Clinical Nurse Specialist, Cardiology

The closing date is 11 August 2026

Job summary
An exciting opportunity has arisen to join the Cardiology team at West Herts. We are looking for a forward thinking, highly motivated, enthusiastic, knowledgeable and experienced individual to take on the role and responsibility of a Cardiology Nurse Specialist (CNS). The successful applicant will be able to demonstrate outstanding clinical skills, leadership, accountability and promote safe and effective patient care, through evidence-based practice. The successful applicant will join our dedicated existing Cardiac Nurse Specialist team and will be a key part of the Chest Pain service within Cardiology rotating through Rapid Access Chest Pain Clinic (RACPC), Nurse Led Follow-up Clinic and Virtual Clinic. Working in partnership with Cardiologist and the wider Cardiology team to develop and maintain effective and efficient care to deliver high quality patient centred care to improve patient experience. Each of these areas offers a unique opportunity to autonomously manage a caseload of cardiac patients. Although chest pain will be a predominant part of this role there will be an expectation that the post holder is able to provide support to other Cardiac specialisms. You will be required to work Monday to Friday from 8:00am to 16.00pm

Main duties of the job
The post holder will work as part of a busy Cardiology team, working closely with colleagues to assist in the effective running of the Nurse-led clinics, undertaking audits, teaching, and developing, mentoring and supervising. When working in the RACPC, Nurse Led Follow-up Clinic or Virtual Clinic, he/ she will be required to: Autonomously manage a caseload of outpatients who have been referred from GP and A&E or attending follow-up appointment linking closely with Cardiologists and Cardiac Physiologists to maximise the efficiency of the service. This will include. Formulate appropriate management plans for patients with suspected angina, acute coronary syndrome (ACS), heart failure, cardiac arrhythmias, and other cardiac conditions. Assist in reaching a diagnosis, order diagnostic tests, chase, and interpret results, management of any investigative results to deliver a clear diagnosis to the patient and the provision of a clinic summary letter for the GP outlining the ongoing management plan.

About us
With a new hospital planned for Watford, work underway to update theatres at St Albans City Hospital and plans for a neighbourhood healthcare centre in Hemel Hempstead, this is an exciting time to join us. We are building on the success of our award-winning virtual hospital and re-imagining models of care, working closely with partners and making the most of advances in digital healthcare. Staff wellbeing and development are a priority, as is the role of innovation in improving clinical care, outcomes and patient experience. Our vision is Excellent patient care, together and our values are to be empowered, compassionate, professional and inclusive. They capture an important balance across what we must all do as individuals and to support others. We offer a variety of flexible working options as we recognise the importance of a good work life balance. www.westhertshospitals.nhs.uk/flexibleworking If you have a disability or long-term health condition and require support or guidance please contact westherts.recruitment@nhs.net If you are a Service Leaver, Veteran, Military Reserve, Cadet Force Adult Volunteer, or partner/spouse of those serving please tick "Member of the Armed Forces Community" on the application form. We reserve the right to close this advert early due to the volume of applicants. Please apply as soon as possible to avoid disappointment. If you do not hear back within 3 weeks of your application, please assume you have been unsuccessful on this occasion.

Date posted: 28 July 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £51,657 to £58,785 a year, inc HCA
Contract: Permanent
Working pattern: Part-time, Flexible working
Reference number: 360-A-11395-A
Job locations: Watford General Hospital, Watford General Hospital, Watford, WD18 0HB, United Kingdom

Job responsibilities

• 22.5hrs/ week (WTE 0.6)
• Mon Fri (08.00 13.00)
• Prep clinic
• Undertake either RACPC, Nurse Led Follow-up Clinic or Virtual Clinic
• Complete clinic letters and request investigations.
• Mon Fri (13.30 16.00)
• RACPC pm clinic
• Virtual Clinic, if no RACPC pm clinic
• Complete clinic letters and request investigations.
• Triage referrals to RACPC
• Refer patients to cardiac rehab team
• Join Cardiology MDT (Mon & Wed)
• Attend RACPC MDT (Tues & Thurs)
• Complete audits
• Complete online mandatory training
• Other admin work

Person Specification

Education and qualifications
Essential

• RGN, 1st level registration with NMC
• Degree in Nursing.
• Post Registration Qualification in cardiac nursing.
• Advanced physical assessment or willingness to complete
• Advance ECG interpretation or willingness to complete.

Desirable

• Master's degree
• Counselling certificate.
• Non-Medical Independent Prescriber qualification.

Knowledge
Essential

• Post -registration and experience as a Band 6 in Cardiology.
• Experience of change management, teaching and facilitation, up-to-date knowledge of relevant political and professional issues in Cardiology.
• Commitment to clinical effectiveness and evidence-based care.

Desirable

• Evidence of published articles.
• Research experience
• Strategic planning

Experience
Essential

• Expert clinical assessment skills.
• Ability to articulate and implement service development.
• Leadership experience at band 6 level
• Negotiation and conflict resolution skills and experience.
• Excellent communication and interpersonal skills.
• Ability to write clear and concise and relevant reports.
• Basic computer literacy.
• Experience of evaluating clinical practice using audit.

Desirable

• Evidence of relevant research and application of findings.
• Experience of evaluating clinical practice using appropriate evidence base.
• Willingness to complete counselling course.

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 (Opens in a new tab).

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. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details
Employer name: West Hertfordshire Teaching Hospitals NHS Trust
Address: Watford General Hospital, Watford General Hospital, Watford, WD18 0HB, United Kingdom
Employer's website: http://www.westhertshospitals.nhs.uk (Opens in a new tab)

Employer contact details
For questions about the job, contact: Cardiology Advanced Care Practitioner, Imtiaz Begum, imtiaz.begum1@nhs.net, 01923217078

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