Consultant in Nephrology Medicine

Royal Free London NHS Foundation Trust; Greater London; On-site; GBP 109,000 - 146,000; Full time

Job summary

A leading NHS Trust in Greater London seeks a Consultant Nephrologist to support their clinical and academic programs in chronic kidney disease, renal transplantation, and dialysis. Responsibilities include providing patient care at various centres, coordinating kidney biopsies, and leading the home haemodialysis programme. The role requires broad experience in clinical nephrology and teaching skills. The successful candidate will join a prestigious institution, contributing to patient care and academic excellence in nephrology.

Qualifications

• Valid registration with the GMC.
• Must be on the specialist register or within 6 months of CCT at interview.
• Experience in training undergraduate and postgraduate students.

Responsibilities

• Coordinate and perform kidney biopsies.
• Provide inpatient and outpatient care.
• Act as clinical lead for the home haemodialysis programme.

Skills

Broad experience in general clinical nephrology

Experience in dialysis and transplantation

Teaching skills

Understanding of clinical governance

Interest in Home Haemodialysis

Competence in performing kidney biopsies

Education

CCST/CCT or CESR in Renal and General medicine

MRCP or equivalent

Full GMC registration

MD or PhD

Job description

This 8.75 PA consultant nephrologist post supports the clinical and academic programme in chronic kidney disease, community-based care, renal transplantation, and dialysis across North Central London. The role includes inpatient and outpatient care at Royal Free Hospital, Tottenham Kidney and Dialysis Centre, and St Pancras Kidney Care Centre, with a 1:9 nephrology on-call commitment. Key responsibilities include coordinating and performing kidney biopsies, post-transplant care, and haemodialysis, as well as leading the Trust's expanding home haemodialysis programme. The post also involves virtual CKD triage and joint leadership of departmental training and education, with full participation in CPD and educational activities. The Royal Free is a centre of excellence for nephrology and transplantation, aligned with UCL Medical School's strategic plans. Expansion of kidney care is central to the Trust's integrated business plan and its development as a leading national transplant site.

Main duties of the job

Care for a dialysis cohort of 50-60 patients, including weekly clinics and monthly MDTs, and manage a cohort of transplant patients. Provide virtual kidney care via e-Referral and online advice portals. Act as clinical lead for the home haemodialysis programme. Coordinate and plan kidney biopsies with administrative teams and perform biopsies on an alternate-week list. Participate in the 1:9 consultant nephrology and transplant on-call rota at Royal Free Hospital, including morning handover, daily ward rounds for ~30 renal inpatients, discharge planning, and review of new admissions. Duties include weekend work and out-of-hours advice; routine clinics are cancelled during on-call weeks. Support improvements in dialysis access pathways. Attend weekly X-ray, renal pathology, and academic meetings. Contribute to infection prevention, antimicrobial stewardship, and departmental training as joint education lead, supervising specialty trainees, clinical scientists, and teaching junior doctors, medical students, and staff. Participate in undergraduate teaching, clinical audit, quality improvement, service development, policy review, CPD, annual appraisal, and revalidation.

About us

The Royal Free combines globally recognised clinical expertise with local and friendly hospital care to represent the best in NHS treatment.

We strive at all times to provide excellent outcomes in clinic treatments, clinical research and when you are training to be a doctor with us, as an excellent working environment for hospital staff.

Our hospitals are renowned for specialist services. The Royal Free leads UK healthcare in a number of areas, including:

• liver transplant and kidney transplant
• cancer treatment
• plastic surgery

The Royal Free Hospital is a major neuroscience base with a network extending throughout north London and into the Home Counties.

We also run internationally recognised clinical research and training programmes associated with the base, and our hospitals conduct medical research, much of which is of international reputation.

The Royal Free Hospital is a leading site for the training of doctors, nurses, midwives and professions allied to medicine.

Job responsibilities

Some roles and responsibilities may change depending on the experience and interests of the appointee. A job plan must be agreed between the successful appointee and clinical lead in accordance with Schedule 3 of the Terms and Conditions Consultants (England) 2003.

Annualised programmed activities are shown below. This represents an average of 8.75 PAs per week. The job plan includes clinical commitment at the Royal Free site to complement the existing clinical service and a contribution to in centre haemodialysis and ongoing management of kidney transplant recipients at our kidney care centres. The job plan also includes time to lead the Trusts expanding home haemodialysis programme. The job plan will not require attendance at more than one site per day.

The following table is a calculation of PAs based on a 42-week year (52 weeks minus 6 for annual leave, 2 for study leave and 2 for bank holidays).

ON-CALL

1:9 on call commitment

This is a substantive NHS appointment attracting 8.75 PAs.

Provisional Annualised Job Plan

Activity Site Frequency Annualised PAs Virtual CKD (DCC) Royal Free Weekly 0.5 On call (DCC) Royal Free 1:9 1.75 Transplant Cohort THKDC Weekly 1.5 Dialysis Cohort SPKCC Weekly 1.5 Home HD lead SPKCC Weekly 0.25 Biopsy Coordination and planning (DCC) Barnet Weekly 0.25 Biopsy List Royal Free Alt Weeks 0.5 Thursday: Departmental/ academic meeting (SPA) Royal Free Weekly 0.5 Thursday: X Ray, Biopsy meeting (DCC) Royal Free Weekly 0.5 Continuing professional development (SPA) Royal Free Weekly 1 Joint Departmental Training and Education Lead (SPA) Royal Free Weekly 0.5 TOTAL 8.75 PA

Example Timetable when not on call

AM PM

Monday

Haemodialysis Clinic

Tuesday

Transplant Clinic

Home HD

Virtual CKD triage & teaching

Wednesday

CPD

Renal Biopsy Coordination and planning

Thursday

Renal Biopsy List (alt weeks)

Renal Biopsy Coordination and planning

X-ray and Biopsy meeting RFH

Academic afternoon

Friday

Person Specification

Qualifications/Training

• CCST/CCT or CESR or equivalent in Renal and General medicine and on the specialist register, or within 6 months of CCT date at the time of interview
• MRCP or equivalent
• Full GMC registration
• MD or PhD
• Strong teaching skills and experience
• Understanding of clinical governance and audit procedures

Experience

• Broad experience in general clinical nephrology and sub-specialty experience in dialysis and transplantation
• Training and education of undergraduate and postgraduate students
• Interest in Home Haemodialysis
• Competence in performing and supervising kidney biopsies

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.

Consultant Nephrologist and Clinical Lead

£109,725 to £145,478 a yearPer annum (pro rata) + london weighting