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Job summary

Main area
Medicine
Grade
NHS Medical & Dental: Senior Clinical Fellow
Contract
12 months (12 Months Fixed Term)
Hours
Full time - 40 hours per week
Job ref
410-MED-7787510
Employer
Liverpool Heart & Chest Hospital NHS Foundation Trust
Employer type
NHS
Site
Liverpool Heart And Chest Hospital
Town
Liverpool
Salary
£38,831 to £73,992 Dependant on Experience
Closing
01/03/2026 23:59

Employer heading

Liverpool Heart & Chest Hospital NHS Foundation Trust logo

Clinical Fellow in ACHD Imaging

NHS Medical & Dental: Senior Clinical Fellow

As the largest single site specialist heart and chest hospital in the UK, we, at Liverpool Heart and Chest Hospital, have a clear vision 'to be the best cardiothoracic integrated healthcare organisation'.

We provide specialist services in cardiothoracic surgery, cardiology, respiratory medicine including adult cystic fibrosis and diagnostic imaging, both in the hospital and out in the community.

We serve a catchment area of 2.8 million people, spanning Merseyside, Cheshire, North Wales and the Isle of Man, and increasingly we receive referrals from outside these areas for highly specialised services such as aortics.

Heart and lung disease continue to be amongst the biggest killers in the UK and the communities we serve are marked by increased prevalence of cardiovascular disease, higher levels of heart failure, hypertension, coronary artery disease and an ageing population.

Our reputation for strong performance is important in delivering the best care for our patients and high quality clinical services. This is underpinned by a culture of research and innovation, delivered in modern estate and facilitated by technology. New and upgraded clinical areas are designed with patients and families fully involved to deliver their needs.

As part of our long term plan, we aim to form strong clinical and organisational relationships where possible. There is clear evidence that partnerships improve patient care and enhance quality and we aim to collaborate with a range of other providers and professionals with the aim to extending access and improve quality.  

Our vision is underpinned by five strategic goals:

  • Quality: to deliver the highest quality, safest and best experience for patients and their families by providing reliable care 
  • Service and Innovation: to develop our service portfolio for patients by developing innovative models of care
  • Value: to maintain financial viability, enhance service delivery and develop new models of care to improve the health of our patients and safely reduce costs
  • Workforce: to be the best NHS Employer by 2019 by attracting and retaining the best staff to deliver excellent patient care
  • Stakeholders: to develop productive relationships with key stakeholders in order to enhance our profile and reputation.

Our Mission

“Excellent, Compassionate and Safe care for every patient, every day”

Job overview

This post offers advanced subspecialty training in Adult Congenital Heart Disease (ACHD) multimodality imaging within a nationally and internationally recognised tertiary congenital cardiac service. The fellowship is designed to develop high-level expertise in cardiac magnetic resonance imaging (CMR), with additional exposure to cardiac CT and transoesophageal echocardiography (TOE), preparing the successful candidate for a future consultant career in ACHD imaging.

The post holder will work in a high-volume, high-complexity environment, contributing to the imaging and clinical care of adolescents and adults with congenital heart disease across the full spectrum of simple to highly complex anatomy.

 

Main duties of the job

1. Clinical Imaging

Supervise and provisionally report ACHD cardiac MRI studies with progressive autonomy

Participate and provisionally report in 2–3 ACHD MRI sessions weekly, +/-  1 stress imaging and unsupervised scan sessions

Attend 1 CT or TOE session/ week, depending upon subspecialty interest

Produce timely provisional reports and liaise with supervising consultants

Maintain a logbook aligned with EACVI competency requirements

Present imaging at ACHD MDT meetings

2. Clinical Care

Participate in one ACHD clinic per week

Contribute to ACHD ward rounds (1:4–1:5 rota)

Provide imaging-informed input into patient management

3. Research & Academic Work

Contribute to clinical research in congenital cardiac MRI and advanced imaging

Work in accordance with ICH GCP and research governance frameworks

Support data collection, database management and study documentation

Participate in analysis of imaging datasets

Contribute to presentations, publications and grant applications

Maintain awareness of evolving clinical research regulations

4. Teaching

Contribute to the teaching of junior doctors, physiologists and allied professionals

Participate in departmental educational meetings

Support training of colleagues in cardiac imaging

5. Governance & Professional Standards

Adhere to Trust policies on confidentiality, safeguarding and risk management

Maintain up-to-date mandatory training

Comply with research governance and data protection standards

Working for our organisation

The Liverpool Congenital Cardiac Service is the Level 1 Specialist Surgical Centre for the North West of England and North Wales. It provides specialised congenital heart services for a catchment of circa 8.6million people with around 25,000 congenital heart disease patients with across the region.

Alder Hey Children’s Hospital will provide Level 1 services for children with CHD. Level 1 services for adults with congenital heart disease will be provided jointly by Liverpool Heart and Chest Hospital and the Royal Liverpool University Hospital. Specialised Obstetric Services are delivered jointly between Liverpool and Manchester University Hospitals Foundation Trust. 

The LHCH Cardiovascular Imaging Unit is well-established. The echocardiography department has BSE advanced training accreditation, performs 14,000 echocardiograms performed per year, including stress echocardiography, TOE and advanced echocardiograms.

 We have a large cross-sectional cardiac imaging service at LHCH. We have 2 dedicated MRI for our cardiac magnetic resonance (CMR) service: 1.5T cardiac optimized Siemens Sola MR and a 3T VIDA Siemens scanners on the LHCH site, and perform 5,000 Cardiac MRIs annually. We are an accredited EACVI CMR laboratory.

We also have 2 dedicated computed tomography (CT) scanners, Siemens FORCE CT scanners and perform 3,000 Cardiac CT annually.

Detailed job description and main responsibilities

PROPOSED WEEKLY TIMETABLE FOR CLINICAL FELLOW IN ACHD IMAGING

Day

Time

Work

Monday

 

am

pm

 

MRI

Imaging provisional reporting

 

Tuesday

 

am

pm

 

MRI

Imaging provisional reporting

 

Wednesday

 

am

pm

 

CT or TOE

Admin/ MDT preparation

 

Thursday

 

am

pm

 

MRI

Imaging provisional reporting

ACHD MDT

Friday

 

 

am

pm

 Ward round

 Clinic

Person specification

Qualifications

Essential criteria
  • MRCP (UK) or equivalent GMC registration with licence to practise
Desirable criteria
  • Higher degree (MD/PhD or equivalent)

Clinical Experience

Essential criteria
  • Completed or near completed general cardiology training in adult
  • Demonstrable experience in ACHD
  • Training and experience in cardiovascular imaging, particularly cardiac MRI
  • Evidence of continued career progression consistent with stage of training
Desirable criteria
  • Experience working in a tertiary ACHD centre

Imaging Experience

Essential criteria
  • EACVI or SCMR Level 1/2 (or equivalent knowledge and experience)
  • Familiarity with cardiac MRI post-processing software.
  • Commitment to developing advanced ACHD imaging expertise
Desirable criteria
  • Experience in cardiac CT and/or TOE
  • Experience with stress perfusion or advanced flow imaging techniques
  • Working toward or achievement of EACVI Level 3 competency in CMR
  • Experience in independent reporting of complex congenital and acquired CMR studies
  • Experience with advanced CMR techniques (tissue characterisation, stress perfusion, flow quantification, 4D flow)
  • Experience contributing expert imaging input to ACHD or structural heart MDTs
  • Experience supporting or supervising junior trainees in imaging acquisition or reporting

Research & Academic Skills

Essential criteria
  • Understanding of clinical research governance and ICH GCP principles
  • Experience contributing to data collection, audit, or research projects
  • Ability to critically appraise literature and apply evidence to practice
Desirable criteria
  • Experience with research databases or imaging data analysis
  • Peer-reviewed publications or national/international presentations

Communication & Teamwork

Essential criteria
  • Excellent verbal and written communication skills
  • Ability to work effectively within a multidisciplinary team
  • Professional, respectful approach to patients, families and colleagues
Desirable criteria
  • Teaching experience in clinical cardiology or cardiovascular imaging

Employer certification / accreditation badges

Veteran AwareArmed Forces Covenant (Silver Award)Care quality commission - OutstandingSVMQ Distinction

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

Name
Dr Sarah Elgamal
Job title
ACHD and Imaging Cardiology Consultant
Email address
[email protected]
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