Guy's and St Thomas' NHS Foundation Trust

Lead Cardiac Physiologist

The closing date is 01 March 2026

Job summary

This is an exciting opportunity for an experienced and highly skilled Cardiac Physiologist to lead the Non-Invasive Cardiac Physiology service across Wimpole Street Specialist Care and the Royal Brompton Hospital Private Consulting Rooms. The post holder will provide expert clinical leadership and be responsible for the day-to-day operational management, strategic development and delivery of a high-quality non-invasive diagnostic service.

The Lead Cardiac Physiologist will oversee workforce planning, service improvement, governance and quality assurance, ensuring a safe, efficient and patient-centred service that reflects the standards and values of Guy's and St Thomas' NHS Foundation Trust. The role requires advanced technical expertise across the full range of non-invasive cardiac investigations, as well as strong leadership, communication and problem-solving skills.

The post holder will work collaboratively with consultant cardiologists, senior physiologists, private patient services, finance, marketing and business development teams to support ongoing service growth, innovation and an excellent private care patient experience. This senior role provides a key opportunity to influence the ongoing development of a premium cardiac diagnostic service.

Main duties of the job

  • Provide overall technical and clinical leadership for all non-invasive cardiac investigations, ensuring consistent high-quality diagnostic outputs and timely reporting.
  • Lead the operational delivery of the non-invasive service across Wimpole Street and Royal Brompton private consulting rooms, ensuring safe, effective and efficient day-to-day workflow.
  • Perform and oversee advanced non-invasive procedures including Holter/event analysis, ETT, CPET, ILR follow-up, and pacemaker/ICD/CRTD remote and in-person monitoring.
  • Lead on staff training, supervision, competency assessment, CPD and performance management for the non-invasive physiology team.
  • Ensure compliance with Trust policies, clinical governance requirements, CQC standards and statutory regulations.
  • Oversee equipment maintenance, service contracts, safety checks and liaison with Clinical Engineering.
  • Lead or support investigations into incidents, complaints and patient concerns, implementing improvement plans where required.
  • Contribute to business planning, financial management, and achievement of departmental financial targets and cost-improvement initiatives.
  • Maintain awareness of competitor service offerings and contribute to commercial development of the private cardiac diagnostic service.
  • Work collaboratively with consultants, administrative teams and multidisciplinary colleagues to support the smooth and efficient running of private patient pathways.

About us

Royal Brompton & Harefield Hospitals is the UK's largest post-graduate specialist heart and lung centre, with an international reputation as a centre of excellence. In February 2021, The Royal Brompton and Harefield joined Guys and St Thomas' bringing together world leading expertise in the care and research of heart and lung disease.

In 2016, the trust launched its private outpatient and diagnostic facility located in the Harley Street medical area. Our private care services are built on the dedication of NHS services at Royal Brompton and Harefield hospitals, which have a long history of advancing heart and lung care. Stories of innovation, collaboration and progress that continue today with our world-class consultants and services.

The Trust offers a supportive and respectful environment providing you with the opportunity to develop your skills in a progressive and expanding organisation and supporting your career development by offering internal and external training opportunities.

Details

Date posted

12 February 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£64,156 to £71,148 a year + Additional RRP £5,275 pa (Annual review March 2026)

Contract

Permanent

Working pattern

Full-time

Reference number

196-LIS10285E

Job locations

77-79 Wimpole Street

77 Wimpole Street

London

W1G 9RU


Job description

Job responsibilities

  • Hold overall responsibility for all noninvasive cardiac investigations, ensuring high clinical standards and report turnaround times.
  • Maintain expertlevel clinical competence and perform advanced cardiac diagnostic techniques independently.
  • Acquire, analyse and interpret complex clinical data, providing expert opinion and reviewing conflicting or atypical results.
  • Provide daytoday operational leadership for the noninvasive service, ensuring appropriate staffing, workflow management and service continuity across sites.
  • Ensure robust implementation, monitoring and compliance with Trust policies, SOPs, quality standards and regulatory requirements.
  • Support service development initiatives, including new diagnostic pathways and the introduction of new technologies.
  • Lead on complaints handling, incident investigations and embedding learning outcomes.
  • Oversee equipment maintenance, calibration, repairs, safety testing and asset management in collaboration with Clinical Engineering.
  • Ensure adherence to infection prevention and control standards, equipment cleaning procedures and safety protocols.
  • Maintain high standards of housekeeping, environment of care and safety within the noninvasive department.
  • Collect, review and present audit data to support service evaluation and improvement.
  • Support research and innovation activities where relevant.
  • Ensure accurate and secure documentation, data management and reporting for clinical, statistical and research purposes.
  • Lead recruitment, induction, mentoring and supervision of team members.
  • Carry out appraisals, performance reviews and management of staff development plans.
  • Ensure the team maintains required competencies and has access to appropriate CPD, training and educational opportunities.
  • Manage leave, sickness reporting and staffing rotas to ensure safe service coverage.
  • Lead delivery of specialist training and education for noninvasive cardiac physiology across the team.
  • Maintain and develop personal professional knowledge, skills and competencies in line with regulatory and Trust standards.
  • Communicate complex and sensitive information clearly to patients, relatives and colleagues.
  • Support MDT communication, consultant liaison and highquality private patient customer service.
  • Act as a key point of contact for operational, clinical and service-related queries.
  • Support implementation and review of Trust and private patient policies, ensuring team compliance.
  • Contribute to business planning, financial performance monitoring and meeting income targets.
  • Identify opportunities for cost improvement, resource optimisation and commercial growth.
  • Maintain awareness of competitor services and contribute to strategic positioning of the private cardiac diagnostics offer.

Job description

Job responsibilities

  • Hold overall responsibility for all noninvasive cardiac investigations, ensuring high clinical standards and report turnaround times.
  • Maintain expertlevel clinical competence and perform advanced cardiac diagnostic techniques independently.
  • Acquire, analyse and interpret complex clinical data, providing expert opinion and reviewing conflicting or atypical results.
  • Provide daytoday operational leadership for the noninvasive service, ensuring appropriate staffing, workflow management and service continuity across sites.
  • Ensure robust implementation, monitoring and compliance with Trust policies, SOPs, quality standards and regulatory requirements.
  • Support service development initiatives, including new diagnostic pathways and the introduction of new technologies.
  • Lead on complaints handling, incident investigations and embedding learning outcomes.
  • Oversee equipment maintenance, calibration, repairs, safety testing and asset management in collaboration with Clinical Engineering.
  • Ensure adherence to infection prevention and control standards, equipment cleaning procedures and safety protocols.
  • Maintain high standards of housekeeping, environment of care and safety within the noninvasive department.
  • Collect, review and present audit data to support service evaluation and improvement.
  • Support research and innovation activities where relevant.
  • Ensure accurate and secure documentation, data management and reporting for clinical, statistical and research purposes.
  • Lead recruitment, induction, mentoring and supervision of team members.
  • Carry out appraisals, performance reviews and management of staff development plans.
  • Ensure the team maintains required competencies and has access to appropriate CPD, training and educational opportunities.
  • Manage leave, sickness reporting and staffing rotas to ensure safe service coverage.
  • Lead delivery of specialist training and education for noninvasive cardiac physiology across the team.
  • Maintain and develop personal professional knowledge, skills and competencies in line with regulatory and Trust standards.
  • Communicate complex and sensitive information clearly to patients, relatives and colleagues.
  • Support MDT communication, consultant liaison and highquality private patient customer service.
  • Act as a key point of contact for operational, clinical and service-related queries.
  • Support implementation and review of Trust and private patient policies, ensuring team compliance.
  • Contribute to business planning, financial performance monitoring and meeting income targets.
  • Identify opportunities for cost improvement, resource optimisation and commercial growth.
  • Maintain awareness of competitor services and contribute to strategic positioning of the private cardiac diagnostics offer.

Person Specification

Skills & Abilities

Essential

  • Strong leadership and team-management skills with ability to coordinate daily operations
  • Excellent communication, organisation and problem-solving skills; competent with EPIC, Pacenet and similar systems

Experience & Knowledge

Essential

  • Experience supervising/mentoring staff & strong understanding of governance, safety standards, and quality assurance
  • Significant experience performing a wide range of non-invasive cardiac investigations, including Holter/Event monitoring and analysis, Exercise Tolerance Testing (ETT), and Cardiopulmonary Exercise Testing (CPET).
  • Independent follow-up and management of cardiac rhythm devices, including Pacemakers (PPM), Implantable Cardioverter Defibrillators (ICD), Cardiac Resynchronisation Therapy devices (CRT-P/D), and Implantable Loop Recorders (ILR), including remote monitoring.

Desirable

  • Experience with private patient pathways, budgeting/resource planning, or service development

Qualifications & Professional Registration

Essential

  • Recognised BSc in Cardiac Physiology (PTP/STP or equivalent) and HCPC/RCCP registration
  • Immediate Life Support (ILS/PILS/EPLS) certification & evidence of ongoing

Desirable

  • BHRS/IBHRE accreditation or working towards this
Person Specification

Skills & Abilities

Essential

  • Strong leadership and team-management skills with ability to coordinate daily operations
  • Excellent communication, organisation and problem-solving skills; competent with EPIC, Pacenet and similar systems

Experience & Knowledge

Essential

  • Experience supervising/mentoring staff & strong understanding of governance, safety standards, and quality assurance
  • Significant experience performing a wide range of non-invasive cardiac investigations, including Holter/Event monitoring and analysis, Exercise Tolerance Testing (ETT), and Cardiopulmonary Exercise Testing (CPET).
  • Independent follow-up and management of cardiac rhythm devices, including Pacemakers (PPM), Implantable Cardioverter Defibrillators (ICD), Cardiac Resynchronisation Therapy devices (CRT-P/D), and Implantable Loop Recorders (ILR), including remote monitoring.

Desirable

  • Experience with private patient pathways, budgeting/resource planning, or service development

Qualifications & Professional Registration

Essential

  • Recognised BSc in Cardiac Physiology (PTP/STP or equivalent) and HCPC/RCCP registration
  • Immediate Life Support (ILS/PILS/EPLS) certification & evidence of ongoing

Desirable

  • BHRS/IBHRE accreditation or working towards this

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

77-79 Wimpole Street

77 Wimpole Street

London

W1G 9RU


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

77-79 Wimpole Street

77 Wimpole Street

London

W1G 9RU


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Head of Nursing and Outpatient Clinical Services

Ricardo Reis

ricardo.reis1@nhs.net

02073518101

Details

Date posted

12 February 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£64,156 to £71,148 a year + Additional RRP £5,275 pa (Annual review March 2026)

Contract

Permanent

Working pattern

Full-time

Reference number

196-LIS10285E

Job locations

77-79 Wimpole Street

77 Wimpole Street

London

W1G 9RU


Supporting documents

Privacy notice

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