Trans-catheter Valve Interventional Cardiology Fellow (ST6+)

NHS; Leeds; On-site; GBP 30,000 - 50,000; Full time

Job summary

An NHS Trust healthcare provider in Leeds seeks a Clinical Fellow in Transcatheter Valve Intervention to join their team. This role focuses on structural interventions, particularly TAVI, offering comprehensive training and experience within a leading cardiac centre. Candidates should have completed or be nearing completion of their PCI training. The fellowship lasts one year and includes exposure to a wide range of procedures and active participation in clinical research.

Qualifications

• Eligible for GMC registration and current license to practice.
• Experience working in NHS and English-language publications.
• Competent operator in PCI with extensive clinical cardiology experience.

Responsibilities

• Participate in trans-catheter valve intervention programme.
• Conduct clinic, assess urgent referrals, manage post-procedural care.
• Engage in PCI whilst focusing on structural interventions.

Skills

Management of medical/surgical conditions

Proficient in medical procedures

Managing acute cardiological emergencies

Clear communication skills

Use of femoral vascular closure devices

Conducting clinical research

Writing peer-reviewed publications

Extensive understanding of PCI procedures

Ability to operate under pressure

Education

MBChB or equivalent

Current ALS certification

MD, PhD or equivalent

Job description

Trans-catheter Valve Interventional Cardiology Fellow (ST6+)

An exciting opportunity has arisen for aClinical Fellow in Transcatheter Valve Intervention to join the team at LeedsGeneral Infirmary. This is aimed at trainees who have recently completed, orare nearing completion of, PCI training. It is focussed on transcatheter valveintervention, in particular transcatheter aortic valve implantation (TAVI).Leeds performs over 500 TAVI procedures annually, using multiple platforms,including JenaValve Trilogy. Leeds has a strong record of innovation in TAVI,and has an active research programme supported by 4 research nurses. Leeds alsohas a mitral and tricuspid intervention programme, including trans-catheteredge-to-edge repair. The Fellow will participate in all aspects of thetrans-catheter valve intervention programme, and would expect to be fullytrained as an independent TAVI operator at the end of the 12 month Fellowshipand gain useful experience in mitral, tricuspid, and other structuralintervention procedures.

Main duties of the job

TheFellow will participate fully in all aspects of the transcatheter valveintervention programme, including 1 clinic per week, assessment of urgentin-patient referrals, post-procedural management, analysis of pre-proceduralCT scans, and presentation at the MDT.

Thispost will be one of two trans-catheter valve Fellows in Leeds. Between themthe Fellows will be involved in all of the 500+ cases in the 12-month post.

Inaddition to TAVI, the Fellows would be involved in and gain useful exposureto mitral and tricuspid procedures.

TheFellowship would also offer continued involvement in PCI, in order tomaintain expertise. However, it will not offer full training in PCI to morejunior trainees, since the focus is on structural intervention.

Whilstthere is no formal commitment to out of hours work, there may beopportunities to contribute to gaps on the StR on call rota whereappropriate.

About us

LeedsTeaching Hospitals NHS Trust is one of the largest acute health providers inthe UK and based in one of the fastest growing and vibrant cities in the north.

TheCardio-Respiratory CSU champions the Leeds Way values.

Accountable

Empowered

TheTrans-catheter Valve Intervention team is the Flagship service of thew CSU,with a national & international reputation for excellence and innovation.The team is also renowned for togetherness and friendship.

Leeds Teaching Hospitals is committed to our processof redeploying 'at risk' members of our existing workforce to new roles. Assuch, all our job adverts are subject to this policy and we reserve the rightto close, delay or remove adverts while this process is completed. If you doexperience a delay in the shortlisting stage of the recruitment cycle, pleasebear with us while this process is completed, and contact the named contact ifyou have any questions.

Job responsibilities

Thisappointment will be based at the West Yorkshire Heart Centre, Leeds GeneralInfirmary.

LeedsGeneral Infirmary is the largest tertiary cardiac centre in the UnitedKingdom, providing services to a population of 2.8 million in West Yorkshire,with supra-regional services to the broader population of Yorkshire &Humber, constituting 5.8 million. The cardiology department consists of 2inpatient wards (one acute admissions ward), a day case interventional ward,a day case radial lounge, 6 lab catheter suite and a 10 bed coronary careunit. Leeds is a high volume PCI centre performing 2200 PCI per annum, ofwhich 1100 are primary PCI maintaining the centres status as the busiestPPCI centre in the UK.

Thetranscatheter valve intervention programme in Leeds is delivered by fourinterventional cardiologists: Professor Dan Blackman, Dr Chris Malkin, DrMike Cunnington, and Dr Noman Ali.

ThisFellowship is aimed at interventional trainees who are nearing completion of,or have recently completed, their PCI training. The Fellowship would befocussed on transcatheter valve intervention, in particular transcatheteraortic valve implantation (TAVI). Leeds performs approximately 600 TAVIprocedures annually. Currently Evolut FX+, SAPIEN 3 RESILIA and NavitorVision valves are used. Standard TAVI procedures are performed under localanaesthetic. More than 95% of procedures are trans-femoral, with percutaneousaxillary access the alternate access route of choice. We have also performedtrans-caval and BASILICA procedures. Leeds has a strong record of innovationin TAVI, having been the first centre in the UK to use Lotus, undertaken thefirst-in-human Evolut study, the first-in-human Triguard cerebral embolicprotection study, and been at the forefront of cerebral embolic protectionand subclavian/axillary access. We are one of only a few centres in the UKcurrently performing TAVI cases with Jena Trilogy Valve for aorticregurgitation. There is an active research programme supported by 4 researchnurses, with multiple peer-reviewed publications in the field.

Leedshas an established mitral intervention programme and is the sole centre forprovision of trans-catheter edge to edge repair (TEER) for the 5.8 millionpopulation of Yorkshire & Humber, with approximately 50 proceduresexpected to be performed annually. Leeds has also been involved in trials ofa number of novel trans-catheter mitral valve repair and replacement devicesincluding Intrepid, High-Life, Carillon, and Millipede. We also performmitral valvuloplasty, TAVI-in-mitral valve / ring procedures, paravalvularleak closures, tricuspid TEER, TAVI-in-tricuspid valve / ring procedures, andtranscatheter tricuspid valve replacement with the Evoque system.

Thepost is fixed term for one year, expected start date 7th September 2026.

MEDICALSTAFF IN THE DEPARTMENT

31Consultants

22LSTs working across cardiology and cardiac surgery

Person Specification

Skills & Behaviours

• Skilled in the basics of managing medical/surgical conditions, including emergencies
• Proficient in a range of medical procedures as an indication of manual dexterity and hand-eye coordination
• Skilled in management of acute cardiological emergencies
• Clarity in written/spoken communication & capacity to adapt language as appropriate to the situation
• Skilled in use of femoral vascular closure devices
• Ability to conduct clinical research studies independently
• Ability to write and submit papers for peer-review publication independently
• Extensive understanding of PCI procedures, including pre and post-procedural management
• Capacity to operate under pressure, demonstrate initiative & resilience to cope with changing circumstances

Eligibility & Fitness to Practice

• Eligible for full registration with the GMC at time of appointment and hold a current licence to practice
• Eligibility to work in the UK
• Is up to date and fit to practise safely
• Demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues.
• Experience of working in the UK National Health Service
• Peer-reviewed publications in English-language medical journals

Qualifications

• MBChB or equivalent
• Current ALS certification or equivalent
• Evidence of achievement of Foundation and CT/ST competencies in medicine (as defined by the curricula relating to Core Medical training)
• MD, PhD or equivalent
• Completion of a recognised training programme in Cardiology within the last 3 years, or within 18 months of expected completion date
• Completion, or nearing completion, of subspecialty training in PCI

Experience

• Extensive experience of general clinical cardiology
• Competent as independent operator in PCI
• At least 4 years experience in medical specialities
• Involvement in research
• Able to work in multi-professional teams & supervise junior medical staff
• Involvement in TAVI procedures as second operator
• Training and experience in TAVI CT analysis
• Completion of a full-time research programme leading to an MD/PhD
• Peer-reviewed publications in the field of interventional cardiology
• Evidence of leading service improvement and audit projects

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.