Guy's and St Thomas' NHS Foundation Trust

Senior Clinical Fellow in Transplantation and Renal Surgery

The closing date is 10 December 2025

Job summary

This post would suit trainees wishing to pursue a career in transplantation, general surgery or urology. It provides an excellent opportunity to expand knowledge in pre/post-operative management of surgical patients in a busy transplant environment and to develop basic general surgical/vascular/urological technical skills. Those wishing to improve their academic portfolio will be supported to do so.

The post will incorporate ward and on-call commitments as well as theatre and outpatient commitments. There will be an opportunity to work on Audit or a Quality Improvement project. The post will therefore suit individuals who wish to develop these areas, and will also suit those who wish to work less than full time. The postholder will be supervised by a Transplant Surgery Consultant as well as the Transplant medical team with whom they will be working closely.

Main duties of the job

Clinical:

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

a. 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

b. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

Proposed timetable:

The exact time table would be determined after discussion with Clinical Lead for Transplant to consider the educational needs of the post holder along with those of other junior surgical colleagues. However broadly speaking it would involve the following:

  • Participation in Consultant led ward rounds
  • Participation in at least one transplant or surgical clinic a week
  • Attendance at 2 in-patient theatre sessions per week
  • 1 session per week for research / quality improvement / audit

Clinical sessions will involve pre- and post-operative assessment of dialysis access, transplant urology and general surgery patients.

On call commitment:

The post holder will undertake a 1 in 10 (or higher) on call rota. This will be resident on call. This will involve covering dialysis and transplant patients based at Guy's & St Thomas sites and may involve travel for organ retrievals. Please note the banding of the rota is subject to change and will be confirmed at the interview stage.

About us

Department Information

The Department of Nephrology and Transplantation at Guy's is one of the largest in the UK, providing kidney care to South East London, neighbouring areas of Kent and the Channel Islands. In addition, 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 around 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. We are nationally recognised for quality of care, innovation in clinical practice and service delivery, and for our close functional and geographical integration with the research programmes of both the MRC Transplantation Centre and the Comprehensive Biomedical Research Centre.

Details

Date posted

28 November 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£65,048 to £73,992 a year p.a excluding LZ

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-MED5009

Job locations

Guys Hospital

Great Maze Pond

London

SE1 9RT


Job description

Job responsibilities

Clinical:

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

a. Diagnosis and treatment of patients of the Guys & St Thomas NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required

b. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

Proposed timetable:

The exact time table would be determined after discussion with Clinical Lead for Transplant to consider the educational needs of the post holder along with those of other junior surgical colleagues. However broadly speaking it would involve the following:

  • Participation in Consultant led ward rounds
  • Participation in at least one transplant or surgical clinic a week
  • Attendance at 2 in-patient theatre sessions per week
  • 1 session per week for research / quality improvement / audit

Clinical sessions will involve pre- and post-operative assessment of dialysis access, transplant urology and general surgery patients.

On call commitment:

The post holder will undertake a 1 in 10 (or higher) on call rota. This will be resident on call. This will involve covering dialysis and transplant patients based at Guys & St Thomas sites and may involve travel for organ retrievals. Please note the banding of the rota is subject to change and will be confirmed at the interview stage.

Research:

Clinical Research undertaking as part of the Trust research and development will be encouraged and able facilities for research exist.

Training of junior staff:

The postholder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that post holder has agreed with their supervising consultant.

Teaching:

The post holder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.

Clinical Governance:

All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.

Mutual Obligation to Monitor Hours:

There is a contractual obligation on employers to monitor working hours through robust local monitoring arrangements supported by national guidance, and on individual doctors to co-operate with those monitoring arrangements.

European Working Time Directive (EWTD):

All posts and working patterns are under constant review in line with EWTD guidelines

Educational Programme:

Neither the London Deanery nor the Royal College accredits this post for postgraduate training. However the post holder will be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc.

Appraisal:

All medical and dental staff are required to undertake appraisal.

Job description

Job responsibilities

Clinical:

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

a. Diagnosis and treatment of patients of the Guys & St Thomas NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required

b. Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

Proposed timetable:

The exact time table would be determined after discussion with Clinical Lead for Transplant to consider the educational needs of the post holder along with those of other junior surgical colleagues. However broadly speaking it would involve the following:

  • Participation in Consultant led ward rounds
  • Participation in at least one transplant or surgical clinic a week
  • Attendance at 2 in-patient theatre sessions per week
  • 1 session per week for research / quality improvement / audit

Clinical sessions will involve pre- and post-operative assessment of dialysis access, transplant urology and general surgery patients.

On call commitment:

The post holder will undertake a 1 in 10 (or higher) on call rota. This will be resident on call. This will involve covering dialysis and transplant patients based at Guys & St Thomas sites and may involve travel for organ retrievals. Please note the banding of the rota is subject to change and will be confirmed at the interview stage.

Research:

Clinical Research undertaking as part of the Trust research and development will be encouraged and able facilities for research exist.

Training of junior staff:

The postholder will take responsibility for the training and direction of junior staff allocated to him/her under aegis of the training plan that that post holder has agreed with their supervising consultant.

Teaching:

The post holder will be expected to contribute as appropriate in the teaching of undergraduate and postgraduate students.

Clinical Governance:

All medical and dental staff are expected to take part in clinical governance activity, including clinical audit, clinical guideline and protocol development and clinical risk management. They will be expected to produce evidence of their contribution in these areas and their audit of their own clinical work as part of their appraisal.

Mutual Obligation to Monitor Hours:

There is a contractual obligation on employers to monitor working hours through robust local monitoring arrangements supported by national guidance, and on individual doctors to co-operate with those monitoring arrangements.

European Working Time Directive (EWTD):

All posts and working patterns are under constant review in line with EWTD guidelines

Educational Programme:

Neither the London Deanery nor the Royal College accredits this post for postgraduate training. However the post holder will be expected to attend and contribute to educational activities e.g. departmental meetings, x-ray meetings, pathology meetings, multidisciplinary meetings, journal clubs etc.

Appraisal:

All medical and dental staff are required to undertake appraisal.

Person Specification

Qualifications/Training

Essential

  • Gmc registration

Desirable

  • Other relevant postgraduate qualifications e.g. FRCS or equivalent

Clinical Experience

Essential

  • Significant experience of General Surgery / Renal & Urology

Desirable

  • Experience of transplant, urology, vascular and/or laparoscopic surgery

Knowledge and Skills

Essential

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

Research

Essential

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

Desirable

  • A higher research degree (i.e. PhD, MD)

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
Person Specification

Qualifications/Training

Essential

  • Gmc registration

Desirable

  • Other relevant postgraduate qualifications e.g. FRCS or equivalent

Clinical Experience

Essential

  • Significant experience of General Surgery / Renal & Urology

Desirable

  • Experience of transplant, urology, vascular and/or laparoscopic surgery

Knowledge and Skills

Essential

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

Research

Essential

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

Desirable

  • A higher research degree (i.e. PhD, MD)

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

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 (opens in a new window).

Additional information

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 (opens in a new window).

Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guys Hospital

Great Maze Pond

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer details

Employer name

Guy's and St Thomas' NHS Foundation Trust

Address

Guys Hospital

Great Maze Pond

London

SE1 9RT


Employer's website

https://www.guysandstthomas.nhs.uk/careers/careers.aspx (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Assistant Service Manager

Leisha Manning

Leisha.Manning@nhs.net

Details

Date posted

28 November 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

£65,048 to £73,992 a year p.a excluding LZ

Contract

Fixed term

Duration

12 months

Working pattern

Full-time

Reference number

196-MED5009

Job locations

Guys Hospital

Great Maze Pond

London

SE1 9RT


Supporting documents

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