Consultant in Nephrology Medicine

Job overview

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

Detailed job description and main 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 Trust’s 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

Example Timetable when not on call