Job summary
An exciting opportunity has arisen for an experienced and highly motivated Clinical Nurse Specialist / Specialist Practitioner to join our Community Respiratory Service as the lead clinician for Community Spirometry.

This is an autonomous advanced practice role for a registered clinician with significant respiratory experience who is passionate about delivering high-quality diagnostic services closer to patients' homes. The successful candidate will provide expert respiratory assessment, undertake and interpret spirometry in line with national standards, and support the delivery of safe, effective, and patient-centred respiratory diagnostic pathways.

Working across community settings, you will be instrumental in developing and enhancing community spirometry services, supporting earlier diagnosis and management of respiratory disease, and improving patient outcomes across the local population.

Main duties of the job
Deliver high-quality respiratory assessment and diagnostic spirometry services across community settings, ensuring care is safe, effective and patient-centred. Work autonomously to manage a specialist caseload, providing expert clinical assessment, advice and support to patients, carers and healthcare professionals. Perform, interpret and quality assure spirometry in line with ARTP standards and national respiratory diagnostic guidelines. Support the diagnosis and ongoing management of patients with COPD, asthma and other chronic respiratory conditions through accurate assessment and clinical decision-making. Lead and contribute to service improvement initiatives, clinical audit, quality assurance programmes and the evaluation of patient outcomes. Provide specialist education, training and competency assessment for healthcare professionals involved in respiratory diagnostics and respiratory care. Develop and maintain effective working relationships with primary care, secondary care and multidisciplinary teams to support integrated patient pathways. Contribute to the development and review of clinical guidelines, pathways, standard operating procedures and governance processes. Monitor service activity, performance indicators and outcomes to support continuous quality improvement and service development.

About us
University Hospitals Birmingham NHS Foundation Trust strives to have an inclusive culture where everyone feels like they belong, can thrive, knows that they add value and feels valued. We do this by developing compassionate and culturally competent leaders, being values driven in all that we do and by creating a welcoming and inclusive workplace that thrives on the diversity of our people. As such we want to attract and recruit talented individuals from all backgrounds, and for each of you to feel supported for the diversity you bring, to achieve your full potential. For those staff with a disability, including physical disability, long term health condition, mental health or neurodiverse condition, this also means being committed to making reasonable adjustments needed for you to carry out your role.

Details
Date posted: 19 October 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year
Contract: Fixed term
Duration: 12 months
Working pattern: Part-time, Flexible working
Reference number: 304-9018526-1
Closing date: 02 November 2026

Essential qualifications

• Registered Adult / Child Nurse on the NMC Register (Field dependent upon role) /HCPC registered
• Evidence of post registration CPD / Post registration qualification in (appropriate area of speciality or professional knowledge supplemented by specialist experience and short courses to degree / masters level equivalent FHEQ Level 6 /7
• Recognised mentorship course

Desirable qualifications

• To have or working towards a MSc/ Masters qualification
• To have or working towards advanced health assessment module -- where applicable to the role
• Non -- Medical Prescriber/ willingness to undertake - where applicable to the role

Essential experience

• Evidence and ability to revalidate as required by the NMC/HCPC
• Significant years post registration experience as a Clinical Nurse Specialist/ Specialist Practitioner at B6 or above in defined or associated speciality Extensive experience of working autonomously at a specialist level
• Evidence of achievements and career development in current post and of on-going professional development/ competence.
• Demonstrate expert knowledge underpinned by theory and CPD relevant to speciality.
• Experience and enthusiasm for developing educational programmes and teaching / assessing and supervising others in a clinical setting.
• Working in a multi-disciplinary and cross agency work environment.
• Experience of patient service user advocacy role
• Can demonstrate expert nursing knowledge with an ability to assess, plan, implement and evaluate specialist care delivered to patients and give advice and information to patients / relatives/ care staff
• Awareness of current relevant NHS policy context relating to the speciality
• Has understanding / experience of the principles of Safeguarding
• Knowledge of corporate and clinical governance

Desirable experience

• Experience of delivering change management both personally and as a facilitator
• Experience in service development
• Awareness of current research related to the speciality

Essential additional criteria

• Ability to adapt behaviour to changing circumstances
• Positive and enthusiastic attitude
• Ability to communicate articulately and motivate others
• Evidence of flexible and innovative approach to service delivery and development
• Ability to work a varied shift pattern where required
• Ability to act on own initiative

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. Applicants must have current UK professional registration. Apply through our website for further information.