Guy's and St Thomas' NHS Foundation Trust
Respiratory Practitioner hospital @home/virtual ward

Job summary
We are excited to be recruiting 2 respiratory practioners (CNS or physiotherapist) to run a new innovative and forward think respiratory hospital @home/virtual ward service.

This role is part of an innovative integrated respiratory pathway delivered in partnership between Guy's and St Thomas' NHS Foundation Trust, King's College Hospital NHS Foundation Trust and the @Home service. Based within the @Home community team, the postholder will provide specialist respiratory assessment and management for patients receiving acute-level care in their own homes, supporting both early supported discharge and hospital admission prevention. The role is embedded within the day-to-day delivery of the @Home service while receiving specialist respiratory clinical support, supervision and professional development from the Integrated Respiratory Teams (IRT). This includes participation in respiratory multidisciplinary team meetings, clinical supervision, teaching and education sessions, enabling the postholder to deliver high-quality, evidence-based respiratory care within an integrated multidisciplinary model. The postholder will also contribute to service development, quality improvement and clinical governance, helping to strengthen integrated respiratory care across Southwark and Lambeth.

Closing date: 17/08/2026
Interview date: 09/09/2026

Main duties of the job
The role will be responsible for setting up a new respiratory virtual ward service within @home with support and oversight from the IRT. The new service will provide specialist assessment and management for patients with acute exacerbations of COPD or those requiring weaning oxygen.

The post holder will review patients in their homes providing expert assessment and management plans and work closely with @home clinicians and the IRT to provide specialise patient care. They will build and maintain relationships across multiagencies and will work closely as part of a team of specialist respiratory clinicians to provide care to patients across Lambeth and Southwark.

The post holder will provide specialist respiratory teaching to the @home clinicians, they will themselves receive specialist respiratory teaching and supervision from the IRT as well as specialist frailty and multisytems teaching and supervision from @home. They will attend MDMs for both services.

This is a new role and service evaluation and development will be a key part of the role. The post holder will be responsible for contributing to the ongoing development of clinical practice, and standards of care within the service, including development of policies, protocols and guidelines and leading service developments. They will alsoensure the safety and well being of services users, and always work in a manner that promotes dignity and human rights through the adoption of person centered care principles.

About us
Guy's and St Thomas's NHS Foundation Trust comprises five of the UK's best known hospitals - Guy's, St Thomas', Evelina London Children's Hospital, Royal Brompton and Harefield - as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.

We are among the UK's busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and - as part of King's Health Partners - we are one of England's eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research's biomedical research centres, established with King's College London in 2007, as well as dedicated clinical research facilities.

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.

Details
Date posted: 31 July 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £58,133 to £65,261 a year per annum inc HCA
Contract: Permanent
Working pattern: Full-time
Reference number: 196-NM14039-N
Job locations: Guys and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom

Job responsibilities
Clinical Leadership and Managerial

• To work autonomously, managing a caseload of patients within the specialty whilst working as part of the multidisciplinary team, delivering individualised and personalised direct patient care
• Be responsible for assessing and recognising emergencies in the speciality. To interpret information and take appropriate action and to lead others to do the same.
• Act as an advocate for patients in Lambeth and Southwark across KHP , to ensure a patient orientated approach to the delivery of care and to meet standards within the NHS Plan and other relevant guidelines.
• Ensure that patients receive high quality clinical care and a good patient experience, having regard for their customs, religious beliefs and doctrines.
• Recognise and avoid situations that may be detrimental to the health and wellbeing of the individuals.
• Actively engage service users through the facilitation of user groups and open days.
• Co-ordinate the provision of specialist services to patients, both within hospital and/or in the community setting, effectively liaising with multidisciplinary colleagues
• Work autonomously in the community, where the post holder will co-ordinate the treatment with support of the multidisciplinary team where required , and provide treatment
• Direct, support, encourage and advise clinical teams, by the provision of specialist knowledge and advice in the care of patients within the area.
• Participate in the promotion of patient centred care, and establish and maintain a supportive relationship with the patient and their family during the period of assessment, treatment and after care
• Support and enable patients and carers to make informed decisions relating to their treatment and management.
• Promote high quality clinical care, and assist in the development of the specialist service, through the use of evidence based practice and clinical standards
• Provide professional and clinical leadership and expertise in the speciality and to act as a resource for education and clinical expertise in the hospital and community settings.
• Demonstrate appropriate expert practice and highly specialist advice in the assessment, planning, implementation and evaluation of patient care. This includes history taking, physical examination and the requesting of agreed diagnostic procedures/clinical investigations.
• Responsible for the correct administration of prescribed medication within scope of practice.
• Promote and deliver high standards of care at all times, which utilises research-based evidence, and is audited and improved accordingly.
• Participate in the promotion of the specialist service through dissemination of specialist knowledge, both locally and nationally.
• Act as a role model, demonstrating high standards of care and providing clinical leadership in the specialist areas.
• Establish, develop and maintain effective working relationship between clinicians, practitioners and managers within the specialty, across the Trust and in the community
• Actively participate in local, national and international networking to maintain and develop expert level of knowledge in the specialty.
• Provide a seamless, high quality service from referral through to assessment, diagnosis, treatment and review.
• Develop and evaluate assessment tools that will ensure an appropriate level of nursing or physiotherapy intervention so that patients who present with the most complex needs receive the most appropriate specialist care.
• Work in conjunction with a clinical consultant and service leads to lead a patient focused service.
• Act as patient advocate when appropriate, respecting patient confidentiality and privacy with respect for diverse cultural backgrounds and requirements.
• To be designated to take charge of the area in the absence of the person holding continuing responsibility.
• To provide cross cover for other respiratory services as required.
• To contribute to the acute respiratory on call service if eligible

Quality

• Facilitate a high quality, cost effective specialist service through monitoring and audit and other quality initiatives agreed by the Trust
• Lead on and participate in key developments relating to the specialty so that high quality patient focused services are promoted.
• Enhance the interface between staff, patients, community staff and visit.
• Attend and participate in multi-professional team meetings.
• Set, monitor and review standards of care on a regular basis and initiate corrective action plans
• Identify and intervene where circumstances contribute to an unsafe environment for patients and staff. To bring instances to the attention of the Matron / Head of Nursing / Clinical specialist physiotherapist / head of therapies for the area.

Education and Training

• Act as a facilitator/mentor/preceptor/educator to student nurses, physiotherapists and others.
• Assess own educational needs and take steps to keep up to date with clinical and nursing developments in line with requirements of the Nursing & Midwifery Council.
• Develop the partnership between the Trust and academic staff at local Universities involved in pre-registration and post-registration nursing, physiotherapy and medical programmes.
• Ensure that the learning environment and specialist training is appropriate for both pre and post registration learners and participate in the development of appropriate programmes
• Work closely with the Sister/Charge Nurse, Practice Development Teams, and physiotherapy education team within the area, ensuring that relevant clinical based teaching programmes are in place for all staff
• Contribute in the Trusts clinical supervision programme for staff
• Teach on relevant courses and training programmes provided by the Florence Nightingale School of Nursing & Midwifery/KCL or school of physiotherapy KCL and within the area. To lecture on external courses as required.
• Lead and participate in education and training programmes within the speciality service, and develop training packages as required.
• Co-ordinate the development and delivery of a patient focused education and information giving strategy within the specialty
• Motivate, develop, support and identify training needs for department staff.
• Participate in appraisals and the setting of objectives for junior staff in the department to enable them to achieve optimal effectiveness and to understand their contribution to the directorate.
• Ensure that appropriate written induction programmes are available and utilised for all new staff within the department

Research and Development

• Promote and undertake nursing or physiotherapy research and to publish the outcome, updating own knowledge to promote excellence in clinical practice.
• Utilise research findings in the delivery of specialist patient care, developing new ways of working and to disseminate relevant information to staff.
• Participate in and be aware of other clinical research trials for patients
• Lead and contribute to audit and research within the specialty in collaboration with colleagues, developing action plans and disseminating information.
• To be familiar with current clinical research protocol issues and relevant treatment and procedures employed in the diagnosis and treatment within their speciality.

Management and Leadership

• Provide a leadership role model and demonstrate expert knowledge and high standards of clinical practice.
• Develop the role according to patients changing needs and research findings, within the resources available.
• Maintain accurate records of the clinical service and ensuring that confidentiality of information is adhered to
• Organise own work and manage own caseload and practice, identifying and maintaining supportive networks for self and other staff members.
• Implement new initiatives where possible to run a cost effective, timely service
• In conjunction with the other multidisciplinary colleagues, provide monthly reports of case mix, work load and education activity.
• Provide cover for the other Clinical Nurse Specialist or physiotherapist as appropriate.
• Develop policies, protocols and clinical guidelines in support of the specialist service.
• Participate in the promotion of the specialty by publishing and presenting innovations and research findings locally and nationally.
• Provide specialist education to members of the clinical team, which facilitates learning and individual personal development.
• Implement and work within the Trusts HR policies on all staffing matters, including sickness, capability and disciplinary issues. Take corrective measures if indicated in liaison with Human Resources and clinical leads.
• Work with the clinical leads and Human Resources Department in the recruitment, selection, appointment and retention of staff.
• Adhere to Trust and departmental policies and procedures, ensuring that all staff do the same.
• Ensure optimised skill mix within the department/ward and reviewing the skill mix as required and monitoring the use of bank and agency staff.
• Organise team meetings at an appropriate frequency, recording and circulating minutes of these. To ensure a good method of communication within the department at all times and to encourage the exchange and implementation of new ideas and evidence based practice.
• Assist the , Clinical Leads and Delivery Managers with the strategic planning for the service within Guys and St Thomas Foundation Trust, as an expert practitioner.
• Represent Guys and St Thomas Foundation trust as an expert practitioner in the speciality in external situations e.g. conferences, committees, etc

Person Specification
Qualifications
Essential

• BSC/1st degree (health related) or equivalent qualification/training and experience
• Mentorship or Equivalent
• Post-registration specialist course

Desirable

• Leadership qualification
• To have or working towards non-medical physical assessment course

Experience
Essential

• Significant post-registration experience within respiratory specialty
• Experience of supervision of junior staff members and/or students
• Experience assessing and managing patients with complex long-term conditions
• Experience of audit, research & evidence based care
• Experience of delivering change management both personally and as a facilitator
• Experience managing patients with COPD

Skills
Essential

• Up to date knowledge of current clinical and professional issues
• Ability to assess, plan, implement and evaluate specialist care delivered to patients/clients and give relevant advice/information to patients and relatives
• Demonstrates an awareness of clinical governance and risk management
• Advanced clinical, managerial and leadership skills in specialty
• Evidence of teaching skills

Values and Behaviours
Essential

• Demonstrates the Trust Values and behaviours in application

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: Guy's and St Thomas' NHS Foundation Trust
Address: Guys and St Thomas' NHS Foundation Trust, London, SE1 7EH, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact: Clinical Specialist Physiotherapist Laura Moth
Email: l.moth@nhs.net
Telephone: 02071888636