Great Western Hospitals NHS Foundation Trust
ASK team specialist Nurse Sepsis and Acute Kidney Injury
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Job Summary
Please note this is a part-time job for 18.75 hours (07:15-18:00, day, weekends, and bank holidays).
The ASK team is highly valued across the Trust and plays an important role in improving the treatment, escalation, and care of AKI and Sepsis patients. The post holder will work clinically as part of the Acute Sepsis and Kidney Injury (ASK) Team, providing specialist assessment, review, and management of patients with Acute Kidney Injury (AKI) across the Trust.
The role includes proactive daily review of AKI patients using the electronic patient record and AKI alert system, ensuring early recognition, timely escalation, and delivery of evidence-based care in line with NICE guidance and Trust policies. The post holder supports the optimization of treatment, monitoring of progress, and coordination with multidisciplinary teams to prevent deterioration and improve outcomes.
The post holder acts as a clinical expert and resource for ward and front-door teams, providing advice, education, and support to embed best practice, reduce variation in care, and promote safe discharge. The role contributes to audit, quality improvement, and ongoing development of AKI and sepsis pathways, supporting a consistent seven-day service and high-quality patient care.
The ASK Team provides comprehensive Sepsis training across the Trust and community settings and is leading a significant quality improvement initiative to implement the new Sepsis Tool, ensuring alignment with the latest NICE guidance.
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.
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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 a 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 the scope of practice.
- Delivering clinical education to multidisciplinary teams.
- Supporting safe discharge and follow-up for AKI patients.
- Strong communication and multidisciplinary teamwork.
- Ability to work autonomously across other areas.
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Person Specification
Qualifications
Essential
- First-level NMC registration
- Teaching and Assessing Qualification / ENB 998 / City and Guilds 730 or equivalent
- Bachelor's Degree (or evidence of level 3 learning supplemented by diploma level specialist training/experience/ education)
Desirable
- Relevant clinical course to enable history taking, 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
- 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
- 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.
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.
UK Registration
Applicants must have current UK professional registration. For further information, please see NHS Careers website.
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