Job overview

Providing clinical expertise, education & support for patients approaching End stage Renal disease (ESRD) to enable informed decision making when choosing a treatment option as their kidneys fail.
To work in partnership with the Advanced Kidney care Matron & team, Frailty & AKCC Consultant and allied healthcare professionals in identifying patients who may benefit from the support offered.   
To provide educational support to ensure that all patients have a frailty score when approaching ESRD in order to identify the patients who will benefit most from this service.

To work in partnership with primary care (palliative, General practice) to ensure good links that enable smooth referral where patients choose a supportive care pathway.

To work in partnership with the Trust palliative care teams.

To collect relevant data agreed with the Medical team & Programme Lead  to demonstrate the outcomes of the intervention and provide monthly updates to the Divisional Tri that can be communicated to the ICB & NHSE.

Main duties of the job

The post holder will manage a caseload of multi co-morbid patients, with advance chronic kidney disease providing education, support and coordinating the patient care pathways for in and outpatients
as appropriate.
They will also provide specialist advance care planning to patients and their families, and act as a resource for other professionals. By utilising expert knowledge, skills and experience, the post holder
will enable and support the process of delivering high-quality care to individuals reaching the end of life on dialysis with advanced care pathway needs.
To participate as part of a multi-disciplinary team, working collaboratively with colleagues, patients, carers, other health and social care professionals, statutory, voluntary and independent organisations
to ensure optimum patient management.
The post holder will play a key role in ongoing service developments to ensure the delivery of evidence based best practice and assist in meeting Trust targets/objectives

Working for our organisation

St George’s, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey. Our sites include St George’s Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC). 

 After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.