Cardiac Rehab Exercise Specialist/Fitness Instructor | Royal Free London NHS Foundation Trust
| Posting date: | 16 September 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £35,763 - £43,466 Per Annum Including HCAS |
| Hours: | Full time |
| Closing date: | 16 October 2025 |
| Location: | Edmonton, N18 1QX |
| Company: | Royal Free London NHS Foundation Trust |
| Job type: | Contract |
| Job reference: | 7442018/391-NMUH-7442018 |
Summary
• The role is within a multidisciplinary team to support patients exercise safely and effectively following Myocardial Infarction, Coronary Artery Bypass Surgery, Valve repair/replacement and Percutaneous Coronary Interventions in both secondary care and potentially community venues.
• To support the Cardiac Rehabilitation team in the supervision and exercise activity of patients attending Phase 3 Cardiac Rehab programme.
• With support from the lead physiotherapist explore the development of the physical activity and exercise program for phase 4 Cardiac Rehabilitation for Enfield service users in accordance with its protocol in community setting or secondary care.
• The post will be for a fixed term of 12 months to assist in the development, support, and delivery of the established program.
• To provide a high standard of clinical exercise activity working as an integral part of the cardiac rehabilitation team delivering a menu-based programme to the priority group of patients suitable for cardiac rehabilitation.
• You will deliver the programme in a variety of settings with specific emphasis on the delivery of exercise testing, prescription, and delivery.
• You will participate and support in audit/data collection for the purpose of service evaluation and improvement.
• Lead and co-ordinate the supervised exercise sessions of the CR programme & liaise with CR colleagues to ensure effective use of facilities for the structured exercise sessions.
• Conduct comprehensive physical activity assessments pre and post the programme, for all patients & partners recruited to the programme.
• Devise, implement, monitor, and progress patients’ & partners’ individualised exercise prescription and a progressive home-based exercise programme, based on thorough assessment utilising policy, documentation, and knowledge of specific medical conditions.
• Monitor patients & partners to provide group or 1 to 1 support by additional appointments, when necessary
• Plan, deliver and review patient and family/carer education sessions.
• Facilitate behaviour change for all components of the preventive cardiology programme in all patients & partners by active participation in health promotion.
• Liaise closely with CR colleagues to provide exit route opportunities and encourage long term sustainability of an active lifestyle through participation in Phase IV or mainstream provision as appropriate.
• To be aware of the breadth of physical activity opportunities available across the borough and the required level of fitness appropriate to each
• To have planned approach to receiving feedback from patients/clients to continuously improve the service provided.
• Negotiate with patients around goal setting and behaviour change.
The Cardiology team provides a comprehensive adult inpatient and outpatient cardiology service, delivered by three clinical/professional groups: Medical, Nursing, and Cardiac Physiologists. These groups are supported by a team of Care Pathway Coordinators, a Service Manager, a Deputy Service Manager, and additional support staff. The Nursing service encompasses a Catheter Laboratory and Cardiac Day Case Unit, Nurse-led Pre-assessment Clinics, Elective DC Cardioversion, Tilt Table Testing, a Nurse-led Rapid Access Chest Pain Clinic, a Cardiac Chest Pain Hot Clinic, Nurse-led Post-PCI Clinics, a Nurse-led Heart Failure Service for both inpatients and outpatients, and Cardiac Rehabilitation.
The Cardiology team is friendly, dedicated, and committed to improving services for our patients. We espouse the Trust values. Reporting to the Lead Nurse, the post of Specialist Physiotherapist—along with the wider cardiac rehabilitation team—plays a key role in the development of the service, supporting and improving the quality of life for this group of patients.
Communication
• Communicate effectively using a variety of methods including verbal, written and electronic.
• Provide emotional support to patients and their family to manage their condition.
• Be able to use IT systems confidently – email, virtual technology.
• Familiar with the use of Microsoft office including word, excel and power point.
Professionalism
• To keep abreast of changes within the health and fitness industry and ensure knowledge is up to date through the reading of literature, attending seminars and continuing professional development.
• To identify administrative and professional needs that support the team and the post holder’s own objectives via regular meetings with both the Senior Physical Activity Specialist/physiotherapist and the Lead Nurse for CR This is achieved through Appraisal and your Personal Development Plan (PDP).
• To keep up to date with knowledge and practice, by attending relevant post-related courses.
• To maintain BACPR phase IV exercise instructor status.
Teaching and training
• To provide education to patients and carers relevant to the program through adopting healthy lifestyle.
• Deliver educational topics using a variety of mediums including face to face, group sessions and individualised sessions.
Clinical governance
· To be responsible for keeping safe patient information such as record cards when in transit in accordance with information Governance.
· To be responsible for ensuring information (paper-based, verbal, or computerised) provided to clients or other health professionals is up-to-date, evidence-based and appropriately delivered.
· To comply with the Trust and department operational policy on all documentation whether computerised or paper-based
· Ensure that resources are monitored and utilised in accordance with the CR communication budget.
Research
· Ensure all physical activity data is accurately collected and collated using the CR documentation and database system to contribute to the evaluation of the programme.
· Ensure any information/data required for clinical audit or statistical analysis for research projects or registers is recorded and collected as appropriate.
· To liaise with CR directly and monitor/evaluate progress and achievements on the outputs.
· Participate in local and/or national research and development initiatives as appropriate.
Other duties
· To work with the CR team to develop the service.
· Liaise with and provide support to all other members of the CR multidisciplinary team and attend team and management group meetings as appropriate.
· Responsible for the economic and appropriate use of apparatus, for example exercise equipment, including setting up and dismantling display equipment safely.
· Dealing sensitively with patient/carers who may be distressed.
· Conducting assessments and treatment at a variety of settings throughout the day
· Simultaneous management of different aspects of the job description There may be a requirement to work with people who have barriers to their understanding of key messages, for example those whose first language is not English.
• There may be a requirement to deliver informal presentations to community groups or groups of staff. Your healthcare closer to home
• To produce, distribute and disseminate publicity and promotional material to groups and areas targeted in the Borough as part of a planned marketing strategy.
• To assist in promoting an understanding of the CR and its work
• To assist in health checks in a community setting
• To be flexible with location and time of working to ensure accessibility of the programs to all. This may include working on different sites or in the evenings or at weekends.
• To support local patient support groups, or in their absence, facilitate the development of such groups, to facilitate user involvement when producing relevant work. To continue to support the local Heart Support Group. To maintain close links with Phase IV (community) exercise instructors.
• To undertake any ad hoc duties necessary to deliver the service.
• To support other services within the team when the need arises.
This advert closes on Tuesday 30 Sep 2025
• To support the Cardiac Rehabilitation team in the supervision and exercise activity of patients attending Phase 3 Cardiac Rehab programme.
• With support from the lead physiotherapist explore the development of the physical activity and exercise program for phase 4 Cardiac Rehabilitation for Enfield service users in accordance with its protocol in community setting or secondary care.
• The post will be for a fixed term of 12 months to assist in the development, support, and delivery of the established program.
• To provide a high standard of clinical exercise activity working as an integral part of the cardiac rehabilitation team delivering a menu-based programme to the priority group of patients suitable for cardiac rehabilitation.
• You will deliver the programme in a variety of settings with specific emphasis on the delivery of exercise testing, prescription, and delivery.
• You will participate and support in audit/data collection for the purpose of service evaluation and improvement.
• Lead and co-ordinate the supervised exercise sessions of the CR programme & liaise with CR colleagues to ensure effective use of facilities for the structured exercise sessions.
• Conduct comprehensive physical activity assessments pre and post the programme, for all patients & partners recruited to the programme.
• Devise, implement, monitor, and progress patients’ & partners’ individualised exercise prescription and a progressive home-based exercise programme, based on thorough assessment utilising policy, documentation, and knowledge of specific medical conditions.
• Monitor patients & partners to provide group or 1 to 1 support by additional appointments, when necessary
• Plan, deliver and review patient and family/carer education sessions.
• Facilitate behaviour change for all components of the preventive cardiology programme in all patients & partners by active participation in health promotion.
• Liaise closely with CR colleagues to provide exit route opportunities and encourage long term sustainability of an active lifestyle through participation in Phase IV or mainstream provision as appropriate.
• To be aware of the breadth of physical activity opportunities available across the borough and the required level of fitness appropriate to each
• To have planned approach to receiving feedback from patients/clients to continuously improve the service provided.
• Negotiate with patients around goal setting and behaviour change.
The Cardiology team provides a comprehensive adult inpatient and outpatient cardiology service, delivered by three clinical/professional groups: Medical, Nursing, and Cardiac Physiologists. These groups are supported by a team of Care Pathway Coordinators, a Service Manager, a Deputy Service Manager, and additional support staff. The Nursing service encompasses a Catheter Laboratory and Cardiac Day Case Unit, Nurse-led Pre-assessment Clinics, Elective DC Cardioversion, Tilt Table Testing, a Nurse-led Rapid Access Chest Pain Clinic, a Cardiac Chest Pain Hot Clinic, Nurse-led Post-PCI Clinics, a Nurse-led Heart Failure Service for both inpatients and outpatients, and Cardiac Rehabilitation.
The Cardiology team is friendly, dedicated, and committed to improving services for our patients. We espouse the Trust values. Reporting to the Lead Nurse, the post of Specialist Physiotherapist—along with the wider cardiac rehabilitation team—plays a key role in the development of the service, supporting and improving the quality of life for this group of patients.
Communication
• Communicate effectively using a variety of methods including verbal, written and electronic.
• Provide emotional support to patients and their family to manage their condition.
• Be able to use IT systems confidently – email, virtual technology.
• Familiar with the use of Microsoft office including word, excel and power point.
Professionalism
• To keep abreast of changes within the health and fitness industry and ensure knowledge is up to date through the reading of literature, attending seminars and continuing professional development.
• To identify administrative and professional needs that support the team and the post holder’s own objectives via regular meetings with both the Senior Physical Activity Specialist/physiotherapist and the Lead Nurse for CR This is achieved through Appraisal and your Personal Development Plan (PDP).
• To keep up to date with knowledge and practice, by attending relevant post-related courses.
• To maintain BACPR phase IV exercise instructor status.
Teaching and training
• To provide education to patients and carers relevant to the program through adopting healthy lifestyle.
• Deliver educational topics using a variety of mediums including face to face, group sessions and individualised sessions.
Clinical governance
· To be responsible for keeping safe patient information such as record cards when in transit in accordance with information Governance.
· To be responsible for ensuring information (paper-based, verbal, or computerised) provided to clients or other health professionals is up-to-date, evidence-based and appropriately delivered.
· To comply with the Trust and department operational policy on all documentation whether computerised or paper-based
· Ensure that resources are monitored and utilised in accordance with the CR communication budget.
Research
· Ensure all physical activity data is accurately collected and collated using the CR documentation and database system to contribute to the evaluation of the programme.
· Ensure any information/data required for clinical audit or statistical analysis for research projects or registers is recorded and collected as appropriate.
· To liaise with CR directly and monitor/evaluate progress and achievements on the outputs.
· Participate in local and/or national research and development initiatives as appropriate.
Other duties
· To work with the CR team to develop the service.
· Liaise with and provide support to all other members of the CR multidisciplinary team and attend team and management group meetings as appropriate.
· Responsible for the economic and appropriate use of apparatus, for example exercise equipment, including setting up and dismantling display equipment safely.
· Dealing sensitively with patient/carers who may be distressed.
· Conducting assessments and treatment at a variety of settings throughout the day
· Simultaneous management of different aspects of the job description There may be a requirement to work with people who have barriers to their understanding of key messages, for example those whose first language is not English.
• There may be a requirement to deliver informal presentations to community groups or groups of staff. Your healthcare closer to home
• To produce, distribute and disseminate publicity and promotional material to groups and areas targeted in the Borough as part of a planned marketing strategy.
• To assist in promoting an understanding of the CR and its work
• To assist in health checks in a community setting
• To be flexible with location and time of working to ensure accessibility of the programs to all. This may include working on different sites or in the evenings or at weekends.
• To support local patient support groups, or in their absence, facilitate the development of such groups, to facilitate user involvement when producing relevant work. To continue to support the local Heart Support Group. To maintain close links with Phase IV (community) exercise instructors.
• To undertake any ad hoc duties necessary to deliver the service.
• To support other services within the team when the need arises.
This advert closes on Tuesday 30 Sep 2025