The trust is working towards delivering HTP in 2026. IP cardiology services will move to Shrewsbury with elective care provided at the Telford site. Major reconfiguration of the current Shrewsbury site will deliver a centralised cardiac suite, which houses the cardiorespiratory department, cardiac inpatient ward, ambulatory heart failure unit, clinics, catheter labs and day case unit. There is a plan to acquire a second cardiac catheter lab, to accommodate the increasing demand of the local population. We have an ambition to establish day time PCI in the future. Opportunities also exist for the catheter labs to be shared within the network (covering Staffordshire, Black Country, Shropshire and Mid Wales) to maximise access to coronary intervention and complex devices for the local population.
The main department is currently based at Princess Royal Hospital. There are 8 enhanced cardiac care beds and 15 acute cardiac care beds on ward 6. A cardiac catheter laboratory on site is used for diagnostic coronary angiography as well as pacemaker and complex device implantation. This is supported by a cardiac day care unit with capacity for 8 ambulatory patients. The main cardiorespiratory department is located here and performs a comprehensive range of investigations. A dedicated room is used for TOE and temporary pacing out of hours.
A pacemaker clinic is based at PRH and provides the long-term device follow up service. Designated cardiac CT lists run at the Royal Shrewsbury and Princess Royal hospitals. Cardiac MRI is run from the Royal Shrewsbury Hospital. A satellite cardiorespiratory department provides selected investigations for in and outpatients at the Royal Shrewsbury hospital site. A weekly MDT is held with a local tertiary centre, to facilitate urgent cardiothoracic/cardiology care for in patients. We have established links with three local tertiary centres for elective procedures including cardiac surgery, congenital heart disease, electrophysiology and PCI.
Approximately 11,000 new out-patient Cardiology referrals were seen by a consultant within the Trust last year using “one-stop” clinics supported by either pre-investigation or on-demand tests. The trust provides circa 10,000 follow up appointments per year for cardiology follow ups. Allied health professionals (nurses, pharmacist and Echo physiologist) provide cardiac rehabilitation clinics, heart failure ambulatory clinics, post infarct medical optimisation clinics and valve clinics. There is a Rapid Access Chest Pain Clinic at both Hospitals.
A multidisciplinary post-infarction clinic focuses on pharmacy, clinical biochemistry, rehabilitation and dietetics. This is run by specialist nurses and a pharmacist prescriber. A further MDT team provides the regional heart failure service for optimisation and ambulatory monitoring. An arrhythmia nurse specialist runs our cardioversion service, implantable loop recorder service and arrhythmia clinic. A senior physiologist runs a valve clinic independently. In addition, we have an expanding team of advanced cardiac nurse practitioners/prescribers, who support the in-patient referrals and chest pain clinics. Outreach cardiology clinics are provided at Oswestry as well as Bridgnorth and Whitchurch Community Hospitals.
The same juniors that support the in-patient Cardiology Service also support the General Medical Take Rota and the care of all in-patients under the care of the Cardiology team. All Cardiology Consultants have equal access to the juniors. You will be expected to supervise junior Doctors and to be actively involved in their postgraduate training and audit.
A formal job plan will be agreed between the successful candidates and their Clinical Director and consultant colleagues, on behalf of the Medical Director within 3 months of starting in post. A full-time job plan is based on a 10 PA working week. The job plan will be reviewed annually and is a prospective agreement that sets out the consultant's duties, responsibilities, and objectives for the coming year. It covers all aspects of a consultant’s professional practice including clinical work, teaching, research, education and managerial responsibilities. It will provide a clear schedule of commitments, both internal and external and will include personal objectives, detailing links to wider service improvements and trust strategic priorities.
For a full-time contract, the job plan will be divided on average per week (pro-rata for a part time post) as:
- 7.5 Programmed Activities (PAs) of Direct Clinical Care - includes clinical activity, clinically related activity and predictable and unpredictable emergency work.
- 2.5 Supporting Professional Activities (SPAs) - includes CPD, audit, teaching and research.
The allocation of PAs is reviewed and may be subject to adjustment when a further diary exercise is undertaken or if the service demands a review of the team job plan.
Any applicant who is unable, for personal reasons, to work full-time will be eligible to be considered for the post. If such a person is appointed, modification of the job content will be discussed on a personal basis with the Trust in consultation with other consultant colleagues.