Job summary
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
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 well 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:
- immunology
- liver transplant andkidney transplant
- cancer treatment
- plastic surgery
- ENT 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 description
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
Job description
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
Essential
- 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
Desirable
Skills & Aptitudes
Essential
- Strong teaching skills and experience
- Leadership skills
- Understanding of clinical governance and audit procedures
Experience
Essential
- 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
Desirable
- Interest in vascular access
Person Specification
Qualifications/Training
Essential
- 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
Desirable
Skills & Aptitudes
Essential
- Strong teaching skills and experience
- Leadership skills
- Understanding of clinical governance and audit procedures
Experience
Essential
- 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
Desirable
- Interest in vascular access
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.
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).
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.
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).
