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Guy's and St Thomas' NHS Foundation Trust
About
Contact
- Address
- Trust Offices
- St Thomas' Street
- London
- SE1 9RT
- Contact Number
- 020 7188 7188
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Renal Palliative Care Clinical Nurse Specialist
Closed for applications on: 22-Apr-2025 00:04
Vacancy status: Closed
Closed for applications on: 22-Apr-2025 00:04
Key details
Location
- Site
- Renal - Guys Hospital
- Address
- Great Maze Pond
- Town
- London
- Postcode
- SE19RT
- Major / Minor Region
- London
Contract type & working pattern
- Contract
- Permanent: Currently Monday-Friday but may include weekends in the future
- Hours
- Full time - 37.5 hours per week
Salary
- Salary
- £54,320 - £60,981 p.a. inclusive of HCA
- Salary period
- Yearly
- Grade
- (NHS AfC: Band 7)
Specialty
- Main area
- Renal
- Interview date
- 01/05/2025
Guy’s and St Thomas’ is among the UK’s busiest and most successful NHS foundation trusts. We provide a full range of hospital and community services for people in south London and as well as specialist care for patients from further afield including cancer, renal, orthopaedic, respiratory and cardiovascular services.
Guy’s is home to the largest dental school in Europe and a £160 million Cancer Centre opened in 2016. As part of our commitment to provide care closer to home, in 2017 we also opened a cancer centre and a kidney treatment centre at Queen Mary’s Hospital in Sidcup. St Thomas’ has one of the largest critical care units in the UK and one of the busiest emergency departments in London. It is also home to Evelina London Children’s Hospital.
Evelina London cares for local children in Lambeth and Southwark and provides specialist services across south east England including cardiac, renal and critical care services. We lead a number of specialist service networks aiming to ensure children are treated locally where possible, but have access to specialist expertise when they need it. Our community services include health visiting, school nursing and support for families of children with long-term conditions.
Our adult community services teams deliver care at the heart of the local communities we serve, working in partnership with GPs, local authorities and other healthcare and voluntary sector organisations. Working with our partners in Lambeth and Southwark, we are focusing on new ways of working to improve care for local patients.
In February 2021 the Royal Brompton and Harefield joined Guy’s and St Thomas’ NHS Foundation Trust, bringing together world-leading expertise in the care and research of heart and lung disease. Our merger provides a once in a generation opportunity to build a lasting, world-renowned heart and lung centre, providing the highest quality care for patients and conducting world-leading research.
We have a reputation for clinical excellence and high quality teaching and research. We are part of King’s Health Partners, one of eight accredited UK academic health sciences centres. In partnership with King’s College London we have dedicated clinical research facilities including an MHRA accredited Phase I clinical trials unit.
Patients are at the heart of everything we do and we pride ourselves on ensuring the best possible patient experience as well as safe, high quality care. We are proud to have one of the lowest mortality rates in the NHS. Following a comprehensive Care Quality Commission (CQC) inspection in 2019 we maintained our overall rating of ‘good’. Our adult community services achieved a rating of ‘outstanding’.
The commitment of our 23,500 staff is key to our success. We are one of the largest local employers and we aim to develop and support all our staff so they are able to deliver high quality, safe and efficient care. The 2019 NHS staff survey results show that we have one of the most engaged and motivated workforces in the NHS. We know this has a positive impact on the care provided to our patients.
We have one of the most ambitious capital investment programmes anywhere in the NHS.
Job overview
A Renal Supportive Care Clinical Nurse Specialist (CNS) plays a key role in providing palliative and end-of-life care to patients with advanced chronic kidney disease (CKD), particularly those in stage 5 CKD, across various care settings. This role is essential for patients who either choose not to undergo dialysis, are receiving dialysis, or have undergone a kidney transplant. The CNS ensures the holistic care of these patients, addressing their physical, emotional, psychological, and spiritual needs as they approach the end of life.
Due to increasing patient numbers, higher levels of complexity, and growing frailty, we are expanding our team to better meet the needs of this population, both in renal care and within the broader local community.
This is a full-time post (1.0 FTE). This post is based within Guy’s & St Thomas’ NHS Foundation Trust and also includes our satellite sites.
Closing date: 21/04/2025
Interview date: 01/05/2025
Advert
Lead nurse clinics at the Guys site and satellite units, where you will assess patients and prescribe treatment with their care plans. Offer advance care planning discussions, help manage symptoms of CKD and dialysis, and provide end-of-life care to patients across a wide geographical area. Coordinate care ensuring close collaboration with community colleagues and palliative care teams to avoid unnecessary hospital admissions and facilitate out-of-hospital end-of-life care. Work with the MDT teams to deliver holistic care.
Provide palliative care to inpatients on renal wards. Assist in difficult discussions regarding treatment withdrawal and ensure that decisions align with the patient’s preferences, avoiding overmedicalization of death. Support staff in delivering excellent end-of-life care to patients with renal disease, ensuring they are competent in managing sensitive end-of-life conversations and providing care that aligns with patient priorities.
Implement effective symptom management strategies. Ensure patients receive person-centred care that supports their physical comfort and emotional well-being during the final stages of their illness. Collaborate with nephrologists, palliative care teams, and other healthcare providers to ensure patients receive seamless, coordinated care tailored to their needs. Participate in discussions that consider all aspects of patient care, ensuring decisions made are in line with patient values and goals.
Working for our organisation
The role sits within the Directorate of Transplant, Renal and Urology under the speciality of Renal. The successful candidate will be welcomed into the team and given the appropriate training to succeed in this vital role.
We offer a range of in-house training to enhance your clinical, research and managerial skills. The management team will support you to have a clear plan and support additional external training if required for your role, development and future career objectives.
Detailed job description and main responsibilities
The JD and main responsibilities for this role are but not exclusively:
Lead nurse-led clinics at the Guys site and satellite units, assessing patients, developing care plans, and prescribing treatments.
Provide advanced care planning and guidance, especially for patients with stage 5 CKD, those receiving dialysis, and those with kidney transplants.
Symptom Management and End-of-Life Care ensuring comfort in the final stages of life.
Supporting staff with patients with complex needs, liaising with community colleagues and palliative care teams. Ensure that patients are supported with holistic care.
Inpatient Care: Provide palliative care to inpatients on the renal wards, particularly focusing on treatment withdrawal and ensuring that death is not overly medicalized.
Support difficult communication around end-of-life decisions and facilitate care that aligns with patient wishes and values.
Multidisciplinary Team Work: Collaborate with the wider MDT
Patient and Family Support: Guide patients and families through the process of advance care planning, offering options for care based on their values and wishes.
By managing these responsibilities, you will ensure that patients receive the best possible care throughout their journey with advanced kidney disease, especially during their final stages.
Please also see the attached detailed JD and expectations for a CNS at GSTT.
Guy’s and St Thomas’ celebrates, respects and values the diversity of its staff and patients. We review our policies, procedures and practices to ensure that all employees, patients and carers are treated equitable according to their needs. We are actively committed to ensuring that no one who applies for a job, works or study’s at the Trust, or accesses our services is discriminated against on the grounds of race, ethnicity, nationality, disability, religion or belief, age, gender identity , gender reassignment, sexual orientation, pregnancy and maternity/paternity, or marital/civil partnership.
Applications are welcomed from applicants with a disability. We can make reasonable adjustments and offer support and advice in a variety of ways throughout the application process. Equality of opportunity is our policy.
As an organisation we are committed to developing our services in ways that best suit the needs of our patients. This means that some staff groups will increasingly be asked to work a more flexible shift pattern so that we can offer services in the evenings or at weekends.
Flexible working
We are committed to supporting all employees to achieve a healthy work life balance and to work in a way that is best for them and our patients. We will consider all requests to work flexibly, taking in to account the individual’s personal circumstances as well the needs of the service. We encourage all prospective applicants to discuss their individual circumstances with the recruiting manager as part of the on-boarding process.
Due to recent changes in the UK immigration rules which affect Skilled Worker Visas, Global Business Mobility, Higher Skill Level and Increased Salary Thresholds, please ensure that you are able to meet the requirements to live and work in the UK before applying. Further information about eligibility is available on the UK Government website.
Your e-mail address is important to us - We communicate to all job applicants via the e-mail address which has been provided on the application form. Please ensure that you check your e-mail on a regular basis.
Please apply for this post by clicking "Apply Online Now."
Applicant requirements
Person specification
Education and training
Essential criteria
- Degree
- Post registration qualification in Renal.
- Leadership course
- Mentorship course
Desirable criteria
- Renal Course
- Leadership course
- To have or working towards a non medical prescribing course
- To have or working towards an advanced assessment course
- To have or working towards a masters degree
Professional Registration
Essential criteria
- Registered Nurse on the NMC register.
Previous experience
Essential criteria
- Extensive experience of working autonomously at an advanced level within the specialist area delivering effective patient focused care
- Proven evidence of management / leadership skills and autonomous practice
Desirable criteria
- Extensive experience of working autonomously at an advanced level within the specialist area delivering effective patient focused care.
- Proven listening / counselling skills with the ability to manage complex situation and appropriately deliver sensitive and difficult outcomes.
Further details / informal visits contact
- Name
- Isabelle Manning
- Job title
- Head of Nursing Transplant, Renal and Urology
- Email address
- [email protected]
- Telephone number
- 07591348457
- Additional information
You are encouraged to speak to Sharon Frame or Isabelle Manning as well as a CNS in the Renal Supportive Care team if you are interested in the role.
No longer accepting applications
Sorry, this vacancy is no longer accepting applications.
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