Specialised Cardiac Physiologist - CRM​/EP

Job Summary

Provide advanced, autonomous clinical practice in cardiac rhythm management (CRM) and electrophysiology (EP) to deliver safe, effective, patient‑centred care. The post‑holder will independently undertake complex device follow‑up and programming (PPM, ICD, CRT‑P/D), support device implant/upgrade procedures, manage remote monitoring workflows, and provide in‑lab support for diagnostic EP studies and catheter ablation. The role includes clinical governance, audit, quality improvement, training and supervision of staff, and participation in extended‑day/on‑call arrangements as required.

Cross‑site working will be required to meet service needs across Trust locations.

• Provide advanced clinical expertise in Cardiac Rhythm Management (CRM) and Electrophysiology (EP), acting autonomously within agreed protocols and governance frameworks.
• Independently perform complex device follow‑up and programming for pacemakers (PPM), implantable cardioverter‑defibrillators (ICD), and cardiac resynchronisation therapy (CRT‑P/D), including troubleshooting and optimisation.
• Support device implant and upgrade procedures, including peri‑procedural testing, safe programming, and post‑operative optimisation.
• Manage remote monitoring services, triaging alerts, taking appropriate clinical action, and ensuring accurate documentation.
• Deliver in‑lab support for EP procedures, including diagnostic studies and catheter ablations (e.g., AF, SVT), operating mapping systems, analysing intracardiac signals, and assisting with stimulation protocols.
• Anticipate and respond to peri‑procedural complications, following ALS/ILS competencies and Trust emergency protocols.
• Lead on clinical governance activities, including audit, incident review, and quality improvement projects.
• Provide teaching, training, and supervision for junior physiologists, trainees, and cath‑lab staff; act as a role model for professional standards.
• Contribute to service development, including pathway redesign, adoption of new technologies (e.g., conduction system pacing), and research initiatives.
• Participate in extended day and/or on‑call rotas and cross‑site working to meet service needs.
• Maintain compliance with IR(ME)
  R, radiation safety, infection prevention, and safeguarding policies at all times.

• BSc (Hons) Clinical Physiology (Cardiology) or equivalent
• ILS
• BHRS accreditation (Devices and/or EP) and/or IBHRE

• Significant Band 6 experience across CRM and EP
• Independent follow‑up/programming PPM/ICD/CRT and troubleshooting
• Hands‑on support in EP studies/ablations

• Experience with conduction system pacing

• Advanced knowledge of electrophysiology and device therapy
• Proficiency with major device programmers and remote platforms

• Familiarity with 3D mapping systems

• Compassionate, respectful and patient‑centred

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and a submission for Disclosure to the Disclosure and Barring Service (formerly CRB) is required to check for any previous criminal convictions.

Applications from job seekers who require current Skilled Worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information, visit the UK Visas and Immigration website.

The Royal Wolverhampton NHS Trust
New Cross Hospital
Wolverhampton
WV10 0QP

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