Job Description

To perform and interpret a wide range of echocardiographic investigations to a high clinical and technical standard. The post-holder will work within the Non-Invasive Cardiac Physiology team, providing high-quality diagnostic services, supporting clinical decision-making, and contributing to patient care across inpatient and outpatient settings. The position is based at Ealing Hospital and Ealing Community Diagnostic Centre (CDC).



The role encompasses 7-day flexible working across the sites.



Perform and provisionally report transthoracic echocardiograms (TTE) in accordance with British Society of Echocardiography (BSE) standards. Independently perform other cardiac investigations including ECGs, Ambulatory monitoring, Holter Analysis, HUTT, AFT, and exercise tolerance tests as required. Under supervision, participate in stress echo, contrast echo, and transoesophageal echo sessions as appropriate. Responsible for ensuring patients are monitored appropriately during investigations and procedures. Awareness of adverse clinical conditions/clinical events occurring during the investigations and ensuring swift and appropriate action is taken to minimize life threatening or significant medical events. Perform basic cardiopulmonary resuscitation and recognise life-threatening arrhythmias, initiating prompt and appropriate action. Ensure accurate documentation, measurement, and archiving of all echocardiographic studies. Communicate results clearly to medical and nursing staff, escalating urgent findings appropriately in timely manner. Clean ultrasound systems, probes, accessories and associated items in accordance with manufacturers recommendations and departmental and Trust policy. Identify stock needs and aid in maintaining stock levels Contribute to the maintenance and improvement of service quality through audit, CPD, and participation in training activities

London North West University Healthcare NHS Trust (LNWH) cares for the people of Brent, Ealing, Harrow and beyond.



Our team of more than 8,200 clinical and support staff serve a diverse population of almost one million people.

We run major acute services at:

Northwick Park Hospital:

home to one of the busiest emergency departments (A&E) in the country. The hospital provides a full range of services including the country's top-rated hyper-acute stroke unit and one of only three hyper-acute rehabilitation units in the UK

St Mark's Hospital:

an internationally renowned specialist centre for bowel disease

Ealing Hospital:

a busy district general hospital providing a range of clinical services, as well as 24/7 emergency department and urgent care centre, and specialist care at Meadow House Hospice

Central Middlesex Hospital:

our planned care site, hosting a range of surgical and outpatient services and collocated with an urgent care centre.



We are a university teaching NHS trust, in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.



Key Responsibilities



Clinical



Perform and provisionally report transthoracic echocardiograms (TTE) in accordance with British Society of Echocardiography (BSE) standards. Independently perform other cardiac investigations including ECGs, Ambulatory monitoring, Holter Analysis, HUTT, AFT, and exercise tolerance tests as required. Under supervision, participate in stress echo, contrast echo, and transoesophageal echo sessions as appropriate. Responsible for ensuring patients are monitored appropriately during investigations and procedures. Awareness of adverse clinical conditions/clinical events occurring during the investigations and ensuring swift and appropriate action is taken to minimize life threatening or significant medical events. Perform basic cardiopulmonary resuscitation and recognise life-threatening arrhythmias, initiating prompt and appropriate action. Ensure accurate documentation, measurement, and archiving of all echocardiographic studies. Communicate results clearly to medical and nursing staff, escalating urgent findings appropriately in timely manner. Clean ultrasound systems, probes, accessories and associated items in accordance with manufacturers recommendations and departmental and Trust policy. Identify stock needs and aid in maintaining stock levels. Contribute to the maintenance and improvement of service quality through audit, CPD, and participation in training activities. Flexibly rotate across multiple trust sites and support a 7-day working model. Accommodate the occasional need for overtime to ensure that any ongoing procedure is completed safely and effectively, with additional working hours compensated by time off in lieu. Ensure all Trust mandatory training is up to date. Use PPE when indicated as per Trust policy. Assist with triaging requests using in-house database for appropriateness and relevancy, prioritising caseload depending on clinical urgency. To be familiar with current developments in the field of Cardiology. Undertake any additional duties that may arise due to advancements in technology, changes in clinical practices, or the evolving nature of service provision within the Cardiology Directorate, consistent with the grade of this post.

Operational Duties



Contribute to the organisation of daily workloads to meet clinical demands and waiting time targets. Ensure all equipment is maintained, calibrated, and faults are reported promptly. Provide supervision, mentorship, and support for junior staff and trainees. Adhere to all Trust policies, including infection prevention and control, health and safety, and confidentiality.

Service Development and Improvement:

Support the delivery of clinical technical services that underpin patient care. Stay updated on developments in cardiology and professional practice in collaboration with departmental leads. Support in providing and develop specialist services to meet patient and departmental needs. Support the maintenance and correct functioning of all equipment used. Assist with the development and implementation of departmental protocols and policies.

Responsibility for Dealing with Difficult Situations



Remain vigilant in high-risk areas and respond promptly to emergency situations such as life-threatening arrhythmias. Implement immediate life support interventions, including cardiac defibrillation when indicated. Work effectively in high-pressure environments, prioritising tasks dynamically to meet urgent clinical needs. Manage aggressive or distressed patients with professionalism and empathy. Regularly perform investigations on critically ill and end-of-life patients with sensitivity and care.

Physical Working Conditions and Environment



Frequent repetitive scanning movements may increase the risk of strain injuries to wrists, shoulders, and back. Regular manual handling of patients when assisting with positioning and mobility for procedures. Sustained visual concentration required for scanning and VDU work, increasing risk of eye strain. Work frequently in dimly lit environments to optimise image quality. Regular interruptions due to clinical queries or result requests. Maintain concentration when analysing complex arrhythmias and other cardiac data.

Clinical and Technical Expertise



Possess specialised knowledge across a broad range of cardiac investigations supported by strong theoretical understanding. Ensure all equipment is maintained, calibrated, and faults reported promptly to management and EMBE. Stay up to date with advancements in cardiology and echocardiography technology. * Contribute to departmental meetings, audits, and the continuous improvement of services.