The Healthcare Scientist in Cardiology. Dave Richley MSCST Cardiac Physiology Lecturer Practitioner North of England Cardiovascular Network

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1 The Healthcare Scientist in Cardiology Dave Richley MSCST Cardiac Physiology Lecturer Practitioner North of England Cardiovascular Network

2 Scientist or practitioner? Healthcare Science Practitioner Healthcare Science Practitioners (HCSP) will have the necessary expertise in applied scientific techniques within a discipline or related disciplines and will work in a range of healthcare settings, with a clearly defined technologically based role in the delivery and technical reporting of quality assured tests, investigations and interventions for patients, on samples or equipment. In a number of disciplines, HCSP will provide therapeutic interventions, some of which may be specialist. Healthcare Scientist Healthcare Scientists will have clinical and specialist expertise underpinned by theoretical knowledge and experience in a specific healthcare science specialism, and broader knowledge and experience within healthcare science. They will undertake complex scientific and clinical roles, defining and choosing investigative and clinical options, and making key judgements about complex facts and clinical situations. Many will work directly with patients and their families. They will be involved, often in lead roles, in innovation and improvement, research and development and education and training. Some will pursue explicit academic careers which combine clinical practice and academic activity in research, innovation and education. In both, service and academic roles, healthcare scientists may be in leadership positions.

3 Scientist or practitioner? Practitioner Expertise in applied scientific techniques clearly defined technologically based role delivery and technical reporting of quality assured tests therapeutic interventions, some of which may be specialist Scientist clinical and specialist expertise complex scientific and clinical roles choosing investigative and clinical options making key judgements about complex facts and clinical situations lead roles, in innovation and improvement, R & D leadership positions

4 Clinical scientists Audiological Scientists Clinical Biochemist Clinical Cytogeneticist Clinical Molecular Geneticist Clinical Immunologist Clinical Microbiologist Medical Physicist Clinical Scientists in Tissue Typing, Histocompatibility and Immunogenetics

5 About the training programme The new national healthcare scientist training programme which replaces the previous clinical scientist training scheme, is part of the wider changes that are taking place within healthcare science education and is designed to train the healthcare scientists of the future. NHS trusts, working in partnership with strategic health authorities (SHAs) and higher education institutions, will offer approximately 200 training posts in all three areas of healthcare science: life sciences physics and engineering physiological sciences Number of acute trusts = 167 Number of HCS trainees per trust per year = 1.2

6 March trainee NHS scientists 3 trainee cardiology scientists September 2011 Total of 6 trainee cardiology scientists appointed

7 Cardiac scientists New roles Work traditionally done by doctors Research

8 From the old to the new Echocardiographer Echocardiography scientist Does echoes Does valve follow-up clinics Does TOEs Runs stress echo sessions Presents at conferences Publishes research

9 From the old to the new Highly specialist cardiac physiologist Cardiac scientist (rhythm management) Pacemaker & ICD clinics Palpitations/LOC clinics Referral for investigations Implantation of loop recorders Referral for treatment