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Job summary

Main area
Paediatric Cardiology
Grade
Senior Clinical Fellow
Contract
Fixed term: 10 months (+ on call (1:12))
Hours
Full time - 40.25 hours per week (40.25 hours)
Job ref
196-MED4855
Employer
Guy's and St Thomas' NHS Foundation Trust
Employer type
NHS
Site
Evelina London Children's Hospital
Town
London
Salary
£61,825 - £70,425 p.a. excl. LZ
Salary period
Yearly
Closing
06/06/2025 23:59

Employer heading

Guy's and St Thomas' NHS Foundation Trust logo

Senior Clinical Fellow in Paediatric Cardiology

Senior Clinical Fellow

Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.

Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.

Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions. 

Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.

In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.

We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.

Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.

The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.

We have one of the most ambitious capital investment programmes anywhere in the NHS.



Job overview

Senior Clinical Fellow in Fetal Cardiology
Nodal Point 4 / 5 (dependent on clinical experience) Fixed term 10 months

This is fixed term post (maternity cover) for a paediatric cardiology doctor at ST5/6 or above level. The post is for 10 months duration during which time the fellow will work and be trained in all aspects of fetal cardiology. This will include detailed ultrasound examination of the fetal heart, counselling and management of fetal congenital heart disease and fetal arrhythmias. The candidate will need to be competent in performing paediatric echo and ideally have completed the EACVI accreditation.

Main duties of the job

Timetable of an average week 

Average week includes approximately: 
7 fetal cardiology clinic sessions 
1 multidisciplinary fetal medicine meeting
1 paediatric cardiology clinic session 
1 Cardiac surgical meeting  
Fetal & paediatric cardiology teaching meetings
On call in paediatric cardiology (1:12)

Teaching and training is provided including case-based discussion and attendance at fetal cardiology teaching with is run as part of the paediatric cardiology teaching programme. 


This post will provide the postholder with advanced training in prenatal diagnosis and management of congenital heart.  The postholder will gain experience in all aspects of fetal cardiology. Commitment to paediatric cardiology service provision, including paediatric cardiology clinics and on-call is also an integral part of the post. It is expected that by the end of the post the successful candidate will have competencies in scanning the fetal heart, diagnosis of fetal heart defects and have experience of counselling expectant parents. 

Working for our organisation

The fetal cardiology service is one of the largest in the UK and internationally. The unit has an extensive referral network, receiving patients from 30 different obstetric units. Clinics are located both at ELCH, King’s College Hospital (Harris Birthright Centre for Fetal Medicine) and at Medway Maritime Hospital. Over 3500 pregnant women have fetal cardiac assessment each year across the three sites. Across the sites over 600 cases of fetal congenital heart disease are diagnosed and managed. Around 150-200 pregnancies affected by major congenital heart disease in the fetus are transferred for delivery at the St Thomas’ site. The postholder would be expected to undertake clinical work at Evelina, Kings’ College and Medway sites. 

The unit functions as a multidisciplinary team. There are 6 fetal cardiology consultants with their primary base within the department, 4 consultants based at the Royal Brompton undertaking clinics at ELCH, 6 clinical nurse specialists, 5 sonographers and 3 administrative staff. 

There is a combination of consultant-led clinics where all abnormal cases are scanned and reviewed by a consultant and sonographer-led clinics providing screening for lower risk cases. Where clinically appropriate, babies with congenital heart defects are delivered at St Thomas’ Hospital for immediate postnatal treatment including patients from the Royal Brompton fetal cardiology network hospitals. 

Detailed job description and main responsibilities

The postholder will be expected to take part in the full range of clinical activities of the department.  The duties, sufficient to maintain and develop their pre-existing skills, will be negotiated with the Educational Supervisor and Consultants in paediatric cardiology.

Clinical:
The postholder will also be expected to undertake a mixed range of duties at senior registrar level (under the supervision of a consultant). These will include but are not limited to outpatient commitments, participating in joint discussions about patients and in the allocation of clinical duties within the department if the need arises. The postholder will care for inpatients and out-patients both within the department and at outreach clinics. 

The postholder will, together with other consultant colleagues and trainees, be responsible for the provision of paediatric cardiology and fetal cardiology services to the Guy’s & St Thomas’ Hospital Trust to include:

•    Diagnosis and treatment of patients of the Guy’s and St Thomas’ Hospital Trust in such hospitals, health centres or clinics or other premises as required.
•    The clinical management of inpatients of the paediatric cardiology service.
•    Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, staff.
•    Undertaking independent outpatient clinics both within Guy’s & St Thomas’ and at outreach centres (with responsibility to a named consultant).
•    The diagnosis and treatment of patients occupying accommodation made available under Sections 58, 65 and 66 of the National Health Service Act 1977, in so far as such patients have not made private arrangements for such treatment under Section 65(2) of the Act.

Please refer to the Job description for details

Person specification

Research

Essential criteria
  • Experience of using a database for data entry and collection.
Desirable criteria
  • Experience of clinical or basic sciences research
  • Paediatric or fetal cardiology peer-reviewed publication in journal

Qualifications and Training

Essential criteria
  • Full GMC Registration
  • 2 years’ experience as paediatric cardiology with competencies at ST5-6 level
  • MRCP or MRCPCH or equivalent
  • Minimum of 7 years’ experience in clinical medicine or research posts
Desirable criteria
  • MSc or other degrees / qualifications
  • Higher degree eg MD (res), PhD

Clinical Experience

Essential criteria
  • Up to date logbook/eportfolio of ST5-6 paediatric cardiology competencies or equivalent
  • Observed fetal cardiology clinics
Desirable criteria
  • Demonstrable competencies and logbook of practical aspects of fetal echocardiography and prenatal counselling at ST7 level
  • Use of advanced imaging modalities in fetal cardiology of paediatric cardiology e.g. 3D, deformation imaging, fetal cardiac MRI

Knowledge and Skills

Essential criteria
  • Competent to work without direct supervision where appropriate
  • The ability to take individual responsibility for planning and undertaking own work
  • Ability to work as an effective member of a multidisciplinary team
  • Ability to take individual responsibility for planning and undertaking own work
  • Awareness of own limitations
Desirable criteria
  • Demonstrates use of evidence-informed practice
  • EACVI accreditation in congenital echocardiography

Management

Essential criteria
  • Good written and verbal communication skills
  • The ability to use information technology
  • An awareness of and positive attitude to equal opportunities issues within healthcare and education
Desirable criteria
  • Involvement in audit, service evaluation or service development
  • Demonstrates management experience in or outside specialty / medicine

Teaching

Essential criteria
  • Commitment to teaching of medical and other staff including medical students
Desirable criteria
  • Formal teaching qualification
  • Evidence of teaching in organised courses/meetings

Good Medical Practice

Essential criteria
  • Evidence of understanding of and adherence to the principles of Good Medical Practice set out by the General Medical Council
Desirable criteria
  • Demonstrate examples of Trust values

Employer certification / accreditation badges

Timewise helps businesses to attract and develop the best talent through flexible working.Care quality commission - GoodDisability confident employer

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Dr Trisha Vigneswaran
Job title
Paediatric Cardiologist
Email address
[email protected]
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