Consultant in Coronary and Structural Intervention

Job overview

The University Hospitals of Leicester NHS Trust invites you to apply for this exciting opportunity to join the Interventional and Structural Cardiology teams at The Glenfield Hospital.  Our vision is to be a world class cardiac centre, recognised for pioneering innovation, research and clinical excellence, while delivering safe, compassionate, and patient-centred care.

You will join a strong and well-resourced team of structural operators (Dr Banning, Dr Hussain, Prof Kovac and Dr Rajendra), supported by a Structural Cardiology Fellow and an experienced team of nurses including our pioneering Structural Nurse Specialist. We deliver a comprehensive structural programme of >600 structural procedures per year maintaining our position among the highest performing centres in the country reflecting the composition, hard work, adaptability, and commitment of the entire multidisciplinary team (interventional and imaging  cardiology, cardiac anaesthesia, stroke medicine, paediatric-congenital cardiology, cardiac and vascular surgery).

The successful candidate will have 3PAs for structural and coronary interventional lab sessions in addition to participation in the 1:10 Interventional oncall rota.

Main duties of the job

• Maintenance of the highest clinical standards in the management of patients.
• To share with colleagues responsibility for the day-to-day management of patients.
• To promote new ways of working and co-ordinating care for patients in the community and to ensure that services are based on effective and integrated partnerships across the health community.
• Take part in multidisciplinary case conferences.
• Supervise and train junior medical staff
• To be involved in appraising and assessing juniors.
• Teaching, research and administration.
• To proactively develop the service.
• To actively participate in both departmental and Trust matters concerning Clinical Governance and audit.
• There is an on-call rota for emergency coronary intervention/primary PCI of 1:10 with Emergency work currently assessed as averaging 1.2 programmed activities per week.

Our annual departmental volume of primary PCI is consistently just over 400 pa. We carry out approximately 1,400 coronary interventions a year, largely from our local catchment population of approximately 1 million. IVUS, OCT, and pressure wire testing are routinely available, and we have huge expertise in complex coronary intervention including left main stem procedures, challenging anatomy, rotablation, and chronic total occlusion PCI. We have 5 high specification catheterisation laboratories and a hybrid theatre.

Detailed job description and main responsibilities

The overriding purpose is to support the provision of highest quality patient care through personal actions and continuous improvement.

• Responsibility for the prevention, diagnosis and treatment of illness, and the proper functioning of the department;
• Cover for colleagues' annual leave and other authorised absences;
• To participate in service development and business planning in collaboration with the other Consultants in the department, the CMG and local GPs and commissioners within the local CCGs;
• Professional supervision and management of junior medical staff including the observance of local employment and human resource policies and procedures;
• Responsibilities for carrying out teaching, examination and accreditation duties as required and contributing to undergraduate, postgraduate and continuing medical education activity, locally and nationally;
• Participating in medical audit, the Trust’s Clinical Governance processes and in CPD – CPD is provided in job plans and attendance at audit and other governance meetings is mandatory; Managerial, including budgetary responsibilities where appropriate and compliance with standing orders and standing financial instructions of the Trust.;
• In line with GMC Good Medical Practice it is the responsibility of the post-holder to ensure that all duties are carried out to the highest possible standard, and in accordance with current quality initiatives within the area of work.
• The post-holder is expected to respond in a timely fashion to legitimate requests from Trust officers – this might include investigations of incidents or complaints.
• The post-holder is expected to participate in teaching and training of junior staff and other clinical staff groups. The appointee will also have supervision responsibilities for junior medical staff within the specialty. If appropriate the post-holder will be named in the contract of junior staff as the person responsible for overseeing their training and as an initial source of advice to such doctors regarding their careers.
• The post-holder is expected to participate in professional continuing medical education; study leave is provided for this purpose.

• The post holder will also undertake review of patients who have been referred to the structural cardiology service for consideration of procedures. This will include review of patients on the ward as well as outpatient review of patients referred from within UHL and other cardiology units.
• The post holder will also be expected to contribute to the structural multidisciplinary team meetings.

• The post-holder will be expected to undertake the Trust Corporate and Directorate specific Induction and competency Programmes appropriate to role.
• The post-holder will be required to maintain their continuing professional development (CPD) to be able to successfully revalidate. As per the Trust requirement the successful candidate will be required to have annual appraisal and attend / keep fully up to date with statutory and mandatory training as stipulated.The post-holder will also undertake general and structural outpatient clinics, which will also include providing cover for the nurse-led rapid access chest-pain clinic.
• The post holder will work with the structural team to undertake TAVI procedures. It is envisaged the post holder will have 3 PA per week for interventional/TAVI. There will be scope following appointment to develop additional experience in other structural procedures commensurate with the post holders experience, as well as the requirements of the clinical service.
• The post holder will be expected to work with the structural team, including the TAVI co-ordinator, structural nurse specialist team, imaging consultants, cardiac radiologists and cardiac surgeons in delivering high-quality care to patients with valvular heart disease.
• The post holder will contribute to the structural “consultant of the day” rota, which will involve care of post-procedural TAVI patients as well as availability to provide review of patients referred to the structural cardiology service and clinical advice to the TAVI nurse specialists.
• The post holder will be expected to contribute to the coronary intervention service. This will include undertaking elective and inpatient coronary procedures, including undertaking complex PCI procedures and primary PCI as part of the coronary intervention on-call rota on a 1:10 basis. The post-holder is likely to have 1-2 sessions per week for coronary intervention. The post-holder would also be expected to contribute to the coronary interventional/cardiac surgery MDT in the management of complex coronary patients. The University Hospitals of Leicester NHS Trust pioneered percutaneous valvular intervention and septal defect therapies in the UK and worldwide.  We are regularly involved in live transmissions to major UK and international meetings (TCT, PCR, CSI, ACI, ESC). We set up the inaugural structural Course: Leicester Structural Live in 2007. We have an NIHR Biomedical Research Centre and are widely recognised for our world-leading and international excellent research.  The high calibre of our academic endeavour was recognised in the latest Research Excellence Framework (REF2021) which ranked the University of Leicester 2nd for Clinical Medicine (UoA1), with 95% of our submission ranked world-leading (4-star) or internationally excellent (3-star). Research is a fundamental aspect of UHL work and the applicant would be expected to whole-heartedly embrace this ethos alongside interventional and clinical work.