Clinical Nurse Specialist (Acute Kidney Injury and Sepsis)

Job Summary

This role is offered on a part-time basis of 15.5 hrs per week.

We are seeking a proactive and highly motivated Band 6 AKI & Sepsis Nurse to join our Adult Sepsis and Acute Kidney (ASK) Team. This specialist role supports the early identification, assessment, and management of patients with Acute Kidney Injury and Sepsis across the organisation. You will work autonomously across front-door and inpatient areas, delivering expert clinical assessment, initiating timely interventions, and guiding teams in the use of the SHOUT bundle and Sepsis Six.

You will educate and support staff in recognising deterioration, contribute to quality improvement initiatives, and promote best practice in line with NICE guidance. The role involves close multidisciplinary collaboration, providing expert advice on fluid management, medications, and treatment planning. You will also support safe discharge planning, including telephone follow-ups for AKI patients, and play a key part in delivering a reliable seven-day service.

This is an excellent opportunity for an experienced clinician to act as a role model, influence high-quality care, and make a meaningful impact on patient outcomes Trust-wide.

Main duties of the job

Provide specialist clinical assessment and management for patients with Acute Kidney Injury, ensuring timely identification, treatment using the SHOUT bundle. Work proactively across front-door areas and inpatient wards to identify deteriorating patients, initiate appropriate interventions, and ensure prompt senior reviews. Support staff in the early recognition of sepsis using the Sepsis Six tool, guiding clinical teams to deliver timely treatment in line with NICE guidance. Deliver high-quality education and training to multidisciplinary teams on AKI prevention, management, sepsis recognition, and treatment. Lead and contribute to quality improvement projects relating to AKI and sepsis care .Work collaboratively with ward teams, the Emergency Department, and specialty services to enhance early intervention and integrated care. Provide expert advice on fluid management, medication, and treatment plans for patients with or at risk of AKI. Support the delivery of a seven-day service, ensuring equitable specialist cover, continuity of care, and timely patient review. Guide safe discharge planning and follow-up

for complex AKI patients, including telephone follow-ups to support recovery and prevent readmission. Act as a clinical role model, demonstrating advanced nursing practice, patient advocacy, and high standards of care. Participate in policy development, pathway refinement, and implementation of NICE-aligned best practice for AKI and sepsis management.

About Us

We are proud to be part of BSW Hospitals Group - a formal partnership between Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17, 600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.

We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.

Job Description

Job responsibilities

Advanced assessment , including full physical assessment. Early recognition and management of AKI (including SHOUT bundle) Supporting Early identification and treatment of sepsis. Interpretation of blood tests, and clinical investigations. Fluid assessment and optimisation Formulating and escalating treatment plans ,Medication review within scope of practice. Delivering clinical education to multidisciplinary teams. Supporting safe discharge and followup for AKI patients. Strong communication and multidisciplinary teamwork. Ability to work autonomously across ED and inpatient areas.

Person Specification

Qualifications

Qualifications Essential

• First level NMC registration
• Teaching and Assessing Qualification/ ENB 998/ City and Guilds 730 or equivalent
• Bachelors Degree (or evidence of level 3 learning supplemented by diploma level specialist training/experience/ education)
  
  
  

Desirable

• Relevant clinical course to enable history taking, and clinical examination, diagnostic reasoning, and differential diagnosis
  
  
  

Experience Essential

• Demonstrable post qualification experience within an acute environment
• High standard of nursing care and clinical knowledge
• Ability to support patients and family members
• Evidence of continued professional development
• Computer Literacy
  
  
  

Desirable

• Experience of managing acutely/ critically ill patients
• Experience of delivering the Sepsis 6 and/or SHOUT bundles
• Participation in research and /or audit
• Experience of managing change and developing services
• Demonstrable experience of delivering teaching/ training
  
  
  

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).