Job Description

Role: Senior Clinical Fellow (SPR) in Heart Failure /Transplant Medicine
Location: Harefield Hospital
This is a registrar-level post in Advanced Heart Failure/Transplant Medicine; the successful applicant will join a dynamic team with an international reputation. Harefield Hospital provides specialist cardiothoracic services including interventional cardiology, thoracic and cardiac surgery. This post is to commence in July for a period of 6 months with a possible extension by mutual agreement (up to a maximum of 23 months where appropriate).
This post offers clinical experience and training in advanced heart failure, ventricular assist device support and clinical management after heart transplantation. It is suitable for those seeking a post CCT fellowship in advanced heart failure and for current trainees in cardiovascular medicine who wish to have a period of out-of-programme training in advanced heart failure.
The post holder will undertake an active role in inpatient care and participate in outpatient clinics as well as the EWTD-compliant on-call rota.
Please note this vacancy may close early if a sufficient number of applications have been received.
Main duties of the job

• To work as full-time medical team member of the Trust's multi-disciplinary transplant team.
• To provide clinical management and support to heart failure patients receiving mechanical circulatory support. Such support is primarily used as a bridge to transplantation.
• To provide clinical teaching to medical team members, with particular emphasis on management of advanced heart failure, ventricular assist devices and post-transplant long term care.
• To conduct clinical audit and retrospective analysis of clinical data, with emphasis on training and mentoring junior team members.

About us
Royal Brompton and Harefield hospitals joined Guy's and St Thomas' in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.Guy's and St Thomas' NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.
Details
Date posted
27 October 2025
Pay scheme
Hospital medical and dental staff
Grade
Doctor - other
Salary
65,048 to 73,992 a year pro rota
Contract
Fixed term
Duration
6 months
Working pattern
Full-time
Reference number
196-MED4977
Job locations
Harefield Hospital
Hillend Road
UXBRIDGE
UB9 6JH
Job description
Job responsibilities
Clinical Responsibilities

• To work as a full-time clinical member of the multi-disciplinary team, including participation and presentation at weekly Multi-disciplinary Team Meetings and other meetings in the Division and Trust.
• To ensure good communication is maintained within the Transplant service at Harefield Hospital, working in collaboration with medical and surgical colleagues, other departments and services.
• To assist when required in the Angiography Laboratory.
• To attend and lead Outpatient Clinics.
• To arrange for the transfer of patients to/from other hospitals or discharge home; including a transfer/discharge summary.
• To perform minor surgical procedures such as chest aspiration, chest drain insertion, central venous lines and arterial blood gases etc.
• Supervise and train junior staff allocated to the Transplant Service.
• To undertake regular ward rounds to ensure effective management during the in-patient stay.
• To keep the Ward Sister and Consultant informed of any patient who is giving cause for concern.
• To communicate to a patients relative the progress of that patent.
• To dictate / input all urgent discharge summaries only and ensure that these are forwarded to the patients General Practitioner or hospital of transfer as soon as possible after the patient is discharged.
• To be available for emergency calls to ITU and other parts of the hospital as required (i.e. Cardiac Arrest).
• Participate in the Medical Audit Programme and update relevant patient database programmes.
• Participate fully in the service and training programme of the Transplant Service and Heart Division.
• To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.

On CallParticipate in an on-call rota covering inpatient activity and emergency work. This may involve cross cover to Lung Failure and Cardiology Services.
The Middle Grade Doctors provide second on call to ST1-3 doctors and on a 1:7 rota. They are resident on-call 8am to 8pm daily with availability by telephone thereafter. Job description
Job responsibilities
Clinical Responsibilities

• To work as a full-time clinical member of the multi-disciplinary team, including participation and presentation at weekly Multi-disciplinary Team Meetings and other meetings in the Division and Trust.
• To ensure good communication is maintained within the Transplant service at Harefield Hospital, working in collaboration with medical and surgical colleagues, other departments and services.
• To assist when required in the Angiography Laboratory.
• To attend and lead Outpatient Clinics.
• To arrange for the transfer of patients to/from other hospitals or discharge home; including a transfer/discharge summary.
• To perform minor surgical procedures such as chest aspiration, chest drain insertion, central venous lines and arterial blood gases etc.
• Supervise and train junior staff allocated to the Transplant Service.
• To undertake regular ward rounds to ensure effective management during the in-patient stay.
• To keep the Ward Sister and Consultant informed of any patient who is giving cause for concern.
• To communicate to a patients relative the progress of that patent.
• To dictate / input all urgent discharge summaries only and ensure that these are forwarded to the patients General Practitioner or hospital of transfer as soon as possible after the patient is discharged.
• To be available for emergency calls to ITU and other parts of the hospital as required (i.e. Cardiac Arrest).
• Participate in the Medical Audit Programme and update relevant patient database programmes.
• Participate fully in the service and training programme of the Transplant Service and Heart Division.
• To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.

On CallParticipate in an on-call rota covering inpatient activity and emergency work. This may involve cross cover to Lung Failure and Cardiology Services.
The Middle Grade Doctors provide second on call to ST1-3 doctors and on a 1:7 rota. They are resident on-call 8am to 8pm daily with availability by telephone thereafter.
Person Specification
Qualifications / Training
Essential

• Full GMC registration
• MRCP, or equivalent
• Must have at some experience in the UK in a substantive post or equivalent experience
• Advanced life support training

Desirable

• Teaching experience at of medical students and FY1/2 or ST1/2 or similar posts.

Experience
Essential

• Experience assisting with heart failure cardiology procedures including echo, right heart catheterisation and diagnostic coronary angiography
• Research experience with significant publication record and contributions to major professional conferences.
• Advanced life support training.

Desirable

• Experience of the pre and post-operative medical care of heart failure patients undergoing heart and Lung transplantation or VAD insertion
• Experience of the long-term follow up of heart transplant patients including the management of immunosuppression
• Participation in a recognised scheme of continuing medical education.

Skills, Knowledge and Abilities
Essential

• Proficient and efficient handling medical problems
• Evidence of safe sound practical procedures
• Good interpersonal and communications skills

Desirable

• Sound knowledge of Heart and Lung Failure, and Transplantation
• Ability to contribute to research and teaching at national level
• Sound knowledge of radiation protection.

Person Specification
Qualifications / Training
Essential

• Full GMC registration
• MRCP, or equivalent
• Must have at some experience in the UK in a substantive post or equivalent experience
• Advanced life support training

Desirable

• Teaching experience at of medical students and FY1/2 or ST1/2 or similar posts.

Experience
Essential

• Experience assisting with heart failure cardiology procedures including echo, right heart catheterisation and diagnostic coronary angiography
• Research experience with significant publication record and contributions to major professional conferences.
• Advanced life support training.

Desirable

• Experience of the pre and post-operative medical care of heart failure patients undergoing heart and Lung transplantation or VAD insertion
• Experience of the long-term follow up of heart transplant patients including the management of immunosuppression
• Participation in a recognised scheme of continuing medical education.

Skills, Knowledge and Abilities
Essential

• Proficient and efficient handling medical problems
• Evidence of safe sound practical procedures
• Good interpersonal and communications skills

Desirable

• Sound knowledge of Heart and Lung Failure, and Transplantation
• Ability to contribute to research and teaching at national level
• Sound knowledge of radiation protection.

Skills Required