Community Respiratory Clinical and Operational Team Lead

Livewell Southwest

The closing date is 23 April 2025

Job summary

37.5 hours per week.

An exciting opportunity through investment has arisen for a band 7 Clinical and Operational Nursing Lead to join our Respiratory Team here at Livewell Southwest.

We are a specialist team made up of Nurses, Physiotherapist's, and Assistant practitioners, delivering respiratory care and pulmonary rehabilitation to patients living in their own homes.

The service has close links with primary and secondary care working closely with colleagues to deliver high quality care for our patients.

This role will be key in supporting the delivery of service transformation work, fostering links with the virtual wards and expansion of Pulmonary rehabilitation.

It is a key time for the team and post holder to be involved in and supporting the review and development of the respiratory pathways for patients

As well as providing leadership and line management support to the team of nurses and physiotherapists this role will form supportive links with key stakeholders outside the service.

Closing Date: 23/04/25

Interview Date: TBC

Contact Name for an informal discussion/enquiries: Clare Smith at claresmith17@nhs.net or livewell.communityrespiratoryteam@nhs.net

This role may not be eligible for sponsorship under the Skilled Worker route.

Please note that Livewell may close the job advertisement earlier than the specified deadline.

All staff are expected to be able and willing to work across a 7 day service.

Main duties of the job

The Community Respiratory Team consists of nurses, physiotherapists, assistant practitioners and administrators. The Team is based at theCumberland Centre, Plymouth but also delivers Pulmonary Rehabilitation at various venues across the city.

The post holder will be a pivotal link with the developing virtual ward models to assist with hospital avoidance, attending daily huddles when required to offer support and identify patients requiring specialist input from the team.

To be operationally responsible and work collaboratively as part of the multidisciplinary leadership team enabling provision of quality nursing and therapy services within various settings and services.

The post holder will be highly skilled and knowledgeable in their area of work and will require the use of advanced clinical reasoning, analysis, assessment and re-assessment skills; using a patient-centred goal setting approach, to develop and provide individual treatment programmes. This may be for their own patient caseload but also to support the senior therapists within their team via case discussion and joint working.

To provide leadership with service development and redesign, to scope and profile local health needs within their locality and to identify available resources required or deficits to action to meet that need. Attendance at the FVW MDT to provide specialist advice into team for specific patients & identify patients to assess & manage.

About us

Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.

As an organisation with a strong social conscience we are guided by our values,kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.

We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.

We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.

Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.

Date posted

07 April 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

B9832-2025-NM-9659

Job locations

Cumberland Centre

Damerel Close, Devonport

Plymouth

Devon

PL1 4JZ


Job description

Job responsibilities

Responsibility for People Management

To undertake day-to-day management and organisation of staff to deliver a best practice Community Respiratory Service within the resources available to meet individual's needs.

To support, complete and monitor staff to ensure the submission of all necessary forms, documentation, including IT data and forward as required by the manager/organisation are undertaken in a timely manner.

Ensure that Heath Care and Professions Council (HCPC) and NMC registration is maintained for self and team members.

Monitor standards, ensuring staff are aware of and follow professional, national and local standards in partnership with clinical, practice and professional leads.

To decide daily operational priorities for the team balancing patient related and professional demands and ensure these remain in accordance with those of the MDT approach and those of the organisation.

Ensure all staff are receiving practice supervision, line management, caseload management and have an up-to-date appraisal and Personal Development Plans in line with Livewell policies.

Provide direct line management for relevant staff within the team across different professional groups.

Undertake the full range of people management tasks and responsibilities including communication, staff engagement, workforce planning, appraisal, training and development and performance management including disciplinary/grievance/sickness with support from the Operational Leads, service managers and/or Team Lead peers.

Work with other Team Leads and other managers to ensure clinical and operational management cover across services is maintained especially at times of service pressure.

Facilitate the team when dealing with complex/urgent situations which can be emotionally challenging e.g. continuing NHS healthcare, safeguarding adults, child protection issues in partnership with patients and carers.

Provide professional clinical support to the MDT team and advise on practice, identifying training needs of staff and encourage practitioners to develop: Skills in critical thinking and reflective practice, Excellence in practice, specialist knowledge and research-based practice.

Act as a role model for all team members demonstrating and maintaining high standards of practice and professional conduct. Addressing issues of poor practice with senior line management and HR.

To support with student placement and training in line with Livewell SWs Placement Guidance for Non-Medical Undergraduate Learners and Students policy.

To facilitate and ensure equity of training for all team members, ensuring the team has the infrastructure to support induction, preceptorship, and professional development, pre-registration and medical students.

Responsibility for financial and/or physical resources

To have responsibility for a defined budget, by monitoring and controlling expenditure within their team by regular access to the portal system, liaising with their Management Accountant and Directorate Managers.

To have a working knowledge of statutory and non-statutory funding and the legislation/guidance that underpins these funding streams, ensuring service users meet the eligibility criteria when advocating for/ utilising services on the service users behalf (e.g. Care Act eligibility, Housing legislation etc)

Be authorised signatory and signing off the supplies and expenses. These include off duty, staff overtime, annual leave, bank nurses and the procurement of supplies for the team.

Exercise a duty of care in relation to the use of the organisations equipment and resources in a cost-effective manner.

To be responsible for overseeing and monitoring and authorising of equipment and ensuring maintenance and repair.

Maintain effective working relationships with multidisciplinary team and deliver a cost-effective quality service to patient/carers within a defined geographical area.

To ensure a robust process is in place to maintain, monitor and authorise equipment and procurement of supplies for the team.

To consider cost effectiveness in mileage, and use of mobile/land lines when planning the shift's work.

Responsibility for administration

Recruit and manage registered therapy, support and admin staff within the team in accordance with HR policies and terms and conditions to maintain an effective workforce capable of meeting the objectives of the service.

To maintain accurate records, which are confidential, up to date, legible and all care given to be documented. These records may be paper or IT based system and must be maintained as specified in the organisation Policies, NMC guidelines and Government directives.

The post holder will be expected to oversee the standard of patients records by audit or peer review and have a regular open discussion with team members.

To work with their team to review staffing establishments and skill mix and workforce plans, and to ensure that staffing is appropriate for current and projected clinical demands.

To be a team lead for the risk register and escalation of risk across the team.

Collect, collate and evaluate a range of information to support clinical and service audit. Maintain accurate and up to date patient records, data bases and specialist reporting in accordance with organisation policy and professional guidance.

To manage and record all incidents and near misses relating to health, safeguarding, safety, security, fire, physical violence, aggression, and verbal abuse.

To monitor staff performance and sickness in line with organisational policy.

You may be required to use a computer, mobile phone or lone working device and will be required to adhere to Livewell Southwest policies regards their use.

To establish and manage databases to monitor the activity of the service through a variety of Business intelligence reports.

To support Patient Safety Incident Investigations, after action reviews, case reviews, swarm-based huddles.

To be responsible for the ongoing monitoring and updating of electronic staff records.

Responsibility for people who use our services

To be professionally and legally responsible and accountable for all aspects of your own work including the management of individuals in your care. To ensure a high standard of clinical care for the individuals under your management and support the other staff within the team to do likewise.

To deliver the highly specialist clinical needs required for the post, through established experience / specialist postgraduate training.

To undertake the comprehensive assessment of individuals including those with complex presentation, using investigative and analytical skills and to formulate individualised management and treatment plans using clinical reasoning and utilising a wide range of treatment skills and options to formulate a specialised programme of care and to support other staff within the team in this work.

To initiate, organise and attend a variety of multi-disciplinary/multi-agency case conferences, liaison meetings and reviews as necessary and appropriate.

To assess capacity, gain valid informed consent which must be documented and work within a legal framework with individuals who lack capacity to consent to treatment. To follow all recognised policies and procedures in relation to child protection and vulnerable adult cases.

Ensure risks to patients/service users, carers and staff are identified, reported and appropriately managed to support patient centred care and health and safety issues.

As part of your role there may be a requirement / opportunity to undertake Treatment Escalation Plan (TEP) discussion, To achieve this you will be required to be competent In advanced communication, care planning and attended appropriate training to support competence.

Please see the attached job description for full details of the role.

Job description

Job responsibilities

Responsibility for People Management

To undertake day-to-day management and organisation of staff to deliver a best practice Community Respiratory Service within the resources available to meet individual's needs.

To support, complete and monitor staff to ensure the submission of all necessary forms, documentation, including IT data and forward as required by the manager/organisation are undertaken in a timely manner.

Ensure that Heath Care and Professions Council (HCPC) and NMC registration is maintained for self and team members.

Monitor standards, ensuring staff are aware of and follow professional, national and local standards in partnership with clinical, practice and professional leads.

To decide daily operational priorities for the team balancing patient related and professional demands and ensure these remain in accordance with those of the MDT approach and those of the organisation.

Ensure all staff are receiving practice supervision, line management, caseload management and have an up-to-date appraisal and Personal Development Plans in line with Livewell policies.

Provide direct line management for relevant staff within the team across different professional groups.

Undertake the full range of people management tasks and responsibilities including communication, staff engagement, workforce planning, appraisal, training and development and performance management including disciplinary/grievance/sickness with support from the Operational Leads, service managers and/or Team Lead peers.

Work with other Team Leads and other managers to ensure clinical and operational management cover across services is maintained especially at times of service pressure.

Facilitate the team when dealing with complex/urgent situations which can be emotionally challenging e.g. continuing NHS healthcare, safeguarding adults, child protection issues in partnership with patients and carers.

Provide professional clinical support to the MDT team and advise on practice, identifying training needs of staff and encourage practitioners to develop: Skills in critical thinking and reflective practice, Excellence in practice, specialist knowledge and research-based practice.

Act as a role model for all team members demonstrating and maintaining high standards of practice and professional conduct. Addressing issues of poor practice with senior line management and HR.

To support with student placement and training in line with Livewell SWs Placement Guidance for Non-Medical Undergraduate Learners and Students policy.

To facilitate and ensure equity of training for all team members, ensuring the team has the infrastructure to support induction, preceptorship, and professional development, pre-registration and medical students.

Responsibility for financial and/or physical resources

To have responsibility for a defined budget, by monitoring and controlling expenditure within their team by regular access to the portal system, liaising with their Management Accountant and Directorate Managers.

To have a working knowledge of statutory and non-statutory funding and the legislation/guidance that underpins these funding streams, ensuring service users meet the eligibility criteria when advocating for/ utilising services on the service users behalf (e.g. Care Act eligibility, Housing legislation etc)

Be authorised signatory and signing off the supplies and expenses. These include off duty, staff overtime, annual leave, bank nurses and the procurement of supplies for the team.

Exercise a duty of care in relation to the use of the organisations equipment and resources in a cost-effective manner.

To be responsible for overseeing and monitoring and authorising of equipment and ensuring maintenance and repair.

Maintain effective working relationships with multidisciplinary team and deliver a cost-effective quality service to patient/carers within a defined geographical area.

To ensure a robust process is in place to maintain, monitor and authorise equipment and procurement of supplies for the team.

To consider cost effectiveness in mileage, and use of mobile/land lines when planning the shift's work.

Responsibility for administration

Recruit and manage registered therapy, support and admin staff within the team in accordance with HR policies and terms and conditions to maintain an effective workforce capable of meeting the objectives of the service.

To maintain accurate records, which are confidential, up to date, legible and all care given to be documented. These records may be paper or IT based system and must be maintained as specified in the organisation Policies, NMC guidelines and Government directives.

The post holder will be expected to oversee the standard of patients records by audit or peer review and have a regular open discussion with team members.

To work with their team to review staffing establishments and skill mix and workforce plans, and to ensure that staffing is appropriate for current and projected clinical demands.

To be a team lead for the risk register and escalation of risk across the team.

Collect, collate and evaluate a range of information to support clinical and service audit. Maintain accurate and up to date patient records, data bases and specialist reporting in accordance with organisation policy and professional guidance.

To manage and record all incidents and near misses relating to health, safeguarding, safety, security, fire, physical violence, aggression, and verbal abuse.

To monitor staff performance and sickness in line with organisational policy.

You may be required to use a computer, mobile phone or lone working device and will be required to adhere to Livewell Southwest policies regards their use.

To establish and manage databases to monitor the activity of the service through a variety of Business intelligence reports.

To support Patient Safety Incident Investigations, after action reviews, case reviews, swarm-based huddles.

To be responsible for the ongoing monitoring and updating of electronic staff records.

Responsibility for people who use our services

To be professionally and legally responsible and accountable for all aspects of your own work including the management of individuals in your care. To ensure a high standard of clinical care for the individuals under your management and support the other staff within the team to do likewise.

To deliver the highly specialist clinical needs required for the post, through established experience / specialist postgraduate training.

To undertake the comprehensive assessment of individuals including those with complex presentation, using investigative and analytical skills and to formulate individualised management and treatment plans using clinical reasoning and utilising a wide range of treatment skills and options to formulate a specialised programme of care and to support other staff within the team in this work.

To initiate, organise and attend a variety of multi-disciplinary/multi-agency case conferences, liaison meetings and reviews as necessary and appropriate.

To assess capacity, gain valid informed consent which must be documented and work within a legal framework with individuals who lack capacity to consent to treatment. To follow all recognised policies and procedures in relation to child protection and vulnerable adult cases.

Ensure risks to patients/service users, carers and staff are identified, reported and appropriately managed to support patient centred care and health and safety issues.

As part of your role there may be a requirement / opportunity to undertake Treatment Escalation Plan (TEP) discussion, To achieve this you will be required to be competent In advanced communication, care planning and attended appropriate training to support competence.

Please see the attached job description for full details of the role.

Person Specification

Knowledge

Essential

  • Up to date knowledge of current practice within the areas specified in job purpose
  • Knowledge of national and local frameworks and strategies relating to Respiratory care pathways.
  • Working knowledge of the principles of clinical governance and its application to practice
  • Demonstrates knowledge of effective risk management.
  • Knowledge and experience of management models, implementing change and/or new clinical practices, current professional issues.
  • Budgetary experience or responsibility for elements of resource and financial management.
  • Knowledge of current NHS issues including performance targets and the wider NHS Change agenda.
  • Evidence of appropriate clinical competence and ongoing professional development including all clinical aspects of community skills for the clinical aspects of the role.
  • Ability to work with limited support and set own priorities.
  • Ability to reflect and critically appraise own performance
  • Ability to translate best practice evidence and national policies in practice

Desirable

  • Knowledge of national documents relating to community-based services, Primary care and social care legislation.
  • Knowledge of change management and service development processes
  • Application of health and safety and risk management policies.

Skills

Essential

  • Strong analytical and judgmental skills, with the ability to interpret
  • complex situations and make appropriate decisions.
  • Excellent interpersonal skills and ability to build and maintain relationships with other health and social care professionals, patients, carers and the public.
  • Excellent written and verbal communication skills.
  • Ability to work autonomously.
  • Ability to adapt to the demands of a constantly changing environment.
  • Self-confidence to challenge traditional practice and the persistence to address difficult enduring issues.
  • Excellent organisational skills.
  • Ability to use IMT support systems, good computer literacy.
  • Ability to meet deadlines and work under pressure.
  • Good time management.

Qualifications

Essential

  • Diploma/degree in nursing
  • NMC Registration
  • Specialist qualification in related subjects or post graduate diploma / degree level study related to health.
  • Recognised management or leadership education/qualification/course e.g. ILM course or leadership, management modules, core management study days, in house courses (compassionate leadership, HR, budgets, appraisals, staff performance, sickness)

Desirable

  • NMP/V150 prescribing qualification or willingness to undertake if service requires.
  • Teaching/Assessing course such as mentorship module or equivalent experience.
  • Evidence of study at degree / master's level
  • Membership of relevant special interest groups

Additional requirements

Essential

  • Ability to travel across Livewell footprint and other geographical areas. Reasonable adjustments under equality act will be considered for the successful applicant.

Desirable

  • Full valid driving licence

Experience

Essential

  • Demonstrable experience in a senior clinical role with experience of managing a team or staff including caseload management
  • Relevant clinical experience and competence in Respiratory Care.
  • Experience of multidisciplinary team working.
  • Experience of inter-agency and partnership working.
  • Evidence of contributing to or leading change projects or acting as a role model.
  • Experience in challenging clinical practice and leading or contributing in the development of new pathways of care and delivering best practice.
  • Experience in carrying out clinical audit and risk assessment.

Desirable

  • Proven skills in leading, managing and developing teams.
  • Experience of community working, or an understanding of community working.
  • Experience undertaking Incident, HR or complaint Investigations.
  • Experience of leading projects
  • Undertaking Risk management across a service provision
Person Specification

Knowledge

Essential

  • Up to date knowledge of current practice within the areas specified in job purpose
  • Knowledge of national and local frameworks and strategies relating to Respiratory care pathways.
  • Working knowledge of the principles of clinical governance and its application to practice
  • Demonstrates knowledge of effective risk management.
  • Knowledge and experience of management models, implementing change and/or new clinical practices, current professional issues.
  • Budgetary experience or responsibility for elements of resource and financial management.
  • Knowledge of current NHS issues including performance targets and the wider NHS Change agenda.
  • Evidence of appropriate clinical competence and ongoing professional development including all clinical aspects of community skills for the clinical aspects of the role.
  • Ability to work with limited support and set own priorities.
  • Ability to reflect and critically appraise own performance
  • Ability to translate best practice evidence and national policies in practice

Desirable

  • Knowledge of national documents relating to community-based services, Primary care and social care legislation.
  • Knowledge of change management and service development processes
  • Application of health and safety and risk management policies.

Skills

Essential

  • Strong analytical and judgmental skills, with the ability to interpret
  • complex situations and make appropriate decisions.
  • Excellent interpersonal skills and ability to build and maintain relationships with other health and social care professionals, patients, carers and the public.
  • Excellent written and verbal communication skills.
  • Ability to work autonomously.
  • Ability to adapt to the demands of a constantly changing environment.
  • Self-confidence to challenge traditional practice and the persistence to address difficult enduring issues.
  • Excellent organisational skills.
  • Ability to use IMT support systems, good computer literacy.
  • Ability to meet deadlines and work under pressure.
  • Good time management.

Qualifications

Essential

  • Diploma/degree in nursing
  • NMC Registration
  • Specialist qualification in related subjects or post graduate diploma / degree level study related to health.
  • Recognised management or leadership education/qualification/course e.g. ILM course or leadership, management modules, core management study days, in house courses (compassionate leadership, HR, budgets, appraisals, staff performance, sickness)

Desirable

  • NMP/V150 prescribing qualification or willingness to undertake if service requires.
  • Teaching/Assessing course such as mentorship module or equivalent experience.
  • Evidence of study at degree / master's level
  • Membership of relevant special interest groups

Additional requirements

Essential

  • Ability to travel across Livewell footprint and other geographical areas. Reasonable adjustments under equality act will be considered for the successful applicant.

Desirable

  • Full valid driving licence

Experience

Essential

  • Demonstrable experience in a senior clinical role with experience of managing a team or staff including caseload management
  • Relevant clinical experience and competence in Respiratory Care.
  • Experience of multidisciplinary team working.
  • Experience of inter-agency and partnership working.
  • Evidence of contributing to or leading change projects or acting as a role model.
  • Experience in challenging clinical practice and leading or contributing in the development of new pathways of care and delivering best practice.
  • Experience in carrying out clinical audit and risk assessment.

Desirable

  • Proven skills in leading, managing and developing teams.
  • Experience of community working, or an understanding of community working.
  • Experience undertaking Incident, HR or complaint Investigations.
  • Experience of leading projects
  • Undertaking Risk management across a service provision

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).

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.

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

Livewell Southwest

Address

Cumberland Centre

Damerel Close, Devonport

Plymouth

Devon

PL1 4JZ


Employer's website

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


Employer details

Employer name

Livewell Southwest

Address

Cumberland Centre

Damerel Close, Devonport

Plymouth

Devon

PL1 4JZ


Employer's website

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


For questions about the job, contact:

Integrated Operational Lead Specialist Services

Clare Smith

claresmith17@nhs.net

Date posted

07 April 2025

Pay scheme

Agenda for change

Band

Band 7

Salary

£46,148 to £52,809 a year pro rata

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

B9832-2025-NM-9659

Job locations

Cumberland Centre

Damerel Close, Devonport

Plymouth

Devon

PL1 4JZ


Supporting documents

Privacy notice

Livewell Southwest's privacy notice (opens in a new tab)