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Job summary

Main area
Clinical Fellow
Grade
NHS Medical & Dental: Senior Clinical Fellow
Contract
Fixed term: 12 months (On calls and weekends)
Hours
Full time - 40 hours per week
Job ref
410-MED-7450110
Employer
Liverpool Heart & Chest Hospital NHS Foundation Trust
Employer type
NHS
Site
Liverpool Heart and Chest Hospital
Town
Liverpool
Salary
PA
Closing
21/09/2025 23:59

Employer heading

Liverpool Heart & Chest Hospital NHS Foundation Trust logo

TAVI/structural Fellow

NHS Medical & Dental: Senior Clinical Fellow

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine including adult cystic fibrosis and diagnostic imaging, both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Heart and lung disease continue to be amongst the biggest killers in the UK and the communities we serve are marked by increased prevalence of cardiovascular disease, higher levels of heart failure, hypertension, coronary artery disease and an ageing population.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and facilitated by technology. New and upgraded clinical areas are designed with patients and families fully involved to deliver their needs.

As part of our long term plan, we aim to form strong clinical and organisational relationships where possible. There is clear evidence that partnerships improve patient care and enhance quality and we aim to collaborate with a range of other providers and professionals with the aim to extending access and improve quality.  

Our vision is underpinned by five strategic goals:

  • Quality: to deliver the highest quality, safest and best experience for patients and their families by providing reliable care 
  • Service and Innovation: to develop our service portfolio for patients by developing innovative models of care
  • Value: to maintain financial viability, enhance service delivery and develop new models of care to improve the health of our patients and safely reduce costs
  • Workforce: to be the best NHS Employer by 2019 by attracting and retaining the best staff to deliver excellent patient care
  • Stakeholders: to develop productive relationships with key stakeholders in order to enhance our profile and reputation.

Our Mission

“Excellent, Compassionate and Safe care for every patient, every day”

Job overview

The Centre provides a full range of invasive and non-invasive diagnostic cardiac and pulmonary facilities. LHCH is one of the largest Trusts in the UK for percutaneous coronary intervention (2500 PCIs per annum . The TAVI programme consists of four interventional cardiologists, two aortic and one non-aortic surgeon, an imaging cardiologist and a radiologist. There are 2 dedicated TAVI specialist nurses and a co-ordinator who complete the TAVI team. Two hundred and forty TAVI procedures were performed in 2019. Transfemoral TAVI is minimally invasive and performed under local anaesthesia in the catheter lab. Complex ASD and PFO closures and other structural procedures also undertaken.

Main duties of the job

There will be exposure to all aspects of structural intervention as well as opportunities to maintain skills in coronary intervention. 

Outpatient work will include a weekly TAVI clinic and occasional PCI clinics (no more than 2 clinics per week in total). The appointee will be responsible for the management of TAVI patients and also for the post-procedure management of other structural intervention patients. The fellow will also have an integral part in weekly TAVIU MDTs.

Working for our organisation

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and our encouragement of flexible working in a variety of forms.

Please visit our website - https://www.lhch.nhs.uk/

Please follow this link for a tour of our site - https://bit.ly/36ylsoq

Detailed job description and main responsibilities

The post is based at Liverpool Heart & Chest Hospital.  The successful applicant will work under the supervision of the consultants who perform the different structural interventions, although they will be assigned a named educational supervisor. There will be exposure to all aspects of structural intervention as well as opportunities to maintain skills in coronary intervention. Outpatient work will include a weekly TAVI clinic and occasional PCI clinics (no more than 2 clinics per week in total). The appointee will be responsible for the management of TAVI patients and also for the post-procedure management of other structural intervention patients. There will be an opportunity to gain experience in other interventions such as LAAO, PFO/ASD closure, percutaneous VSD closure.

The successful candidate will be expected to become fully competent in TAVI and other procedures by the end of their 12 months with the aim to take up a consultant post which includes structural intervention. We would expect a suitably trained appointee to perform at least 80-100  first operator trans-femoral cases by the end of their fellowship.

There will be regular emergency cover as part of the cardiology SpR rota which will be closely supervised by consultant staff. The post-holder will gain considerable experience of the management of cardiac patients in a tertiary setting.  There is a full shift rota in place, 1:15 band 1a inclusive of prospective cover. 

Specific duties

Outpatient clinics-      One TAVI clinic per week

                                    One general clinic per week

                                    Available for pre assessment

Catheter Labs:  Twice weekly transfemoral TAVI list, monthly transapical TAVI list, monthly structural intervention list under general anaesthesia. 

Ward Work:    The trainee will perform regular ward rounds for TAVI patients and will supervise the day-to-day work of the senior house officers/trust doctors in conjunction with the other trainees. The trainee will participate in the ‘registrar of the week’ rota (1 in 15)

Person specification

Qualifications

Essential criteria
  • MRCP (UK) or equivalent Close to obtaining CCT or equivalent
  • GMC registration
Desirable criteria
  • MD (Res)/Higher degree Obtained CCT or equivalent

General cardiology experience

Essential criteria
  • Completed or near completed general cardiology training in adult or paediatrics

Cardiac Intervention

Essential criteria
  • Tertiary centre elective, acute and outpatient intervention experience
  • Can set up and perform routine PCI
  • Can operate IVUS, Pressure Wire etc. unaided
  • Fully competent in diagnostic coronary catheter studies, graft seeking & RHC
Desirable criteria
  • Exposure to TAVI or other structural interventions

Core Values

Essential criteria
  • Excellent
  • Compassionate
  • Safe

Employer certification / accreditation badges

Veteran AwareArmed Forces Covenant (Silver Award)Care quality commission - OutstandingSVMQ Distinction

Applicant requirements

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
Kully Sandhu
Job title
Consultant Cardiologist
Email address
[email protected]
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