Respiratory Specialist Nurse

Brownlow Group Practice

Information:

This job is now closed

Job summary

This is a fantastic opportunity for a Respiratory Specialist Nurse wanting to work within a supportive GP Practice environment with a diverse patient population including students and homeless.

This is a new and exciting role which you will be able to shape and develop. You will champion Brownlow’s commitment to ‘Greener Respiratory Care, leading and delivering clinics for our patients with Asthma, COPD and other respiratory conditions. The focus will be on the more complex/high risk patients but will also include routine reviews and home visits. The role will include face to face consultations as well as eConsults and telephone consultations.

You will provide development and mentorship to our less experienced nurses whilst also supporting the wider team along with contributing to data gathering as needed to achieve the Practice’s fulfilment of the Asthma and COPD targets within the Quality Outcomes Framework.

This role will work across our Brownlow Central sites, including Brownlow Pemrboke Place, Ropewalks L1 5DL and Student Health L69 7ZL. 

Main duties of the job

As a Specialist Practitioner you will work across the four pillars of advanced practice. You will lead and deliver Nurse led respiratory clinics for patients in our Brownlow Central practice. The focus will be Asthma management within our large student population as well as review of patients with other respiratory conditions such as COPD, Bronchiectasis and Pulmonary Fibrosis. This may include telephone and face to face consultations as well as eConsultations.

Whilst working within your own sphere of competence you will work autonomously to proactively target high risk patients to provide an assessment of their needs and provide an appropriate management plan. The post holder will have a high level of expertise and experience in this field and the ability to manage complex cases including first contact assessment, examination and management of patients presenting with acute respiratory problems including potential Covid 19 symptoms.

You will provide support and mentorship to our less experienced Practice nurses whilst also supporting in education to the wider team.

The post holder will also be expected to work with the practice nursing team, contributing to data gathering as needed to achieve the Practice’s fulfilment of the Asthma and COPD targets within the Quality Outcomes Framework.

About us

Brownlow Health is a large training practice committed to supporting our team and developing our services. We have a diverse practice population over 6 sites in the vibrant City of Liverpool and we are very proud to have attained ‘outstanding’ in our last CQC inspection at our Central practice.

We offer a wide variety of specialist services such as homelessness, Care home MDTs, Student health, sexual health, obesity and frailty and have large multi -disciplinary workforce of GPs, pharmacists, care-co-ordinators, 1st contact physio’s, social prescribers, social workers, health coaches, drugs worker etc.

We have a large supportive nursing team of 40, managed by three Nurse Managers and a Nurse Partner. Brownlow prides itself in being an exceptional employer. We have a dedicated ‘staff wellbeing team and offer numerous staff benefits and incentives including paid study leave and generous allowance.

Preference is for this to be a full time position but part time can be considered and after an induction period some remote working can also be considered.

Salary and Annual leave is in line with Agenda for Change.

For more information please contact: Denise Wilson (Nurse Partner) denise.wilson@livgp.nhs.uk

Job description

Job responsibilities

Principal Clinical Responsibilities:

· Deliver Nurse led respiratory clinics to support the Practice Nurse team

· In line with targets within the Quality Outcome Framework and NICE guidelines, the post holder will review patients with asthma and COPD using relevant EMIS clinical templates to ensure assessments are completed and coded to meet QOF requirements.

· Use of non- medical prescribing to review medications including maintenance therapy and acute self- management plans.

· Assessment of inhaler technique and optimization of inhaler therapy, giving consideration to greener respiratory care such as low carbon inhalers, over usage, overprescribing.

· Provision of a written personalised asthma/COPD action plan.

· Review of patients admitted to an emergency care setting with an acute asthma attack or exacerbation of COPD within 2 working days of discharge.

· Review of patients admitted to hospital with symptoms of breathlessness related to any other underlying respiratory problem or LRTI.

· Ensure patients coded COPD have had spirometry performed to confirm diagnosis.

· Perform and interpret spirometry testing as required

· First contact assessment, examination and management of patients presenting with acute respiratory problems including potential Covid 19 symptoms.

· Review patients diagnosed/suspected with long Covid

· Administration of relevant health prevention vaccinations

· Provide home visits to ensure our housebound respiratory patients receive a timely review.

· Request and interpret relevant blood tests and investigations.

· Build links with and liaise with secondary care and community services

· Work within national guidelines, policies and procedures as well as local protocols supporting the development of these in house as needed to ensure the patient received the highest quality evidence based care.

· Maintain effective communication with patients, carers, relatives and members of the multidisciplinary team ensuring information is shared appropriately.

Facilitation of Learning:

· Share updates in the latest Asthma and COPD guidelines, working with staff to ensure evidence based practice.

· Use of education tools to upskill and support new staff and develop existing skills.

· Participate in monthly clinical meetings, quality meetings and clinical effectiveness meetings

· To provide mentorship/supervision to junior staff and student nurses

· To contribute in the quarterly group/1:1 Clinical Supervision sessions

Leadership & Management:

· Support the Practice Nurse teams to ensure Asthma and COPD QOF targets are being met.

· Develop the respiratory specialist nurse role to encompass the challenges of different cohorts of patients eg students, homeless, frailty, housebound, pregnancy etc.

· Networking with secondary care and the community team.

· Actively participate in the development of Brownlow strategies and ensure collaborative working with others to translate this into practice development to improve the quality of care.

· Able to work effectively with a wide range of professionals and agencies and participate in multi- professional/agency strategies.

Evidence, Research & Development:

· All practice must be evidence based

· Lead and participate in relevant audits.

· Ensure others in within the team recognize the importance of data collection and quality assurance and ensure that findings and other results are disseminated in meaningful ways to staff.

· Where required undertake significant event auditing (or equivalent)

· Involvement with review and monitoring of clinical policies to ensure they are based on contemporary evidence.

· A willingness to share examples of clinical case findings in monthly Clinical meetings, clinical effectiveness group and/or other communication channels.

Confidentiality:

Working within the Practice you may gain knowledge of confidential matters which may include personal and medical information about patients and staff. Such information must be considered strictly confidential and must not be discussed or disclosed. Failure to observe this confidentiality could lead to disciplinary action being taken against you.

Codes of Conduct and Accountability:

You are expected to comply with relevant codes of conduct and accountability.

Health and Safety:

In accordance with the Health and Safety at Work Act 1974 and other supplementary legislation, you are required to take reasonable care to avoid injury during the course of work and co-operate with the Practice and others in meeting statutory regulations. You are also required to attend statutory training as required to fulfil your duties.

You are expected to comply with safety instructions and Practice policies and procedures.

To use in a proper safe manner the equipment and facilities provided.

To refrain from wilful misuse of, or interference with, anything provided in the interest of health and safety and any action, which might endanger yourself and others.

You are expected to report, as soon as practical, any hazards and defects to your senior manager.

To report as soon as practical accidents and untoward incidents and to ensure that accident forms are completed.

Safeguarding Children and Adults

The organisation has a zero tolerance approach to the abuse of children, young people and vulnerable adults. All employees are required to promote and safeguard the welfare of children and young people and comply with the Local Safeguarding Children Board Procedures and the Children Act (1989, 2004). In accordance with the Safeguarding Adult Policy all staff must ensure the health and wellbeing of vulnerable adults is appropriately safeguarded.

All staff members are required to attend training appropriate to their role in safeguarding children and adults, which includes understanding and recognising the signs of abuse and knowing how to raise concerns when those signs of abuse are noticed in a person.

Postscript:

The post holder may be required to undertake other related duties not specifically mentioned above. Any changes to this role specification will be made in consultation with the post holder.

The Practice operates a No Smoking Policy and is an equal opportunities employer.

Person Specification

Qualifications and Training

Essential

  • Registered Part 1 NMC
  • Independent / supplementary nurse prescriber
  • Specialist respiratory qualification- level 6 and above
  • Clinical examination

Desirable

  • Msc Advanced Practice

Skills

Essential

  • Clinical leadership
  • Change management skills
  • I.T skills to support clinical work, research and audit
  • Driver with full license
  • Research, innovation and audit skills

Desirable

  • Advanced negotiation and conflict resolution skills
  • Working knowledge of EMIS

Attributes and Behaviours

Essential

  • A complete finisher.
  • Resilience and drive
  • Personal and professional integrity and confidence.
  • Flexibility
  • Self-motivated and enthusiastic
  • Calm under pressure
  • Team player
  • Confident time management

Knowledge and experience

Essential

  • Autonomous practitioner
  • Able to independently review Asthma and COPD patients
  • Able to order and interpret relevant blood results and investigationsKnowledge of clinical governance, confidentiality, data protection and information governance in primary care
  • Perform and interpret spirometry
  • Leadership in quality initiatives
  • Teaching/supervising/mentorship experience
  • Knowledge of the local and national health policy and wider health economy

Desirable

  • Experience of working within primary care
  • Experience of initiating protocols and clinical guidelines, implementing them and evaluating the effectiveness
  • Willingness if required/appropriate to assess a pregnant woman with a non- pregnancy related respiratory condition (in line with BGP policy/ RCN guidance)

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.

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

Brownlow Group Practice

Address

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


Employer's website

https://www.brownlowhealth.co.uk/ (Opens in a new tab)

For questions about the job, contact:

Denise Wilson (Nurse Partner)

denise.wilson@livgp.nhs.uk

Date posted

28 March 2022

Pay scheme

Other

Salary

£40,057 to £53,218 a year

Contract

Permanent

Working pattern

Full-time, Part-time

Reference number

A1812-22-8395

Job locations

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


Supporting documents

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+44 300 330 1013

Opening times:

Monday to Friday: 8am to 6pm

Saturday: 9am to 3pm

Closed Bank Holidays including Easter Sunday, Christmas Day, Boxing Day and New Year's Day.