Advanced Kidney Care Specialist Nurse - Nephrology


Company:	NHS Jobs
Salary:	£39,959 to £48,117 a year
Hours:	Full-time
Location:	Liverpool, L7 8YE
Job type:	Contract
Posting date:	7 Oct 2026
Closing date:	21 Oct 2026

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Summary

The Clinical Nurse Specialist will act as the clinical expert and professional resource to the Multi-Professional team, patients and carers within their Speciality Service.The post holder will take overall responsibility to develop the specialist area ofpractice in partnership with other members of the speciality team (General Manager,Lead Clinician, Matron, Service Manager etc) will work collaboratively to developservices and quality of care delivered.The post holder will be expected to provide first-line management and lead a team ofspecialist nurses (Sisters).This will be achieved through the core dimensions of the role, clinical practiceleadership, acting as the patient advocate and through audit and education.The post holder will carry responsibility for either a defined case load or offeringhighly specialist service advise this will include setting standards of care, theassessment of care needs and the development, implementation and evaluation ofprogrammes of care.The post holder will contribute to achieving the objectives of the clinical service group/ speciality corporate objectives and work within the clinical governance framework.They will lead the development and delivery of a programme of practice andprofessional development for staff within the speciality.Key responsibilitiesClinicalSep 2021 Perform specialist assessment of patients nursing needs, plan, implement andevaluate care delivery using advanced clinical knowledge and clinical skills.Lead clinical care by managing a patient caseload providing expert assessment,planning and evaluation.Co-ordinate and manage nurse-led clinics (within Speciality).Contribute towards a multi-professional approach in the management of patientswithin the specialist area, especially in relation to ongoing care needs anddischarge arrangements.Establish and maintain effective communication with patients and carers /relatives.Support patients and their families and ensure that they receive the requiredinformation to enable them to self manage, lead or participate in their caredelivery.Recognise changes in patients condition that require the intervention of othersand refer on as appropriate.To support, assist and encourage the multi-disciplinary team in resolving patientproblems, by the provision of new and innovative models of case management.To lead the specialist nursing contribution to the service, in the delivery of highstandards of patient care.To lead the specialist nursing contribution to the service, work in partnership withlead clinicians, General Managers, Matron to ensure the delivery of highstandards of patient care.Work with the Matron to promote the development of nurses undertaking theCNO Ten Key Roles as considered appropriate e.g. Nurse Prescribing.Leadership Act as a role model and expert nurse providing in depth specialist clinicalknowledge to colleagues through MDT meetings, for patients and carers /relatives.Undertake clinical supervision of nursing colleagues on an individual or groupbasis.Act as a resource for health care professionals by being visible, available, andaccessible for support and advice in relation to the management of patients in thespeciality.Provide leadership to the team of nurse specialists and working with the matron,develop new roles / ways of working (High Impact Changes). Linked todirectorate business plans.Ensure the effective and efficient use of physical and financial resources.Lead consultations on and develop strategies for delivering effective care within achanging environment that improves the quality of care and health outcomes inthe specialist area.Responsible for monitoring health, safety and security of self, the team andothers and promote best practice in the ward area.Ensure systems are in place for risk assessment and minimisation includingpromoting no blame cultures in order that near misses and incidents arereported.Take the lead in investigation of incidents / complaints when required, includingdetailed reports / letters to complainants.Act as an innovative, enthusiastic role model providing leadership, guidance andadvice to staff on operational and professional issues promoting an open andhonest and transparent culture.Demonstrate clinical leadership and challenge speciality and directorateboundaries to enhance and support the patients journey.Management / OperationalSep 2021Lead a team of specialist sisters/ CNSs towards achieving directorate, and Trustobjectives.To identify and develop proposals and business cases as required for futureservice innovation.Take the lead and develop and influence the development of practice / servicesin the clinical area through the business planning process / service developmentand in conjunction with Matron, General Manager, Lead Clinician and AssistantChief Nurse.Ensure appropriate skill mix, cover is provided when planning rotas anddelegating workload.Delegate work to match capabilities and workload of team members.Manage own and other resources effectively ensuring efficient service delivery.Undertake performance development reviews including reviewing theperformance measures framework.Monitor sickness, absence and competence issues in line with Trust Policy.Lead recruitment and selection of staff in line with Trust Policy.AdvocateEnsure that high standards of nursing care are given and maintained and actwhen standards are not being met.Involve patients and carers in the planning and delivery of care.Act as the patients advocate and ambassador.Lead the development of a patient focussed education and information givingstrategy within the specialityRecognise, prevent and diffuse potential areas of conflict and take a key role inthe management of the outcome.* The post holder shall as necessary provide cover for and undertake duties ofabsent colleagues.* The post holder shall follow all the policies and procedures of the organisation.

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