & Behaviours Essential Promotes the importance of service quality through QA Accepting of change and open to new ideas and approaches. Ability to co-ordinate change and innovation within a new service. Person Specification Qualifications Essential BSc in Clinical Physiology, MSc Clinical Science, or equivalent qualification Professional registration (RCCP, AHCS or HCPC) or; able to evidence registration would be achieved within 6 months of starting in role Desirable Masters level study HCPC Clinical Scientist registration Experience Essential Highly specialist skills and knowledge within the relevant field in accordance with national guidelines. Demonstrates leadership Paediatric experience/understanding Skills & Behaviours Essential Promotes the importance of service quality through QA Accepting of change and open to new ideas and approaches. Ability to co-ordinate change and innovation within a new service. 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 Leeds Teaching Hospitals Address Leeds General Infirmary Great George Street Leeds LS1 3EX Employer's website https://www.leedsth.nhs.uk/ (Opens in a new tab)