Renal Palliative Care Clinical Nurse Specialist: Sponsorship Available

Guy's and St Thomas' NHS Foundation Trust

Job summary

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 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 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: 31st August 2026

Interview date: 10th of September 2026

Main duties of the job

Nurse lead 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 careensuring 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.

Person Specification

Professional Registration

Essential

  • Degree
  • Leadership course
  • Mentorship course
  • Post qualification in Renal or Palliative Care

Desirable

  • To have or working towards a Non Medical Prescribing Course
  • To have or working towards a Masters
  • To have or working towards and Advanced Assessment Course

Education

Essential

  • Experience teaching in the formal and informal setting

Experience

Essential

  • Extensive experience of working autonomously at an advanced level within the specialist area delivering effective patient focused care

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).

Closing Date: 31 August 2026

To apply for this job please visit apps.trac.jobs.