Renal Palliative Care Clinical Nurse Specialist | Guy's and St Thomas' NHS Foundation Trust
| Posting date: | 27 November 2025 |
|---|---|
| Salary: | Not specified |
| Additional salary information: | £56,276 - £63,176 p.a. inclusive of HCA (pro rata) |
| Hours: | Part time |
| Closing date: | 27 December 2025 |
| Location: | London, SE19RT |
| Company: | Guys and St Thomas NHS Foundation Trust |
| Job type: | Permanent |
| Job reference: | 7642771/196-NM13451-N |
Summary
ARenal 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 instage 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 theirphysical, emotional, psychological, andspiritualneeds as they approach the end of life.
Due to increasing patient numbers, higher levels of complexity, and growing frailty, we have recently expanded our team to better meet the needs of this population, both in renal care and within the broader local community.
This is a part-time post (0.61 FTE). This post is based within Guy’s & St Thomas’ NHS Foundation Trust and also includes our satellite sites.
Closing date: 14/12/2025
Interview date: 08/01/2026
Leadnurse clinicsat the Guys site and satellite units, where you will assess patients and prescribe treatment with their care plans. Offeradvance care planningdiscussions, help managesymptomsof CKD and dialysis, and provideend-of-life careto patients across a wide geographical area.Coordinate care ensuring close collaboration withcommunity colleaguesandpalliative care teamsto avoid unnecessary hospital admissions and facilitateout-of-hospital end-of-life care. Work with the MDT teams to deliverholistic care.
Providepalliative caretoinpatients on renal wards. Assist in difficult discussions regardingtreatment withdrawaland ensure that decisions align with the patient’s preferences, avoidingovermedicalization of death.Support staffin deliveringexcellent end-of-life careto patients with renal disease, ensuring they are competent in managing sensitive end-of-life conversations and providing care that aligns with patient priorities.
Implementeffective symptom managementstrategies. Ensure patients receiveperson-centred carethat supports their physical comfort and emotional well-being during the final stages of their illness. Collaborate withnephrologists,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.
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.
The JD and main responsibilities for this role are but not exclusively:
Lead nurse-led clinicsat the Guys site and satellite units, assessing patients, developing care plans, and prescribing treatments.
Provide advanced care planningand guidance, especially for patients withstage 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 withholistic care.
Inpatient Care:Providepalliative careto inpatients on therenal wards, particularly focusing ontreatment withdrawaland 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 ofadvance 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.
This advert closes on Sunday 14 Dec 2025