Job description

Job responsibilities

Join a well-established, innovative community respiratory service with excellent patient and team satisfaction. Our aim is to improve clinical outcomes for patients with respiratory disease, offering a viable alternative to hospital care. The model puts community respiratory specialists at the heart of supporting primary care and the core community health and social care teams. The elements of the service include admission prevention, supportive discharge from hospital, education and training of health care professionals, patients and carers, complex management for those beyond remit of general practice and home oxygen assessment and review.

Work autonomously responsible for own workload.

Using your clinical experience and skills you will be responsible for the assessment, planning, delivery and evaluation of programs of care

To liaise with other health professionals in the GP surgeries and HCT & CCGs towards improving the care of people with respiratory disorders.

Lead in the development of the respiratory service in order to ensure that it moves forward in line with national guidelines

RESPONSIBILITIES / ACCOUNTABILITIES:

Key working relationships:

Acute hospital Respiratory Consultants, clinicians and other respiratory staff, Respiratory Physiotherapists, Patient Advisory and Liaison Service. Agencies & organisations external to the Trust, such as, Adult Care Services, HCT and the ambulance service, GPs, Community Matrons and practice nurses, voluntary support groups.

COMMUNICATION AND RELATIONSHIPS:

Involvement in robust pathways with all the acute trusts covering East & North Herts CCG to ensure the patients journey is as smooth as possible.

To support the Community Matrons and Integrated Care Teams with their complex respiratory patients

Act as a resource for primary care staff on the management of patients with Chronic Respiratory disease, promoting effective care and avoiding unnecessary hospital admissions/referrals.

To be actively involved with the pulmonary rehabilitation classes delivering education sessions as needed.

Working with the ICRS Manager to support and maintain a clinically managed network of multidisciplinary professionals, enhancing the care of people with respiratory disease at local level and promoting evidence based practice to ensure efficient and effective use of expert resources.

Develop close working relationships with voluntary groups e.g. Breathe Easy and support them with awareness events.

ANALYTICAL AND JUDGEMENTAL:

Demonstrate a high level of advanced clinical competence in respiratory disease management, based on in depth knowledge, research and evidence based findings.

Identify gaps in service provision and discuss steps to manage any identified problem areas with the ICRS Manager.

Critically evaluate and interpret evidence-based research findings from a variety of sources, making informed judgements about their implications for changing and/or developing services and clinical practice

PLANNING AND ORGANISATION:

• Participate in developing referral pathways, protocols, policies, standards to ensure quality assurance systems are in place for the elimination of clinical risk.
• Plan, deliver and evaluate programs of education for people with respiratory disease and their carers.
• Plan, deliver and evaluate multidisciplinary education and training programs for health professionals throughout East & North Herts CCG.
• Use advanced skills and expert knowledge to assess the physical and psychosocial needs of patients with chronic respiratory disease, instigating therapeutic treatments based on best available evidence, to improve outcomes
• Anticipate care needs and develop appropriate care management plans referring onto other services or professionals as appropriate
• To work with the ICRS Manager and other members of the Respiratory MDT to continually monitor, evaluate and develop the service.

PATIENT AND CLIENT CARE

Provide specialist advice and support to patients, their families and their carers. Empower appropriate patients at all stages to embrace self-management and self-responsibility for managing their condition, in the patients own home.

Evaluate the effects of medication, ensuring the safe management and support of these patients, in partnership with Hertfordshire medicines management teams.

To provide oxygen assessment service for adult patients, to be competent in the assessment of patients potentially benefiting from LTOT and ambulatory oxygen.

To be able to analyse the results of capillary blood gases and exercise tests and respond to provide the correct care for the patient.

To be an advocate for those patients that require end of life / advanced care planning discussions.

Act as an effective role model to all staff and act as an expert resource on the management of Chronic Respiratory disease.

Prescribe under the remit of non-medical prescribing, working to trust and NMC guidelines (or equivalent) or to successfully complete the Non-Medical Prescribing course and practice as a prescriber within current guidelines.

Maintain confidentiality and manage information sensitively.

POLICY AND SERVICE:

• Maintain own professional development always working within the NMC Code of Professional Conduct or HCPC standards of proficiency and Trust policy and guidelines or HCP guidelines.
• Positively participate in and promote clinical governance, thus ensuring the highest quality of practice is maintained, within the service. Demonstrate the use of evidence-based practice and participation in clinical audit
• Encourage sharing of best practice and knowledge through participation at relevant local / national meetings.
• Contribute towards the development of guidelines & protocols, which reflect evidence based and best practice and enhance programs of care.
• Commitment to continuous professional development and clinical supervision in relation to the post, maintaining an objective and innovative approach to the work and to change.
• In conjunction with other members of the Respiratory team, set, maintain and monitor standards of patient care.
• Support the development, implementation and review of Respiratory policies and procedures, delivering a consistent evidenced based approach to COPD/ Respiratory disease in line with National and local guidance.

HUMAN RESOURCES:

• Participate fully in the appraisal process and comply with continuing professional development.

INFORMATION RESOURCES:

• Ensure accurate and timely recording of all workload activity via patient information systems to inform analysis of service delivery and continued service development.
• Ensure that patient records and documentation are kept and maintained in line with NMC or HCPC standards and Trust guidelines
• Ensure safe practice through caseload management considering risk management and documentation.

FREEDOM TO ACT:

• Take responsibility for own continuous professional development, maintaining a sound level of professional knowledge and competence in line with your Personal Development Plan agreed at annual appraisal. Ensure attendance at all mandatory training.
• Ensure that clinical treatment given is evidence based.
• Act as a clinical role model by demonstrating high standards of clinical practice and a professional attitude.
• Continually evaluate and audit the quality and effectiveness of own practice.

HCT will prioritise recruitment of workers living in England under the new immigration rules for care workers effective from 9 April 2025. Employers must first prove that they have attempted to recruit a worker from within England who needs new sponsorship. This ensures that those who came to the UK to pursue a career in adult social care can do so.

Person Specification

Registration

Essential

• Registered Nurse Part 1, 2 or 12 or registered health care professional

Quality

Essential

• Experience of audit or service improvement
• Experience around clinical governance and safeguarding

Desirable

• Leading audit projects
• Involvement in audit of respiratory care

Qualifications

Essential

• Degree level education or equivalent respiratory experience

Desirable

• Post registration accredited respiratory qualifications
• Non-Medical Prescriber
• Enhanced clinical skills qualification

Experience

Essential

• Experience of working with respiratory patients
• Experience of independent clinical assessment
• Experience of working as part of a team

Desirable

• Experience of working independently with respiratory patients

Independent working

Essential

• The ability to manage and hold own caseload

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).

Employer details

Employer name

Hertfordshire Community NHS Trust

Address

Hitchin

Hitchin

SG5 1HF

United Kingdom

Employer's website

https://www.hct.nhs.uk (Opens in a new tab)