Job summary
The Respiratory Nurse Specialist role is a highly specialised role, designed to provide expert assessment, review, advice, education & medicines optimisation to patients with specific respiratory diseases & home oxygen therapy.

Although previous experience & qualification is desirable, it is not essential as full training & induction to the role will be provided.

The successful applicant will work as an agile & flexible Specialist Nurse, across the services that make up the Adult Integrated Respiratory Specialist Service (AIRS). The post holder will be required to undertake Respiratory Nurse Specialist inpatient reviews & clinics, Home Oxygen clinics/home visits & support delivery of the Pulmonary Rehabilitation classes independently & in a self-directed manner across Trust & non-Trust sites, which will include undertaking home visits & safety checks in the patient's place of residence and will therefore require a driving license & vehicle to undertake this work.

Main duties of the job

• Undertake advanced assessment of patients and effectively interpret and analyse clinical and non-clinical information in a range of complex, long-term diagnoses to develop comprehensive, patient-centred management plans, using the most up to date guidelines/recommendations (e.g., British Thoracic Society, GOLD, GINA), optimisation of current treatment plans/ inhaled/oral therapies, home oxygen assessment & delivery of Pulmonary Rehabilitation.
• Encourage patients to engage with self-management strategies and services that will positively affect their health and well-being, contributing to reducing mortality, maintaining disease stability and reduce the need to utilise emergency services.
• Participate in the continuous improvement and development of the Respiratory Specialist Services.
• Contribute to the reduction in patient length of stay, avoidable harms, and risk of readmission.
• Support identifying and managing patients reaching end-stage disease, establishing ceilings of treatment, end of life care decisions/discussions, advance care planning conversations.
• Delivery of training for trust colleagues, peers, and other health-care professionals. Facilitate and participate in training programmes relevant to the specialist service.
• Provide specialist advice for healthcare professionals working in other clinical areas.
• Support research studies & actively partake in clinical audit.

About us
Working for Blackpool Teaching Hospitals NHS Foundation Trust will provide you with lots of opportunity to develop your skills and further your career. The Trust provides services to the 440,000 residents of Blackpool, Fylde and Wyre and North Lancashire.

As a Trust we are committed to:

• Developing new roles and ways of working to ensure a flexible and innovative approach to staff.
• Real equality of opportunity.
• Continual development and learning for staff.
• Achieving a work life balance.

We are committed to the effective recruitment, retention and development for our employees, which is why we offer a great working environment, an attractive range of benefits and excellent opportunities for training and development.

The Trust is accredited as a disability Confident employer. That means we recognise our obligations to ensure people with disabilities are afforded equal opportunity to enter employment and progress if and where possible.

Job responsibilities

• Undertake advanced assessment of patients and effectively interpret and analyse clinical and non-clinical information in a range of complex, long-term diagnoses to develop comprehensive, patient-centred management plans, using the most up to date guidelines/recommendations (e.g., British Thoracic Society, GOLD, GINA), optimisation of current treatment plans/ inhaled/oral therapies, home oxygen assessment & delivery of Pulmonary Rehabilitation.
• Encourage patients to engage with self-management strategies and services that will positively affect their health and well-being, contributing to reducing mortality, maintaining disease stability and reduce the need to utilise emergency services.
• Participate in the continuous improvement and development of the Respiratory Specialist Services.
• Contribute to the reduction in patient length of stay, avoidable harms, and risk of readmission.
• Support identifying and managing patients reaching end-stage disease, establishing ceilings of treatment, end of life care decisions/discussions, advance care planning conversations.
• Delivery of training for trust colleagues, peers, and other health-care professionals. Facilitate and participate in training programmes relevant to the specialist service.
• Provide specialist advice for healthcare professionals working in other clinical areas.
• Support research studies & actively partake in clinical audit.

Qualifications
Essential

• Registered Nurse (1st Level)

Desirable

• Independent Non-medical Prescribing (V300) or ability to undertake course
• Specialist qualification/training - level 6 or greater (e.g. Respiratory disease area) or evidence of equivalent experience
• Mentorship or Teaching Qualification/Training

Experience
Essential

• Substantial post registration experience (> 18 months)
• Evidence of ability to demonstrate application of evidence-based practice
• Experience of managing and caring for patient with respiratory conditions
• Evidence of CPD relevant to respiratory

Desirable

• Experience managing complex respiratory patients including assessment, planning and implementation of treatment and care
• Experience in a leadership and management role
• Previous experience working within a Respiratory Specialist Service/Role, or ability to demonstrate evidence of equivalent experience
• Experience of teaching both formally and informally
• Ability to demonstrate an understanding and application of audit and research principles
• Experience working in a community setting

Skills
Essential

• Ability to work in a self-directed manner, prioritising workload efficiently and managing time effectively
• High standard of oral and written communication skills, with confidence to discuss patient cases and drive clinical decision making
• Competence and confidence in accurate assessment and management of complex patients to high professional standards
• Ability to demonstrate reflexivity and critique own practice
• Confident and assertive decision maker
• Ability to delegate with confidence and competence
• Ability to influence, negotiate and communicate confidently and professionally with both senior and junior members of the multidisciplinary team
• Evidence of excellent team working
• IT Literacy - ability to use a variety of standard systems that supports patient care and record keeping
• Have a valid driving licence and use of a car for work related purposes
• Ability to travel to undertake Home Visits and work at Pulmonary Rehabilitation venues across the Fylde Coast

Desirable

• Clinical competence in radial artery and capillary blood sampling for blood gas analysis (or be able to undertake training)

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.

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).

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).