In November of 2003 a more proactive approach to Chaplaincy was instigated in a Renal Unit. Rather than wait for referrals, the Chaplain visited round the unit, asking patients about their experience of renal care and dialysis. The result was a hugely increased number of patients and staff involved in spiritual care, and a greater awareness on the part of the staff of the work of the Chaplaincy Team. This article is an examination of the process whereby Chaplaincy became an integral part of the care given on this unit and reports the results of a survey of staff regarding this process. This also contributes to current debate about the professionalizing of Chaplaincy and the allocation of spiritual care resources.