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Specialty Regsitrar (St5+ level) in Cardiac Imaging and Heart Failure

Clinical Fellow

Main area
Clinical Fellow
Fixed term: 12 months
  • Full time
  • Job share
  • Flexible working
40 hours per week
Job ref
Gloucestershire Royal Hospital
£50,017 - £53,077 Per annum
Salary period
07/12/2021 23:59

Join us at an exciting time for Gloucestershire Hospitals NHS Foundation Trust! We have recently been awarded an improved CQC rating of Good and are proud of what we’ve achieved. We have an ambitious plan for our journey to Outstanding and are looking for aspirational, committed individuals to join us, making a real difference to both staff and patients.

As a former winner of England for excellence award: Tourism destination of the year, the beautiful city of Gloucester and the scenic regency spa town of Cheltenham are fantastic places to work and live.

As a hospital Trust we are currently involved in over 100 clinical trials and studies, whilst also providing acute elective and specialist services to a population of over 620,000.

By joining Gloucestershire Hospitals NHS Foundation Trust new colleagues can look forward to a warm welcome and a future full of opportunities and support.


Job overview



Applications are invited for the position of a Clinical Fellow in cardiac imaging and Heart Failure. We are looking for a colleague with enthusiasm, self-motivation and clinical skills necessary to contribute to the development of our patient-centred service, ensuring that we as a team continue to deliver our overall Trust vision of Best Care for Everyone. The post-holder will join thirteen Consultants, of who six are Interventional, and an Associate Specialist to support provision of a comprehensive cardiac service to the county of Gloucestershire.

The post will be based at Gloucester Royal but there will be cross site working, to include Cheltenham General Hospital.

Main duties of the job

The applicant will hold a key clinical role in the provision of multimodality cardiac imaging service and the delivery of an inpatient heart failure service, and as such is anticipated to receive education and ultimately accreditation within these two fields. The applicant should have basic training in echocardiography with experience in cardiac CT preferred. The trainee will primarily work with three imaging and heart failure cardiologists, and cardiac radiologists. We have a strong program in transoesophageal and stress echocardiography. There is good opportunity to develop in advanced transthoracic echocardiography. We have a high-volume Cardiac CT service which the applicant may become involved in.

Job share applicants are welcome. If such a person is appointed, modification of the job content will be discussed on a personal basis.

Working for our organisation

We are a large organisation providing acute services from Gloucestershire Royal Hospital in Gloucester and Cheltenham General Hospital to a population of approaching 700,000 in Gloucestershire as well as caring for patients from surrounding counties and beyond.

Our workforce is almost 8,000 strong and our caring and dedicated staff are recognised as providing outstanding patient-centred, high quality emergency, elective and specialist care across a range of clinical areas.

We are committed to recruiting the best people to work with us to achieve our Vision of providing Best Care for Everyone. Our success depends on the commitment and dedication of our staff, many of whom are world leaders in healthcare, teaching and research.  You could make a real difference to our patients’ lives by joining our team.

The Trust was established in April 2002 to provide acute hospital services for the whole of Gloucestershire. The Trust currently manages two hospitals.

Detailed job description and main responsibilities

The post-holder will join our middle grade rota to support the provision of a comprehensive cardiac service to the county of Gloucestershire.

This is a new post, covering both main Trust sites at Gloucestershire Royal Hospital (GRH) and Cheltenham General Hospital (CGH) with full participation in cross county activities and service planning.  The post is full-time. Job share applicants are welcome. If such a person is appointed, modification of the job content will be discussed on a personal basis.

The post-holder will share responsibilities with his/her fellow cardiologists at CGH and GRH for the provision of inpatient care within the registrar of the week model', acceptance of referrals, outpatient clinic provision and appropriate imaging and reporting duties. 

Job purpose

  • Inpatients – Care of CCU/CW patients and Cardiology consultation to Acute Medicine (middle grade rota – 10 on rota currently).
  • Outpatients – 2 clinics per week (Valve clinic / Heart failure )
  • Inpatient heart failure service – triaging and clinical assessment of referrals
  • Two to three specialist echocardiography sessions per week (TOE / Stress echo / Bubble / LVO / Advanced TTE)
  • One CT coronary angiography session per week and opportunity for further reporting.
  • Assisting the Consultants with relevant procedures and investigations.
  • Maintaining a portfolio and logbook of procedures. The fellow will be supported towards achieving accreditation in the relevant imaging modalities.
  • Attendance at multidisciplinary team meetings.
  • TTE service development – quality improvement projects and vetting
  • Participation in Mortality & Morbidity meetings and case reviews.

The post holder will be supervised / mentored by the consultant team. They will participate in annual appraisal and will be provided with support and guidance for revalidation.

Secretarial support for out-patient activity will be provided by one of the existing medical secretaries in the department. The post holder will have access to a hot-desk and computer.

Provisional Job Plan

PA allocation for Imaging and Heart Failure Clinical Fellow

The final arrangement of the timetable is subject to discussions with the Clinical Lead & Specialty Director, with an indicative weekly timetable as follows:





No. of PA’s





TOE alt weeks CGH / Transthoracic echo alt weeks




Acute HF Clinic / Stress Echo CGH alt weeks







Bubble / LVO Echocardiography Session / Stress Echo




 Heart Failure Service








Echo MDT

Echo Vetting, QI, Research

















Valve Clinic







MDT meeting

Heart Failure service / Echo Vetting









Predictable emergency on call work





Unpredictable emergency on call work





Total PA’s






  • The principal places of work for this post are CGH and GRH. Other work locations, including offsite may be agreed in the post-holder’s Job Plan where appropriate. The post-holder will generally be expected to undertake their Programmed Activities at the principal place of work or other locations agreed in the Job Plan. Exceptions will include travelling between work sites and attending official meetings away from the workplace. You may be required to work at any site within the Trust,

Teaching/Training (as agreed with clinical lead)

  • Involvement in the multidisciplinary teaching program in Gloucester.
  • To participate in the undergraduate teaching programme.
  • To assist and participate with the development of postgraduate training for F1s, F2s, and other staff as appropriate.
  • The middle-grade trainees are expected to advance their echo skills & to work-towards/gain BSE accreditation alongside accreditation in other imaging modalities as their experience develops.

Audit (as agreed with Clinical Lead)

  • To promote evidence based practice. To respond appropriately to new developments and relevant NICE guidance.
  • Participation in clinical audit including monthly countywide departmental meetings.
  • To be involved in risk management and quality assurance.
  • To remain up to date and engaged in CPD as per RCP/College guidelines
  • To respond appropriately to complaints and critical incidents.

Clinical Governance

  • To conform with Gloucestershire Hospitals NHSFT procedures and operating policies.
  • To attend accredited CME events to maintain skills in clinical practice, teaching and management skills in line with requirements.
  • To participate in an annual Job Planning Review process.
  • To participate in the Trust’s annual Appraisal process.
  • To adhere to Trust Adverse Clinical Incident Policy.

Management (as agreed with Clinical lead)

  • There will be opportunities to develop clinical management skills, both within the specialty and with wider remits. This would follow discussions with the Clinical Lead and Chief of Service, and will be appropriately remunerated
  • Board and Clinical Governance meetings to develop cross county working.
  • To provide medical information for the development of systems appropriate for Trust needs.
  • To participate in departmental consultant and senior staff meetings whilst remaining within the framework of the agreed strategy of the Trust and the Department.
  • To attend other departmental, Divisional and Trust meetings as necessary.
  • To attend regional and national meetings as necessary.
  • To undertake all work in accordance with Trust procedures and operating policies.


  • To work within the framework of team decisions.
  • To take a whole systems to working with the wider health community
  • To show initiative, enthusiasm and flexibility

Person specification

Qualifications & Professional Training

Essential criteria
  • Full GMC registration
  • MRCP (UK)
Desirable criteria
  • Good grounding in Cardiovascular Medicine.
  • Audit and teaching experience relative to career stage

Clinical Experience

Essential criteria
  • 2 years of Cardiology experience at middle grade level
  • Experience in transthoracic echocardiography
Desirable criteria
  • Experience in BSE TTE Accreditation
  • Experience with TOE, Stress echo, CTCA and CMR.

Teaching & Language Skills

Essential criteria
  • Must have an interest in teaching all grades of medical staff and other allied health professionals.
  • Applicants whose primary professional qualification( s) were not taken in English, and those Applicants whose primary professional qualification( s) were not taken in English and who have spent less than 6 month in a substantive NHS post, will need to provide evidence to demonstrate their language competence by showing that they have achieved a score in a recognised language test which is acceptable to the Trust such as the International English Language testing System (ILETS) or equivalent.
Desirable criteria
  • Some experience of presenting at Grand Rounds and/or teaching medical students.
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Applicant requirements

You must have appropriate UK professional registration.

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.

Documents to download

Apply online now

Further details / informal visits contact

Dr Christopher McAloon
Job title
Consultant Cardiologist
Email address
Telephone number
0300 422 8239