Respiratory Nurse Specialist

Brownlow Group Practice

Information:

This job is now closed

Job summary

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. You will also provide support to our homeless population with bi-monthly clinics.

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.

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

Main duties of the job

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.

Ability to 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.

About us

Brownlow prides itself in being an exceptional employer. We have a dedicated staff wellbeing team and offer numerous staff benefits and incentives including protected study leave with financial allowance.

You will receive a 6-month mentorship/induction package. Brownlow is an organisation that is committed to equality and diversity, and we strive for our workforce to be representative and inclusive of the complex and diverse community which we are proud to serve.

With this commitment in mind, we actively encourage individuals who self-identify as having protected characteristics to apply for this role. We are particularly keen to encourage applications from: individuals with linguistic diversity, members of the LGBTQ+ community; members of black, minority ethnic, and minority faith groups; and from those who are disabled and / or neurodiverse.

We are mindful that we may not always be aware of structural and systemic factors, which might discourage or prevent certain minority groups and marginalised populations from applying to join our team. If you are aware that any such barriers do exist, please let us know so that we can work to overcome and dismantle these.

Although not required by law we strongly recommend that all staff have received all Covid vaccinations.

Extended access will form part of your contracted hours. If you are successful at interview and are registered with any Brownlow site, you are required to change practices and this will be a stipulate of employment.

Date posted

28 August 2024

Pay scheme

Other

Salary

£43,742 to £57,349 a year Band 7/8a dependent on experience

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Part-time

Reference number

A1812-24-0012

Job locations

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


University Of Liverpool

Peach Street

Liverpool

L69 7ZL


Rope Walks G P Surgery

28 Argyle Street

Liverpool

L1 5DL


Job description

Job responsibilities

Job title: Respiratory Nurse Specialist- General Practice

Line manager Denise Wilson

Accountable to Nurse Managers

Day and Hours per week Temporary 12 month maternity post

Hours negotiable

Job summary

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. You will also provide support to our homeless population with bi-monthly clinics.

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.

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 fulfilment of the Asthma and COPD targets within the Quality Outcomes Framework.

Mission statement

We aspire to excellence in the health care of a socially diverse population by developing our Team and our systems of clinical and corporate governance.

Primary key 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.

Ability to 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.

Job description

Job responsibilities

Job title: Respiratory Nurse Specialist- General Practice

Line manager Denise Wilson

Accountable to Nurse Managers

Day and Hours per week Temporary 12 month maternity post

Hours negotiable

Job summary

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. You will also provide support to our homeless population with bi-monthly clinics.

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.

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 fulfilment of the Asthma and COPD targets within the Quality Outcomes Framework.

Mission statement

We aspire to excellence in the health care of a socially diverse population by developing our Team and our systems of clinical and corporate governance.

Primary key 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.

Ability to 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.

Person Specification

Personal Qualities

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

Experience

Essential

  • Autonomous practitioner
  • Able to independently review Asthma and COPD patients
  • Able to order and interpret relevant blood results and investigations
  • Knowledge of clinical governance, confidentiality, data protection and information governance in primary care
  • Ability to interpret spirometry results
  • 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

Skills

Essential

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

Desirable

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

Qualifications

Essential

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

Desirable

  • Msc Advanced Practice
Person Specification

Personal Qualities

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

Experience

Essential

  • Autonomous practitioner
  • Able to independently review Asthma and COPD patients
  • Able to order and interpret relevant blood results and investigations
  • Knowledge of clinical governance, confidentiality, data protection and information governance in primary care
  • Ability to interpret spirometry results
  • 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

Skills

Essential

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

Desirable

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

Qualifications

Essential

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

Desirable

  • Msc Advanced Practice

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).

Additional information

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)

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:

Date posted

28 August 2024

Pay scheme

Other

Salary

£43,742 to £57,349 a year Band 7/8a dependent on experience

Contract

Fixed term

Duration

12 months

Working pattern

Full-time, Part-time

Reference number

A1812-24-0012

Job locations

Brownlow Health @ Pembroke Place

70 Pembroke Place

Liverpool

Merseyside

L69 3GF


University Of Liverpool

Peach Street

Liverpool

L69 7ZL


Rope Walks G P Surgery

28 Argyle Street

Liverpool

L1 5DL


Supporting documents

Privacy notice

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