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Job Purpose

To provide a consultant-led cardiology service with a subspecialist focus on Adult Congenital Heart Disease (ACHD), contributing to outpatient, inpatient, and multidisciplinary care. The postholder will also contribute to general cardiology services, education, training, audit, and service development within the Trust and the wider congenital cardiac network.

Main Responsibilities

Clinical Duties

• Deliver consultant-led outpatient ACHD care through two weekly clinics, supported by echocardiography and physiology teams.

• Provide specialist input for inpatients with congenital heart disease, including ward reviews, acute referrals, and multidisciplinary care planning.

• Participate in joint ACHD clinics with colleagues from the Level 1 ACHD Centre in Southampton and regional congenital cardiac networks.

• Contribute to maternal cardiology clinics, offering specialist care to women with congenital or acquired heart disease during pregnancy and preconception counselling.

• Participate in general cardiology inpatient services, including ward rounds (Braunton Ward), acute medical admissions (MAU reviews), and referral support.

• Contribute to the consultant non-PCI cardiology rota (currently 1:10) for inpatient care and Advice & Guidance to GPs.

• Provide timely specialist advice and guidance for ACHD and general cardiology outpatient queries.

• Collaborate closely with the ACHD Clinical Nurse Specialist and wider multidisciplinary team to optimise patient care pathways.

Multidisciplinary & Network Working

• Attend and contribute to weekly joint congenital cardiology MDTs (remote and on-site), as well as general cardiology MDTs (e.g. endocarditis, revascularisation, valve disease).

• Develop strong collaborative links with regional ACHD services, maternal medicine, anaesthetics, and surgical teams.

• Support integration of ACHD services into community care models and innovative outreach programmes.

Education, Training & Research

• Actively participate in undergraduate and postgraduate teaching, including:

  • Weekly echocardiography education meetings.

  • Resident doctor teaching sessions.

  • Monthly consultant-led medical education meetings (case presentations, audit, M&M reviews).

• Supervise and mentor cardiology trainees and physiologists in ACHD and imaging.

• Contribute to clinical audit, service evaluation, and quality improvement initiatives within cardiology.

• Engage in research and evidence-based practice, with opportunities to publish and present in ACHD and cardiology.

Service Development & Leadership

• Contribute to the ongoing development of the ACHD service, aligning with national service specifications and network models.

• Provide clinical leadership in enhancing pathways for ACHD and maternal cardiology patients.

• Participate in job planning, rota development, and service planning in conjunction with colleagues.

• Undertake professional responsibilities at local, regional, and national level as required.

Supporting Professional Activities (SPA)

• Maintain and develop professional skills through CPD, appraisal, and revalidation.

• Contribute to audit, clinical governance, service evaluation, and guideline development.

• Participate in departmental, divisional, and Trust-wide meetings as required.

Indicative Job Plan (10 PAs)

• Outpatient ACHD Clinics: 2 per week (2.0 PAs)

• Ward Round – Braunton Ward: 1.14 PAs

• MAU Reviews: 0.53 PAs

• Advice & Guidance: 0.33 PAs

• Subspecialty ACHD Work (e.g. maternal cardiology): 1.5 PAs

• Multidisciplinary Meetings (ACHD, valve, revascularisation, endocarditis): 1.0 PAs

• Patient-related Administration: 1.5 PAs

• Community Integration Models: 0.5 PAs

• Supporting Professional Activities (SPA): 1.5 PAs

Total: 10 PAs (8.5 DCC, 1.5 SPA)