Band 6 Cardiothoracic Surgery, Surgical pre-assessment Team

A Vacancy at Guy's and St Thomas' NHS Foundation Trust.

We are looking for an enthusiastic nurse who is keen to work at the leading edge of cardiothoracic practice. You will need to be a highly motivated nurse who is committed to delivering high standards of care and can demonstrate excellent clinical and

communication skills. You will also work closely with the surgical and multi-disciplinary team members to monitor and maintain excellent

clinical standards of nursing practice within a dynamic team of expert practitioners.

If you are looking develop your career in Cardiothoracic nursing, this

is your chance to join a friendly and supportive team at Royal Brompton Hospital.

Close date

23rd Sep 2026

Interview date

8th October 2026

The post holder will be expected to hold a high degree of personal professional autonomy and make clinical judgements to satisfy the expectations and demands of the role.

Responsibility is held for

• The pre-operative management of patients awaiting surgery for a range of cardiothoracic conditions from the time they are accepted for surgery until admission.
• Triage of symptoms, assess severity and escalate appropriately
• Remote monitoring of patients whilst on the waiting list developing clinical protocols and patient pathways in response to changing health care demands and new evidence, in co-ordination senior management and the multidisciplinary team.
• The post holder will be expected toto observe and develop skills in history taking to be able to complete the medical clerking in preadmission clinic.
• To develop clinical confidence in reviewing the results of clinical investigations and highlighting any concerns to the relevant surgical and Multi-disciplinary teams.
• Participate in initiatives to continually improve the service and embrace service change as appropriate.

Royal Brompton and Harefield hospitals joined Guy’s and St Thomas’ in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.

Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.

Department Information

The Pre assessment team consists of 10 staff of which 8 are registered nurses and 2 are healthcare assistants. There is an administrator who supports the team in patient pathways. The team have responsibility to monitor patients on the waiting lists and to prepare them for surgery. They have responsibility for both acquired and congenital cardiac conditions and Thoracic surgical patients. The team work very closely with Surgeons, Anaesthetists and pharmacy as well as the schedulers and specialist allied health professionals.

The post holder will be expected to hold a high degree of personal professional autonomy and make clinical judgements to satisfy the expectations and demands of the role. The CNS is responsible for developing clinical protocols and patient pathways in response to changing health care demands and new evidence, in co-ordination senior management and the multidisciplinary team.

· 50% of the role will be managing a case of patients (currently via an application called ORTUS) who are on the waitlist for surgery to detect any deterioration needing to be escalated to the surgical team.

· Able to triage symptoms, assess severity and escalate appropriately

· Identify clinical opportunities and liaise with the MDT to optimise patients whilst on the waitlist to prepare them for surgery

· Triage patients for relevant preoperative investigations, request and book investigations.

· Take developmental opportunities to observe and develop skills in history taking to be able to complete the medical clerking in preadmission clinic. To develop clinical confidence in reviewing the results of clinical investigations and highlighting any concerns to the relevant surgical and Multi-disciplinary teams.

· Where abnormalities are found in patients pre-op tests to communicate with the relevant professionals for advice and accurately document and communicate back to patients’s consultant.

· To assist in auditing the ORTUS service to make improvements

· Participate in initiatives to continually improve the service and embrace service change as appropriate.

· On behalf of the Lead nurse and operational lead set goals and benchmarking standards of care.

· Ensure that the documentation is maintained to the Trust standard including Electronic records.

This advert closes on Wednesday 23 Sep 2026