Clinical Nurse Specialist for Home Haemodialysis
Band 6
Main area Renal Grade Band 6 Contract Permanent Hours Full time – 37.5 hours per week (On call weekend (1 in 4)) Job ref 343-8134917-RB-SK
Site St.Helier hospital Town Carshalton Salary £45,953 – £54,254 Per annum pro rata inc HCAS (outer London) Salary period Yearly Closing 30/07/2026 23:59
At Epsom and St Helier Hospitals, above all we value respect. We put respect at the heart of all we do, by living up to our shared behaviours of kindness, professionalism, positivity and teamwork. This enables us to provide great patient care and make ESTH a great place to work. When you sign up to work with us, you sign up to this and we welcome applicants who share our values.
Job overview
A Home Haemodialysis Nurse provides specialised care to patients with kidney failure who perform dialysis treatments in their own homes.
Their role includes training patients and or caregivers to safely operate dialysis equipment, monitoring treatment effectiveness, and ensuring infection control procedures are followed.
Within this role you would assess patients’ health, manage complications, and offer ongoing clinical and emotional support.
The successful candidate would also coordinates with healthcare teams to adjust treatment plans and promote patient independence and quality of life.
Main duties of the job
Support patients using Home Haemodialysis (HHD) in their normal living environment such as their home, care home, prison, or self-care dialysis area. A driving licence and ability to travel is essential.
Assess new patients who have been referred to see if they are suitable for home haemodialysis.
Communicate and work with renal equipment suppliers and technicians regarding:
- Installation of home dialysis machines
- Ongoing technical support
- Removal of equipment when no longer needed.
Take part in education and training for patients, carers, staff, students, and volunteers.
Attend consultant-led clinics and contribute to weekly progress discussions about patients.
Collect blood samples from patients, review results promptly, and report urgent concerns to the Home Haemodialysis Manager, consultants, or on-call renal registrar.
Record all patient interactions clearly and accurately.
Work with the renal anaemia team or HHD consultant to help manage patients’ blood counts and iron levels.
Organise and communicate schedules for home visits, clinics, and training sessions.
Help check and order dialysis supplies for both patients’ homes and the training area.
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.
At gesh we are committed to supporting flexible working arrangements. Applicants are encouraged to discuss any flexibility they may need during the recruitment process.
Detailed job description and main responsibilities
This job description outlines the main responsibilities of the role. Duties may change depending on the needs of the organisation and will be reviewed with the employee when necessary.
Person specification
Qualifications and Training
- RGN Qualification
- Minimum 1 year HD experience
- Coaching/ Counselling/ Sage and Thyme training
- Understanding of relevant IT systems used, iclip/cv5
Experience and Skills
- Experience and knowledge of transplantation, peritoneal dialysis and nephrology
- Renal Course or equivalent
- Autonomous practitioner/ lone worker
- Excellent interpersonal and communication skills
- Ability to recognise a deteriorating patient and management of care
- Home Haemodialysis Experience
- Experience in staff management
Personal Attributes
- Full UK driving licence
- Kind, professional and self-aware
- Assertive, approachable, conscientious and reliable
- Willingness to teach and be able to keep knowledge and skills updated
- Supportive to colleagues
- Organisation and time management skills
Safeguarding and DBS Checks
We are committed to safeguarding children and vulnerable adults. For roles with direct access to these groups, an Enhanced Disclosure and Barring Service (DBS) check will be required. All staff are expected to understand and uphold their safeguarding responsibilities as part of their role.
Employer certification / accreditation badges
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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