Bank Respiratory Specialist Community Nurse | Central London Community Healthcare NHS Trust

Job Purpose

The Respiratory Specialist Nurse/physiotherapist will work within a multidisciplinary respiratory team to deliver the Respiratory Service across CLCH within the London Borough of Wandsworth.

To take a lead role in the assessment and treatment of patients within the speciality who have highly complex physical, psychological and social needs and work as an autonomous practitioner.

Work with the Respiratory team in assessing, planning, co-ordinating, delivering and evaluating care for patients receiving domiciliary and clinic respiratory disease management including exacerbation management, care plans, self-management, pulmonary rehabilitation, admission avoidance, home oxygen and stable disease management at home.

The post holder will work jointly within the Respiratory Team to plan, co-ordinate, implement and evaluate the service provided to respiratory patients.

• To communicate effectively with relatives, carers, patients and other professionals to promote understanding of the aims of the specialist respiratory service, to ensure understanding of condition and to ensure a consistent approach to patient care
• To communicate effectively and work collaboratively with medical, nursing and allied health professionals and other colleagues to ensure delivery of a co-ordinated multi-disciplinary service. This will include case conferences, discharge planning and joint working
• To provide specialist advice on the complex management of respiratory patients to colleagues working in other clinical areas
• To provide specialist education in the form of teaching, lectures and workshops
• To deal and respond to complaints in accordance with policies and procedures and learn from them
• To instigate and maintain communication flows both within the trust and primary care regarding on-going care for patients. Communication may be face to face, via e-mail, telephone or in written form
• Produce a written annual report including patient-related outcomes and make recommendations for practice development

• Earn more per hour -bank rates are higher than agency and include holiday pay. We also cover your expenses and provide free uniforms
• See the best shifts first –bank staff get priority over all agency workers
• Book the shifts you want on your phone –build your own rota on our bank booking system
• Get 24x7 support from our friendly Staff Bank team –a local teamdedicated to helping you
• Access NHS benefits –such as NHS pension contributions and discounts
• Access Trust benefits –get support with your career development and mental health
• Become part of an integrated team –feel more valued and supported in your work
• To use specialist respiratory knowledge and skills to safely identify patients with an acute respiratory exacerbation that are suitable for admission avoidance and self-management care plans using the NICE guidance for safe care planning and home management.
• To undertake comprehensive assessments of patients with suspected respiratory disease, including history taking, physical examination, spirometry, formulating individualised management and treatment plans using clinical reasoning.
• To undertake comprehensive assessments of complex respiratory patients with co-morbidities, including physical examination, and to develop treatment plans for patients using investigative and analytical skills, and to formulate individualised management and treatment plans using clinical reasoning.
• To work with the team in developing and implementing specialist care programmes, including home oxygen therapy, pulmonary rehabilitation, psychological interventions and medication reviews, adhering to evidence based guidelines.
• To be able to perform capillary/arterial blood gas test and spirometry or willing to train.
• To interpret and analyse clinical and non-clinical tests to form an accurate management plan and assess suitability for the appropriate services to maintain a patient at home or ensure safe transfer of care to the community and develop comprehensive discharge plans.

This advert closes on Friday 31 Jan 2025