RCS England Senior Clinical Fellowship in Dialysis Access Surgery

NHS; City Of London; On-site; GBP 66,000; Full time

Job summary

A leading UK healthcare provider is seeking a junior doctor for a clinical fellowship in nephrology focusing on dialysis care. This role involves support on ward rounds, leading clinics, and ensuring patient care in a multidisciplinary team. Candidates should hold full GMC registration and have significant experience in General Surgery. A range of training opportunities will be offered, alongside a competitive salary of £65,048 per year.

Qualifications

• A commitment to and evidence of multidisciplinary practice.
• Excellent interpersonal skills and effective communication abilities.
• Ability to teach undergraduate students or junior doctors.

Responsibilities

• Support and lead on ward rounds, theatre lists and clinics.
• Contribute to the dialysis access service and kidney transplantation surgical service.

Skills

Multidisciplinary practice

Team-based approach

Interpersonal skills

Education

Full GMC Registration

Relevant Postgraduate Qualifications (MRCS or equivalent)

Job description

Job Summary

This fellowship post has been approved by the Royal College of Surgeons of England as part of the RCS Senior Clinical Fellowship scheme. It will provide excellent experience in all forms of dialysis access in adults. The main focus will be on the assessment, management and care of the population of patients on haemodialysis, and there will also be the opportunity to gain experience in peritoneal dialysis care.

The post will provide experience suitable for either Phase 2 or Phase 3 of the ISCP General Surgery curriculum or Vascular Surgery curriculum. Doctors who have gained Certificate of Completion of Training looking to gain subspecialty training are also encouraged to apply, as appropriate experience at this level could also be provided. Training in both standard and complex haemodialysis access surgery will be provided by working alongside experienced Consultants. There is a significant emphasis on multidisciplinary team working within the Department, and there will be opportunities to gain experience with Ultrasound, Ultrasonic Angiology, Interventional Radiology and Anaesthetic techniques.

Main Duties

The post holder will, along with other junior colleagues, be responsible for:

• Diagnosis and treatment of patients of the Guy's & St Thomas' NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required.
• Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to and training of your staff.

Clinical Responsibilities

The post holder will, along with other junior colleagues, be responsible for:

• Diagnosis and treatment of patients of the Guy's & St Thomas' NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required.
• Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to and training of your staff.

About Us

The Department of Nephrology and Transplantation at Guy's Hospital is one of the largest in the UK, providing kidney care to South East London, neighbouring areas of Kent and Channel Islands. We receive a significant number of complex referrals from a much wider geographical area. We provide a comprehensive range of services for this population, from management of mild kidney disease through to acute kidney injury (AKI) and the full range of modalities of renal replacement therapy.

We perform almost 300 transplants each year, have the largest living kidney donor programme in the country and are a supra-regional centre for both combined kidney/pancreas and pancreas alone transplantation. We have the country's largest antibody incompatible transplant programme. We performed the first robotic transplants in the UK and have world-class expertise in vascular access and transplant urology.

We offer a full range of peritoneal and haemodialysis therapies both at home and through a network of satellite units.

Job Details

Date posted: 21 November 2025

Pay scheme: Hospital medical and dental staff

Grade: Doctor - other

Salary: £65,048 a year per annum excl. London Zone

Contract: Fixed term

Duration: 12 months

Working pattern: Full-time

Reference number: 196-MED5003

Job locations: Guy's Hospital London SE1 9RT

Job Responsibilities

Please see attached the job description for the full comprehensive full list. You will be responsible for supporting and leading on ward rounds, theatre lists and clinics. These will primarily be to support the dialysis access service, but could involve the general kidney transplantation surgical service.

Person Specification

Qualifications

• Essential: Full GMC Registration
• Desirable: Relevant Postgraduate Qualifications (MRCS or equivalent etc)

Knowledge and Skills

• Essential: A commitment to and evidence of multidisciplinary practice
• Essential: A team based approach to care and service management
• Essential: Excellent interpersonal skills and an ability to communicate effectively with colleagues; clinical and non-clinical patients and their carers/relatives

Research

• Desirable: An ability to initiative pursue and complete clinical or medical research

Teaching

• Essential: An ability to teach undergraduate students or other junior doctors
• Desirable: Certificate of medical education

Good Medical Practice

• Essential: Evidence of understanding of and adherence to the principles of Good Medical and Surgical Practice set out by the GMC

Clinical Experience

• Essential: Significant experience of General Surgery
• Desirable: Experience of Vascular, Access, Transplant and/or Laparoscopic Surgery

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer Details

Employer name: Guy's and St Thomas' NHS Foundation Trust

Address: Guy's Hospital London SE1 9RT

Employer's website: https://www.guysandstthomas.nhs.uk/careers/careers.aspx