Job Description

This fellowship post has been approved by the Royal College of Surgeons of England as part of the RCS Senior Clinical Fellowship scheme. It will provide excellent experience in all forms of dialysis access in adults. The main focus will be on the assessment, management and care of the population of patients on haemodialysis, and there will also be the opportunity to gain experience in peritoneal dialysis care.
The post will provide experience suitable for either Phase 2 or Phase 3 of the ISCP General Surgery curriculum or Vascular Surgery curriculum. Doctors who have gained Certificate of Completion of Training looking to gain subspecialty training are also encouraged to apply, as appropriate experience at this level could also be provided. Training in both standard and complex haemodialysis access surgery will be provided by working alongside experienced Consultants. There is a significant emphasis on multidisciplinary team working within the Department, and there will be opportunities to gain experience with Ultrasound, Ultrasonic Angiology, Interventional Radiology and Anaesthetic techniques.
Main duties of the job
The post holder will, along with other junior colleagues be responsible for:

• Diagnosis and treatment of patients of the Guy's & St Thomas' NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required.
• Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

Clinical:
The post holder will, along with other junior colleagues be responsible for:

• Diagnosis and treatment of patients of the Guy's & St Thomas' NHS Foundation Trust in such hospitals, health centres or clinics or other premises as required.
• Continuing clinical responsibility for the patients in your charge, allowing for all proper delegation to, and training of, your staff.

About us
The Department of Nephrology and Transplantation at Guy's Hospital is one of the largest in the UK, providing kidney care to South East London, neighbouring areas of Kent and Channel Islands.
In addition, we receive a significant number of complex referrals from a much wider geographical area. We provide a comprehensive range of services for this population, from management of mild kidney disease through to acute kidney injury (AKI) and the full range of modalities of renal replacement therapy.
We perform almost 300 transplants each year, have the largest living kidney donor programme in the country and are a supra-regional centre for both combined kidney/pancreas and pancreas alone transplantation. We have the country's largest antibody incompatible transplant programme. We performed the first robotic transplants in the UK and have world-class expertise in vascular access and transplant urology.
We offer a full range of peritoneal and haemodialysis therapies both at home and through a network of satellite units.
Details
Date posted
21 November 2025
Pay scheme
Hospital medical and dental staff
Grade
Doctor - other
Salary
65,048 a year per annum excl. London Zone
Contract
Fixed term
Duration
12 months
Working pattern
Full-time
Reference number
196-MED5003
Job locations
Guy's Hospital
London
SE1 9RT
Job description
Job responsibilities
Please see attached the job description for the full comprehensive full list. You will be responsible for supporting and leading on ward rounds, theatre lists and clinics. These will primarily be to support the dialysis access service, but could involve the general kidney transplantation surgical service.
Person Specification Qualifications Essential

• Full GMC Registration

Desirable

• Relevant Postgraduate Qualifications (MRCS or equivalent etc)

Knowledge and Skills Essential

• A commitment to and evidence of multidisciplinary practice
• A team based approach to care and service management
• Excellent interpersonal skills and an ability to communicate effectively with colleagues; clinical and non-clinical patients and their carers/relatives

Research Desirable

• An ability to initiative pursue and complete clinical or medical research

Teaching Essential

• An ability to teach undergraduate students or other junior doctors

Desirable

• Certificate of medical education

Good Medical Practice Essential

• Evidence of understanding of and adherence to the principles of Good Medical and Surgical Practice set out by the GMC

Clinical Experience Essential

• Significant experience of General Surgery

Desirable

• Experience of Vascular, Access, Transplant and/or Laparoscopic Surgery

RCSEng website:https://www.rcseng.ac.uk/education-and-exams/accreditation/rcs-senior-clinical-fellowship-scheme/national-surgical-fellowship-scheme-register/vascular-surgery/ Job description
Job responsibilities
Please see attached the job description for the full comprehensive full list. You will be responsible for supporting and leading on ward rounds, theatre lists and clinics. These will primarily be to support the dialysis access service, but could involve the general kidney transplantation surgical service.
Person Specification Qualifications Essential

• Full GMC Registration

Desirable

• Relevant Postgraduate Qualifications (MRCS or equivalent etc)

Knowledge and Skills Essential

• A commitment to and evidence of multidisciplinary practice
• A team based approach to care and service management
• Excellent interpersonal skills and an ability to communicate effectively with colleagues; clinical and non-clinical patients and their carers/relatives

Research Desirable

• An ability to initiative pursue and complete clinical or medical research

Teaching Essential

• An ability to teach undergraduate students or other junior doctors

Desirable

• Certificate of medical education

Good Medical Practice Essential

• Evidence of understanding of and adherence to the principles of Good Medical and Surgical Practice set out by the GMC

Clinical Experience Essential

• Significant experience of General Surgery

Desirable

• Experience of Vascular, Access, Transplant and/or Laparoscopic Surgery

RCSEng website:https://www.rcseng.ac.uk/education-and-exams/accreditation/rcs-senior-clinical-fellowship-scheme/national-surgical-fellowship-scheme-register/vascular-surgery/
Person Specification
Qualifications
Essential

• Full GMC Registration

Desirable

• Other relevant postgraduate qualifications e.g. MRCS or equivalent

Knowledge and Skills
Essential

• A commitment to and evidence of multidisciplinary practice
• A team based approach to care and service management
• Excellent interpersonal skills and an ability to communicate effectively with colleagues; clinical and non-clinical patients and their carers/relatives

Research
Essential

• An ability to initiate, pursue and complete medical research

Desirable

• Research degree (e.g. MSc, MD(Res), PhD)

Teaching
Essential

• An ability to teach undergraduate students or other junior doctors

Desirable

• Formal teaching qualification

Good Medical Practice
Essential

• Evidence of understanding of and adherence to the principles of Good Medical and Surgical Practice set out by the GMC

Clinical Experience
Essential

• Significant experience of General Surgery and/or Vascular Surgery

Desirable

• Experience of Haemodialysis Access or Peritoneal Dialysis Surgery

Person Specification
Qualifications
Essential

• Full GMC Registration

Desirable

• Other relevant postgraduate qualifications e.g. MRCS or equivalent

Knowledge and Skills
Essential

• A commitment to and evidence of multidisciplinary practice
• A team based approach to care and service management
• Excellent interpersonal skills and an ability to communicate effectively with colleagues; clinical and non-clinical patients and their carers/relatives

Research
Essential

• An ability to initiate, pursue and complete medical research

Desirable

• Research degree (e.g. MSc, MD(Res), PhD)

Teaching
Essential

• An ability to teach undergraduate students or other junior doctors

Desirable

• Formal teaching qualification

Good Medical Practice
Essential

• Evidence of understanding of and adherence to the principles of Good Medical and Surgical Practice set out by the GMC

Clinical Experience
Essential

• Significant experience of General Surgery and/or Vascular Surgery

Desirable

• Experience of Haemodialysis Access or Peritoneal Dialysis Surgery

Skills Required