Job summary The post holder will act as a member of the multidisciplinary team providing comprehensive care for patients with Advanced Kidney Disease (AKD) who are approaching the need for Renal Replacement Therapy (RRT) and work towards achieving and maintaining British Renal Association and NICE Standards relating to preparation for RRT. As a specialist nurse the post holder is responsible for providing specialist knowledge, advice, support and care to patients, carers and other health professionals relating to AKD. The post holder will act as a point of contact for individuals who need to access the specialist service and will provide advice and ongoing support to them and also to colleagues within and external to the service and trust as required Main duties of the job The Low Clearance Specialist Nurse is responsible for the co-ordination of the patients care and journey which includes: Education and counselling of patients about progressive chronic kidney disease (CKD) to enable them to make any modifiable lifestyle changes to slow progression and equip them to share in the management of their health for the future Education and counselling of patients regarding renal transplantation (where medically appropriate), all forms of dialysis in all settings - (home/hospital/satellite/shared care) and conservative care Promoting Shared decision-making by patients and health care professionals about treatment for AKD using evidence based aids Education about self-management of AKD Ensuring access to both living and deceased donor kidney transplantation prior to dialysis where possible Timely establishment of vascular or peritoneal access Timely initiation of dialysis either by peritoneal dialysis or haemodialysis in the setting chosen by patient Ensure patients vaccinated against hepatitis B virus through appropriate referral pathway About us The Humber Health Partnership is one of the largest acute and community Partnership arrangements in the NHS, seeing well over one million patients every year and managing a budget of over £1.3 billion. Made up of two Trusts - Northern Lincolnshire and Goole NHS Foundation Trust (NLAG) and Hull University Teaching Hospitals NHS Trust (HUTH) - our Partnership has significant ambitions and is committed to delivering world-class hospital and community services for the 1.65 million people we serve. Together we employ nearly 20,000 staff. Our five main hospital sites are Diana, Princess of Wales Hospital, Scunthorpe General Hospital and Goole and District Hospital, for NLAG and Hull Royal Infirmary and Castle Hill Hospital for HUTH. As Teaching Hospitals working with the Hull York Medical School, we both lead and contribute to research in many areas - biomedical research, primary care, palliative medicine, cardiovascular and respiratory medicine, vascular surgery, cancer surgery and oncology. We believe that by developing a diverse, inclusive, innovative, skilled and caring workforce, we can deliver excellent care to our patients and a great future for our employees, our Partnership and our community. Date posted 06 February 2025 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum Contract Permanent Working pattern Part-time Reference number 356-25-6923594 Job locations hull royal infirmary Anlaby Road Hull HU3 2JZ Job description Job responsibilities Proactively supports patients and carers in understanding their condition, providing ongoing support and information about treatment options available for their AKD. Ensures information is conveyed to the patient in a timely and understandable manner, using different communication methods to clarify understanding Ensures effective communication is maintained between members of the multi disciplinary team to ensure appropriate individuals are informed of changes to the patients condition or treatment plan. Ensure all staff have access to up to date AKD related literature and information. To participate in educational events/ in service training to maximise opportunities for staff to learn about AKD. Develop, foster and maintain effective relationships internal and external to the Trust, especially community teams. Develop external networks with peers to share good practice. With support of clinical lead develop specialist knowledge and expertise to assess, plan and implement care interventions for patients. Uses expertise and protocols to recommend adjustments / amendments to treatment plans, in consultation with patients to members of the multi professional team. Maintains up to date knowledge in the specialist field, using information to affect change in practice, and ensuring the effective dissemination of new knowledge. Responsible for interpreting new knowledge, to ensure that practice is up to date, and in line with current thinking. The post holder is responsible for implementing new knowledge/practice in relation to specialist area. Provide specialist advice to patients and their families on treatments and options available to them. Work with other key members of MDT to promote an environment conducive to high morale and staff development. With support gain enhanced clinical skills Participate in the education and training of internal and external health professionals Contribute at a local and national level to present achievements and developments within the service. Job description Job responsibilities Proactively supports patients and carers in understanding their condition, providing ongoing support and information about treatment options available for their AKD. Ensures information is conveyed to the patient in a timely and understandable manner, using different communication methods to clarify understanding Ensures effective communication is maintained between members of the multi disciplinary team to ensure appropriate individuals are informed of changes to the patients condition or treatment plan. Ensure all staff have access to up to date AKD related literature and information. To participate in educational events/ in service training to maximise opportunities for staff to learn about AKD. Develop, foster and maintain effective relationships internal and external to the Trust, especially community teams. Develop external networks with peers to share good practice. With support of clinical lead develop specialist knowledge and expertise to assess, plan and implement care interventions for patients. Uses expertise and protocols to recommend adjustments / amendments to treatment plans, in consultation with patients to members of the multi professional team. Maintains up to date knowledge in the specialist field, using information to affect change in practice, and ensuring the effective dissemination of new knowledge. Responsible for interpreting new knowledge, to ensure that practice is up to date, and in line with current thinking. The post holder is responsible for implementing new knowledge/practice in relation to specialist area. Provide specialist advice to patients and their families on treatments and options available to them. Work with other key members of MDT to promote an environment conducive to high morale and staff development. With support gain enhanced clinical skills Participate in the education and training of internal and external health professionals Contribute at a local and national level to present achievements and developments within the service. Person Specification QUALIFICATIONS Essential RGN 1st Level Educated to degree level or can evidence equivalent education Evidence of leadership Mentoring skills Desirable Non-medical prescribing and Clinical Examination qualification ( or willingness to work towards) Interest in End Of Life Care Communication skills training Teaching Qualification PROFESSIONAL EXPERIENCE Essential Minimum 5 years post registration and 2 years recent/current Renal experience Experience of chronic disease management and understanding of renal patient journey Evidence of professional development and multi-professional working Evidence of excellent communication skills Desirable Experience of service development, audit and project management Experience in all modes of Renal Replacement Therapy Evidence of providing patient and multi-professional education and training Evidence of working as lone or independent worker Evidence of change management and innovation Experience of B6 SKILLS, KNOWLEDGE AND ABILITY Essential Proven ability to communicate well within a multi-disciplinary team internally and external to the trust - written, verbal and face to face Excellent interpersonal skills Proven ability to mentor/preceptor junior members of staff including student nurses Must have awareness of Clinical Governance, Research Excellent organisational skills with ability to work as an autonomous practitioner Computer literate Knowledge of relevant national guidelines Experience of producing and delivering presentations Good analytical and problem solving skills Desirable Experience of applying research and audit to deliver the clinical governance, service and trust agenda and negotiating and implementing change PERSONAL ATTRIBUTES Essential Highly motivated Assertive Diplomatic Proven ability to work on own initiative Keen interest in chronic disease management, health promotion, patient education and shared decision making Effective time manager Leadership qualities Innovative/ Ability to implement new innovations and initiatives for service development Strong patient advocacy skills Ability to cope under pressure Excellent interpersonal skills Effective communicator Motivation to promote change OTHER REQUIREMENTS Essential Must be willing to work flexibly and travel to other sites and geographical areas covered by the service for patient and service needs Car owner/driver Person Specification QUALIFICATIONS Essential RGN 1st Level Educated to degree level or can evidence equivalent education Evidence of leadership Mentoring skills Desirable Non-medical prescribing and Clinical Examination qualification ( or willingness to work towards) Interest in End Of Life Care Communication skills training Teaching Qualification PROFESSIONAL EXPERIENCE Essential Minimum 5 years post registration and 2 years recent/current Renal experience Experience of chronic disease management and understanding of renal patient journey Evidence of professional development and multi-professional working Evidence of excellent communication skills Desirable Experience of service development, audit and project management Experience in all modes of Renal Replacement Therapy Evidence of providing patient and multi-professional education and training Evidence of working as lone or independent worker Evidence of change management and innovation Experience of B6 SKILLS, KNOWLEDGE AND ABILITY Essential Proven ability to communicate well within a multi-disciplinary team internally and external to the trust - written, verbal and face to face Excellent interpersonal skills Proven ability to mentor/preceptor junior members of staff including student nurses Must have awareness of Clinical Governance, Research Excellent organisational skills with ability to work as an autonomous practitioner Computer literate Knowledge of relevant national guidelines Experience of producing and delivering presentations Good analytical and problem solving skills Desirable Experience of applying research and audit to deliver the clinical governance, service and trust agenda and negotiating and implementing change PERSONAL ATTRIBUTES Essential Highly motivated Assertive Diplomatic Proven ability to work on own initiative Keen interest in chronic disease management, health promotion, patient education and shared decision making Effective time manager Leadership qualities Innovative/ Ability to implement new innovations and initiatives for service development Strong patient advocacy skills Ability to cope under pressure Excellent interpersonal skills Effective communicator Motivation to promote change OTHER REQUIREMENTS Essential Must be willing to work flexibly and travel to other sites and geographical areas covered by the service for patient and service needs Car owner/driver 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. Certificate of Sponsorship 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. Certificate of Sponsorship 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). Employer details Employer name Hull University Teaching Hospitals NHS Trust Address hull royal infirmary Anlaby Road Hull HU3 2JZ Employer's website https://www.hey.nhs.uk/ (Opens in a new tab)