Royal Free London NHS Foundation Trust
Cardiac Nurse Practitioner/Cardiology clinical Specialist
The closing date is 26 November 2026
Job summary
The Cardiac Nurse Practitioner will provide advanced clinical assessment, diagnosis, treatment and management within the Rapid Access Chest Pain Clinic (RACPC), Nurse-Led Post-Percutaneous Coronary Intervention (PCI) Follow-up Service and Intractable Angina Service and, where required, support the Cardiac Rehabilitation Service.

The role will be undertaken with a high degree of professional autonomy and advanced clinical decision-making within the practitioner's scope of practice.

The post holder will provide expert clinical leadership, contribute to service development and clinical governance, support workforce development and education and lead quality improvement initiatives to ensure the delivery of safe, effective and evidence-based cardiovascular care.

The post holder will independently manage a defined caseload of patients with suspected or confirmed coronary artery disease, undertaking comprehensive assessment, requesting and interpreting investigations, formulating and implementing management plans, prescribing medications within agreed protocols and guidelines and referring complex cases to Consultant Cardiologists and the wider multidisciplinary team where appropriate.

The post is 37.5 hours per week, Monday to Friday. As the service develops, the post holder may be required to participate in weekend working and extended service provision in accordance with operational requirements.
Main duties of the job
The main details of the Respiratory Clinical Nurse Specialist post are detailed in the attached Job Description document.
About us
The Royal Free London NHS Foundation Trust is one of the UK's biggest and most innovative trusts. Our dedicated army of staff care for over 1.6million patients, treat more than 200,000 in A&E, deliver over 8,000 babies and carry out more than 17million tests.

Our size, scale and influence offer you unrivalled career opportunities and a forward-thinking approach to working that works around your lifestyle. From flexible hours and generous benefits, to next level training, we make it easier to take your career to the top.

The postholder will be expected to consistently demonstrate behaviors aligned to the Trust's shared commitments, embedding compassion, inclusion, integrity and excellence in their day-to-day practice.
Details
Date posted: 12 November 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £55,524 to £62,652 a year Per Annum including HCAS
Contract: Permanent
Working pattern: Full-time
Reference number: 391-NMUH-8323336
Job locations: North Middlesex Unversity Hospital, Sterling Way, London, N18 1QX, United Kingdom
Job description
Job responsibilities
Please see attached Job Description and Person Specification for detailed responsibilities for the role
Person Specification
Values
Essential

• Demonstrable commitment to Trust values
• Delivers compassionate, patient-centred care
• Commitment to equality, diversity and inclusion

Education & Professional Qualifications
Essential

• Registered Nurse (Adult) Level 1 with current NMC registration
• Degree in Nursing or equivalent professional qualification
• Evidence of continuing professional development relevant to cardiology practice
• Post-registration qualification in Cardiology or equivalent specialist experience
• Advanced ECG interpretation competency
• Advanced Clinical Assessment / Physical Assessment qualification
• Independent/Supplementary Non-Medical Prescribing (V300) qualification or willingness to undertake within an agreed timeframe

Desirable

• Advanced Life Support (ALS) Provider certificate or willingness to undertake
• Master's level study in Advanced Clinical Practice, Cardiology or related specialty
• Practice Assessor/Practice Supervisor qualification

Experience
Essential

• Significant post-registration cardiology experience
• Experience managing patients with coronary artery disease and acute coronary syndromes
• Experience undertaking advanced patient assessment and clinical decision-making, and independently managing a specialist patient caseload
• Experience interpreting ECGs and cardiac investigations
• Experience working within nurse-led clinics or ambulatory care services or rapid access cardiology services
• Experience supervising, supporting or mentoring staff and learners
• Experience contributing to clinical audit, quality improvement or service development initiatives

Desirable

• Experience supporting service redesign or transformation

Skills & Aptitudes
Essential

• Advanced history-taking, assessment and clinical clinical decision-making skills
• Ability to independently assess, investigate and manage cardiology patients
• Ability to formulate differential diagnoses and management plans
• Ability to interpret investigations and respond appropriately to findings
• Ability to manage complex clinical situations and recognise escalate appropriately
• Ability to work autonomously whilst maintaining professional accountability
• Excellent communication, teaching and interpersonal skills
• Ability to prioritise workload and manage competing demands effectively
• Ability to lead and influence clinical practice

Desirable

• Independent prescribing skills

Personal Qualities & Attributes
Essential

• Professional, credible and compassionate role model
• Strong team-working and relationship-building skills
• Flexible and approachable and supportive
• Resilient and able to work effectively under pressure
• Commitment to continuous improvement and high-quality patient care

Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Certificate of Sponsorship
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. From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website.
Employer details
Employer name: Royal Free London NHS Foundation Trust
Address: North Middlesex Unversity Hospital, Sterling Way, London, N18 1QX, United Kingdom
Employer's website: https://www.royalfreelondonjobs.co.uk/
Employer contact details
For questions about the job, contact: Lead Nurse for Cardiology, Bibi Ford, bibi.ford@nhs.net
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