Highly Specialised Cardiac Physiologist - CRM

King's College Hospital; Greater London; On-site; GBP 58,000 - 65,000; Full time

Job summary

King’s College Hospital NHS Foundation Trust is seeking a Highly Specialised Cardiac Physiologist to lead CRM follow-up and complex device management in London. The role is based in CRM clinics and implant laboratories, with responsibility for advanced practice and staff development.

The post holder will participate in on‑call duties and contribute to service development, training, and governance within a busy CRM service.

Qualifications

• BSc/ MSc in cardiology–related field and HCPC registered.
• IBHRE/BHRS/EHRA CRM accreditation or equivalent is required.
• Experience in CRM follow-up and complex device management is essential.

Responsibilities

• Provide specialist CRM device implantation and follow-up services.
• Lead training and development of junior staff and students.
• Work with MDTs to ensure safe, effective management of CRM patients.

Skills

CRM follow‑up expertise

Device implantation knowledge

Clinical governance

Education

BSc Clinical Physiology (Cardiology) or equivalent

IBHRE/BHRS/EHRA CRM accreditation

HCPC accreditation

ILS (Intermediate Life Support)

MSc in Cardiology

Tools

Pacenet

EPIC

Job description

Highly Specialised Cardiac Physiologist - CRM

Band 7

Main area Cardiac Physiologist Grade Band 7 Contract Permanent Hours Full time - 37.5 hours per week Job ref 213-DivisionC-8245646-A

Employer King's College Hospital NHS Foundation Trust Employer type NHS Site King's College Hospital Town London Salary £58,133 - £65,261 per annum including HCA + RRP 15% Salary period Yearly Closing 26/10/2026 23:59

King’s College Hospital NHS Foundation Trust is one of the UK’s largest and busiest teaching Trusts with a turnover of c£2.1 billion, 1.5 million patient contacts a year and more than 14,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King’s College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in the London Borough of Bromley.

We encourage all our staff to have a healthy work/life balance. In doing so, you can apply for flexible working from the beginning of your employment. We offer a range of options which are designed to suit different circumstances and priorities in line with service requirements.

The post holder will be a specialist in implantable cardiac rhythm management (CRM) devices, including CRT, conduction system pacing and leadless pacemakers, working primarily in CRM follow-up clinics and implant laboratories. They will work at an advanced Healthcare Scientist level, supporting the Principal Cardiac Physiologist for CRM in complex device implantation, follow-up and remote monitoring, and providing cross-cover for the CRM service.

The post holder will support development of the CRM MRI service, including referral triage and staff competency; lead the training and development of junior staff, including PTP/STP students; and contribute to advanced clinical practice such as Healthcare Scientist/Physiologist-led ILR implantation. They will participate in CRM/EP multidisciplinary meetings, support service management, quality improvement and patient support initiatives, and undertake delegated managerial responsibilities.

The role also requires flexibility to work across Cardiac Physiology, including non-invasive diagnostics and interventional catheter laboratories for urgent coronary and structural heart procedures. Participation in the on-call rota for primary angioplasty and the emergency arrhythmia pathway is required, providing specialist support for urgent and potentially life-threatening cardiac conditions.

Main duties of the job

• Provide cross-cover and support to the Lead Physiologist(s) for CRM in the day-to-day management and delivery of the CRM service.
• Contribute to the smooth, efficient and effective running of a high-quality clinical service and undertake additional managerial responsibilities as delegated by the Principal Physiologists.
• Work collaboratively within the multidisciplinary team, including Electrophysiology/CRM Consultants, Arrhythmia Nurse Specialists and the Heart Failure team, to support the safe and effective management of patients with cardiac implantable electronic devices.
• Demonstrate and maintain clinical proficiency and competency across a wide range of cardiac physiology techniques, working across interventional catheter laboratories and non-invasive diagnostic services as required.
• Work with the Principal Cardiac Physiologists to develop and implement advanced clinical practices within the department, including Healthcare Scientist/Physiologist-led ILR implantation services.
• Participate in the on-call service for primary angioplasty and the emergency arrhythmia pathway, providing specialist support for urgent and potentially life-threatening cardiac conditions

Working for our organisation

The Trust provides a full range of local and specialist services across its five sites. In June 2026, we launched our new strategy for 2026-31. Our vision is to transform healthcare, and we have agreed six strategic ambitions to help us improve care for patients, and the working lives of our staff.

Our six strategic ambitions are deliveringhigh-quality patient care; creating a great place to work; leading pioneering research, innovation and education; building strong and successful partnerships; providing timely and efficient care; and ensuring long-term financial sustainability.

We have also agreed four new organisational values - Caring, Collaborative, Inclusive, Innovative - and these underpin everything we do, and how our teams interact with the patients under our care.

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King’s is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone’s contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust’s carbon emissions, waste and pollution wherever possible.

Detailed job description and main responsibilities

Clinical Responsibilities

• Practise as a specialist, autonomous professional in complex CRM device implantation and follow-up, exercising a high level of clinical judgement and decision-making.
• Demonstrate specialist competence in the implantation and management of ILRs, pacemakers, ICDs, CRT-P/D and conduction system pacing (CSP).
• Provide expert clinical and physiological advice to cardiac physiologists, specialist registrars, EP/CRM consultants and the Clinical Lead for EP.
• Develop, maintain and review standards for CRM implantation and follow-up in line with current professional guidance, evidence-based practice and local requirements.
• Maintain up-to-date knowledge of developments in implantable device technology across a broad range of manufacturers and disseminate relevant information to colleagues.
• Ensure practice complies with relevant national and international guidance, including BHRS, HRS, EHRA, NICE, ESC and SCST, as well as local clinical guidelines and protocols.
• Maintain effective working relationships with other implantation and follow-up centres, facilitating the timely exchange of patient information and minimising disruption to patient care.
• Undertake regular clinical and service audits to monitor compliance with local and national standards and identify opportunities for improvement.
• Participate in routine and advanced cardiac investigations and procedures, including the primary angioplasty and emergency arrhythmia on-call services.
• Administer appropriate medications within agreed scope of practice and maintain all relevant training and competencies.
• Apply and promote evidence-based practice, clinical protocols and procedures at an advanced level, maintaining a high standard of professional competence.
• Interpret and act upon clinical and physiological investigations in accordance with departmental policies, procedures and professional standards.
• Contribute to the development and review of new clinical proposals, protocols and service improvement initiatives.

Education and Training

• Provide training, mentorship and supervision to cardiac physiologists and actively contribute to the training, assessment and competency development of PTP and STP students.
• Support the maintenance and development of the local clinical physiologist training programme and associated departmental training resources.
• Identify educational and training needs for staff, trainees, apprentices and patients, delivering appropriate teaching and feeding back identified needs to the Principal Cardiac Physiologists and education lead.
• Identify suitable clinical and academic projects for PTP and STP trainees and support their delivery.
• Attend relevant courses, conferences and professional development activities and identify appropriate educational opportunities for colleagues.
• Participate in and deliver departmental seminars, teaching sessions and scientific meetings to disseminate knowledge and promote best practice.
• Contribute to audits and quality improvement activities relating to accreditation, assurance, governance and regulatory requirements.
• Contribute to the preparation and dissemination of clinical case studies, abstracts and research outputs through appropriate professional or academic publications.

Managerial and Service Responsibilities

• Contribute positively to the leadership and development of the wider clinical physiology workforce and the effective running of the department.
• Work as an autonomous and accountable practitioner, making independent clinical decisions and providing appropriate support to the Principal Cardiac Physiologists in their absence.
• Take a proactive approach to identifying and minimising clinical risk within the CRM service and support the investigation and management of clinical incidents in conjunction with the Principal Physiologists and Clinical Lead for EP.
• Support the Principal Physiologist for CRM in the identification and management of patients affected by manufacturer advisories, recalls and device safety concerns.
• Independently plan and prioritise workload across daily and weekly activity, delegating appropriate tasks and using available workforce resources efficiently.
• Monitor MHRA device alerts and manufacturer field safety notices and ensure appropriate action is taken in accordance with regulatory and Trust requirements.
• Support the development, implementation and review of CRM protocols and ensure adherence by all staff working within the service.
• Ensure accurate, secure and timely archiving and management of CRM patient records relating to device implants and follow-up, including Pacenet, EPIC and remote monitoring systems, in accordance with Trust policies.
• Maintain effective communication with patients, colleagues and the wider multidisciplinary team using appropriate face-to-face, telephone, video conferencing and electronic communication methods.
• Participate fully in the Trust appraisal, performance review and continuing professional development processes.

Person specification

Education and Qualifications

• BSc Clinical Physiology (Cardiology) or equivalent
• Possess IBHRE / BHRS / EHRA (CRM) accreditation
• Intermediate Life Support (ILS)
• Highly developed IT skills
• MSc in Cardiology
• HCPC accredited
• Advanced Life Support (ALS)

Knowledge and Experience

• Proven competency and advanced knowledge in following up of all CRM devices; complications and ability to troubleshoot these issues
• Good general knowledge of Cardiology to include heart failure
• Awareness and understanding of current health issues
• Good understanding of EP/ CRM device services and recent initiatives
• Good knowledge of clinical trials and guidelines for CRM follow up and implants
• Proven competency in EP and ablation techniques
• A knowledge of advanced electrophysiological techniques used to diagnose and treat AF / VT

Skills and Competencies

• Strong written and verbal communication skills
• Leadership skills and ability to work as part of a team
• Skills in teaching/training
• Ability to adapt and respond positively to unexpected issues
• Ability to utilise research in clinical practice, applying an evidence based practice approach
• Good organisational and time management skills
• Proactive approach to quality control and service improvements
• Capable of working with a high degree of autonomy where required
• Publications such as clinical case studies / abstracts
• Ability to understand financial and budgetary information

IMPORTANT

• Check your email account regularly as this is how we will communicate with you
• If you delete the job from any of your accounts, you may be prevented from accessing further communications
• To enquire about your application or inform us of any changes in your circumstances, please contact the named person on this advert
• Please provide email addresses for referees where possible
• Please review the documentation on our recruitment microsite, particularly the Trust’s criminal records checking policy
• All staff have a responsibility for safeguarding children and vulnerable adults and for ensuring they are aware of the specific duties relating to their role.
• Please note that the closing date is given as a guide. On occasion, we might close a vacancy early due to a high number of applications being received. You are advised to submit your application as early as possible to avoid disappointment.

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King's College Hospital Annual Reports and Other Corporate Publications. King's Health Partners Academic Health Science Centre Website. King's College Hospital is part of King's Health Partners Academic Health Sciences Centre (AHSC), a pioneering collaboration between King's College London, and Guy's and St Thomas', King's College Hospital and South London and Maudsley NHS Foundation Trusts.

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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.