Job summary
The NHS commissioned services provided by the BOC Wigan Primary
Care Respiratory Service (Wigan PCRS) respiratory team include:
Diagnostic
Service for Asthma and Chronic Obstructive Pulmonary Disease (COPD)
Chronic
Respiratory Disease Management
We will accept referrals from local clinicians for adult
patients that are registered with a GP within the Wigan Borough Clinical
Commissioning Group (CCG).
Wigan PCRS provides a quality assured diagnostic service which
consists of;
Quality assured ARTP standard Spirometry
Fractional Exhaled Nitrous Oxide (FeNO) when appropriate
An assessment to ensure differential diagnosis have been ruled out
supportsadultswho have been diagnosed with a respiratory
condition.
Chronic Respiratory Disease Management (CRDM) provides the
optimisation of treatment/therapies for Asthma and COPD in line with local,
regional & national guidelines.
The patientwill be seen by a member of our respiratory
specialist team who maybe a nurse or respiratory consultant.
The Wigan PCRS team of respiratory specialist nurses and local
respiratory consultant.
Wigan PCRS is commissioned by Wigan Boroughs CCG
Main duties of the job
Delivering
all aspects of patient care and education to the highest standards.
Ensuring
that patient care is assessed, planned, implemented and evaluated in accordance
with required organisational and professional standards.
Ensuring
working within relevant governance systems and processes and that they are
robust and adhered to.
Supporting
the workforce is fit to practice by offering additional support to those in
primary care if required and also student nurses, medical students and trainee
physician associates.
Assessing,
diagnosing and making recommendations for treatment or prescribing effectively
to improve patient outcomes
Working
in partnership with patients to develop effective care plans
About us
Wigan
Primary Care Respiratory Service (Wigan PCRS) has been successfully delivered
borough wide since April 2016. At present we are active in 89% of the boroughs
GP surgeries.
From the outset Wigan PCRS has worked with and
alongside, GP Practice staff to support in delivering the best possible health
outcomes for patients with COPD and asthma across the CCG population.
BOC
Healthcare Ltd is part of the Linde Group, the largest gases company in the
world, and specialises in industrial and medical gases, and engineering
services. Lindes Healthcare division is a leading global healthcare provider,
delivering medical gases and devices, and homecare therapies to over 1.4
million patients worldwide.
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Job description
Job responsibilities
The role of the Respiratory Nurse is to support the delivery of the objectives of the Wigan Borough NHS CCGs Primary Care Respiratory Service (PCRS), as part of a team of Respiratory Nurses.
The aim of the PCRS is to improve COPD and asthma patient outcomes across the borough and provide earlier, quality assured diagnosis and optimise treatment.
Respiratory Nurses will be flexible to work across all PCRS hubs within the borough to meet the Wigan PCRS service demand.
The post holder will:
- Take a comprehensive history, and perform a systematic physical examination establishing baseline data to assess patients with COPD and asthma. Make use of support systems and work within agreed protocols and guidelines.
- Perform quality-assured diagnostic spirometry as required- either to help establish a diagnosis or to monitor disease progression.
- Analyse signs and symptoms, laboratory tests and other measures of function, in formulating a diagnosis.
- Be responsible for providing cost-effective, co-ordinated and comprehensive clinical care based on the best current knowledge of treatment outcomes, with attention to safety, cost, invasiveness, simplicity, acceptability, adherence and efficacy.
- Raise awareness and standards of respiratory care and management within primary-care settings.
- Collect, collate and organise data on the health and well-being and related needs of patients within the caseload, drawing appropriate conclusions and taking appropriate action.
- Collaborate with appropriate clinicians/healthcare professionals to plan and implement treatment for acute/chronic illness as required, using skills in nurse prescribing and medicines management.
- Utilise advanced communication skills to facilitate the understanding and concordance of medicine management with patients and carers.
- Respect the patients need for privacy and dignity.
- Ensure clinical practice is carried out as directed by professional codes of practice and organisation policies.
- Empower the patient by respecting patient values, setting lifestyle goals and providing information to support decisions about disease management.
- Act as patient advocate to support and encourage the patient to identify sources of relevant information to assist with self-care and health promotion.
Education and Training
- Participate in the ongoing development of a supportive learning environment.
- Contribute to the informal teaching of support staff and students.
- Participate in patient education and health promotion programmes.
- Be responsible for the recognition of learning needs and contributing to learning outcomes of all levels of staff.
- Act as a mentor, clinical supervisor, facilitator, educator and assessor for all pre and post registered nurses and allied health care professionals
- Be responsible for creating an environment conductive to the acquisition of further knowledge and skills.
- Contribute to the orientation of new staff
- Liaise with all colleagues in a teaching capacity to ensure an overall co-ordinated approach for staff development.
- Take responsibility for pursuing own professional development in accordance with an agreed personal development plan.
Service Development
- Support the development and implementation of an effective specialist nurse-led service within the CCG in line with current best practice.
- Contribute to increasing the prevalence of COPD and asthma through quality-assured spirometry.
- Clearly articulate the role of the service and its value to patients to patient their carers and members of multidisciplinary teams.
- Contribute in the development of strategies, protocols and policies that impact on the future service provision and care.
- Network locally, regionally and nationally, recognising the ethical, legal and professional constraints of practice.
- Contribute to the analysis and compilation of reports and presentations with regard to the service.
- Act as a resource and role model for nurses and allied healthcare professionals.
- Collaborate with relevant local service providers, patients and carers to develop and review integrated patient pathway.
- To use information technology and ensure that relevant and up-to-date information on clinical and service developments are provided to agreed timescales.
Integration with other local healthcare teams and professionals by:
Ensuring onward referral to other teams / services in line with local referral protocols.
Maintaining appropriate and current patient records electronically.
Liaising with patients, families and their carers and manage emotional situations professionally.
Reviewing complex cases with healthcare professionals as appropriate.
Becoming a source of respiratory expertise to all healthcare professionals within Wigan Borough CCG, providing specialist respiratory training, advice and support as required.
To support the Clinical Lead and Contract Manager in:
Developing the PCRS role within Wigan Borough CCG.
Communicating and promoting the service locally.
Integrating the PCRS within the care pathway.
Proposing and implementing continuous improvements to the PCRS service.
Research and Governance
Support and adhere to our Clinical Governance programme within the PCRS by:
Seeking, proposing and implementing continuous improvements to the PCRS processes.
Safeguarding high standards of care by following key components of our robust clinical governance system, including:
Clinical effectiveness
Clinical audit
Research and development
Education and training
Evidence-based healthcare
User/Patient involvement
Performance appraisal and Continuous Professional Development
Incidents and complaints.
- Contribute to the planning, development, implementation and audit of evidence-based policies and guidelines including clinical benchmarks.
- Develop an extensive knowledge of chronic disease processes and their management.
- Comply with all BOC Healthcare clinical policies and guidelines.
- Contribute to the development or review of clinical policies and guidelines related to the care of patients with chronic disease.
- Contribute to the development of clinical standards, within bench marking and audit processes.
- Provide and receive clinical supervision in order to continuously improve the quality of care to patients.
- Reflect and critically evaluate own practice, including the values, practices and interests that underpin it and the effectiveness of case management.
- Collate and review developments in knowledge and policy related to long-term conditions and incorporate into own practice as appropriate
- Educate, support and advise groups and individuals on best practice in relation to the management and needs of patients with complex respiratory conditions.
- Use own experience to guide others towards solutions related to interpersonal, organisational and practice-based issues.
- Challenge existing knowledge, current poor practice and be open to being challenged by others.
- Utilise knowledge and experience of structured education to enhance both an individuals care pathway and the quality of service provided.
- Develop own knowledge and skills, within a specialist competency framework, in order to function as a specialist respiratory nurse.
- Support others in their learning and development, related to the management and needs of patients with complex chronic disease.
- Be aware of national and local policy that impacts upon the health and well-being of patients with complex respiratory conditions.
- Comply with BOC Healthcare policy on risk management, specifically patient risk assessment and clinical incident reporting.
- Maintain confidentiality when recording, storing and transmitting patient information in accordance with NMC Code of Conduct.
- Follow BTS guidelines, NICE guidelines, Department of Health policies and procedures, local trust policies and procedures and updating service policies and procedures to reflect any changes or updates.
Information Governance
All employees working within BOC Healthcare are bound by a legal duty of confidence to protect personal information they may come into contact with during the course of their work. All staff, whether permanent, temporary or contracted, are responsible for ensuring that they are aware of Information Governance requirements incumbent upon them and for ensuring that they comply with these on a day-to-day basis.
Champion Information Governance within the team and ensure that the team have the information required to comply with requirements.
Job description
Job responsibilities
The role of the Respiratory Nurse is to support the delivery of the objectives of the Wigan Borough NHS CCGs Primary Care Respiratory Service (PCRS), as part of a team of Respiratory Nurses.
The aim of the PCRS is to improve COPD and asthma patient outcomes across the borough and provide earlier, quality assured diagnosis and optimise treatment.
Respiratory Nurses will be flexible to work across all PCRS hubs within the borough to meet the Wigan PCRS service demand.
The post holder will:
- Take a comprehensive history, and perform a systematic physical examination establishing baseline data to assess patients with COPD and asthma. Make use of support systems and work within agreed protocols and guidelines.
- Perform quality-assured diagnostic spirometry as required- either to help establish a diagnosis or to monitor disease progression.
- Analyse signs and symptoms, laboratory tests and other measures of function, in formulating a diagnosis.
- Be responsible for providing cost-effective, co-ordinated and comprehensive clinical care based on the best current knowledge of treatment outcomes, with attention to safety, cost, invasiveness, simplicity, acceptability, adherence and efficacy.
- Raise awareness and standards of respiratory care and management within primary-care settings.
- Collect, collate and organise data on the health and well-being and related needs of patients within the caseload, drawing appropriate conclusions and taking appropriate action.
- Collaborate with appropriate clinicians/healthcare professionals to plan and implement treatment for acute/chronic illness as required, using skills in nurse prescribing and medicines management.
- Utilise advanced communication skills to facilitate the understanding and concordance of medicine management with patients and carers.
- Respect the patients need for privacy and dignity.
- Ensure clinical practice is carried out as directed by professional codes of practice and organisation policies.
- Empower the patient by respecting patient values, setting lifestyle goals and providing information to support decisions about disease management.
- Act as patient advocate to support and encourage the patient to identify sources of relevant information to assist with self-care and health promotion.
Education and Training
- Participate in the ongoing development of a supportive learning environment.
- Contribute to the informal teaching of support staff and students.
- Participate in patient education and health promotion programmes.
- Be responsible for the recognition of learning needs and contributing to learning outcomes of all levels of staff.
- Act as a mentor, clinical supervisor, facilitator, educator and assessor for all pre and post registered nurses and allied health care professionals
- Be responsible for creating an environment conductive to the acquisition of further knowledge and skills.
- Contribute to the orientation of new staff
- Liaise with all colleagues in a teaching capacity to ensure an overall co-ordinated approach for staff development.
- Take responsibility for pursuing own professional development in accordance with an agreed personal development plan.
Service Development
- Support the development and implementation of an effective specialist nurse-led service within the CCG in line with current best practice.
- Contribute to increasing the prevalence of COPD and asthma through quality-assured spirometry.
- Clearly articulate the role of the service and its value to patients to patient their carers and members of multidisciplinary teams.
- Contribute in the development of strategies, protocols and policies that impact on the future service provision and care.
- Network locally, regionally and nationally, recognising the ethical, legal and professional constraints of practice.
- Contribute to the analysis and compilation of reports and presentations with regard to the service.
- Act as a resource and role model for nurses and allied healthcare professionals.
- Collaborate with relevant local service providers, patients and carers to develop and review integrated patient pathway.
- To use information technology and ensure that relevant and up-to-date information on clinical and service developments are provided to agreed timescales.
Integration with other local healthcare teams and professionals by:
Ensuring onward referral to other teams / services in line with local referral protocols.
Maintaining appropriate and current patient records electronically.
Liaising with patients, families and their carers and manage emotional situations professionally.
Reviewing complex cases with healthcare professionals as appropriate.
Becoming a source of respiratory expertise to all healthcare professionals within Wigan Borough CCG, providing specialist respiratory training, advice and support as required.
To support the Clinical Lead and Contract Manager in:
Developing the PCRS role within Wigan Borough CCG.
Communicating and promoting the service locally.
Integrating the PCRS within the care pathway.
Proposing and implementing continuous improvements to the PCRS service.
Research and Governance
Support and adhere to our Clinical Governance programme within the PCRS by:
Seeking, proposing and implementing continuous improvements to the PCRS processes.
Safeguarding high standards of care by following key components of our robust clinical governance system, including:
Clinical effectiveness
Clinical audit
Research and development
Education and training
Evidence-based healthcare
User/Patient involvement
Performance appraisal and Continuous Professional Development
Incidents and complaints.
- Contribute to the planning, development, implementation and audit of evidence-based policies and guidelines including clinical benchmarks.
- Develop an extensive knowledge of chronic disease processes and their management.
- Comply with all BOC Healthcare clinical policies and guidelines.
- Contribute to the development or review of clinical policies and guidelines related to the care of patients with chronic disease.
- Contribute to the development of clinical standards, within bench marking and audit processes.
- Provide and receive clinical supervision in order to continuously improve the quality of care to patients.
- Reflect and critically evaluate own practice, including the values, practices and interests that underpin it and the effectiveness of case management.
- Collate and review developments in knowledge and policy related to long-term conditions and incorporate into own practice as appropriate
- Educate, support and advise groups and individuals on best practice in relation to the management and needs of patients with complex respiratory conditions.
- Use own experience to guide others towards solutions related to interpersonal, organisational and practice-based issues.
- Challenge existing knowledge, current poor practice and be open to being challenged by others.
- Utilise knowledge and experience of structured education to enhance both an individuals care pathway and the quality of service provided.
- Develop own knowledge and skills, within a specialist competency framework, in order to function as a specialist respiratory nurse.
- Support others in their learning and development, related to the management and needs of patients with complex chronic disease.
- Be aware of national and local policy that impacts upon the health and well-being of patients with complex respiratory conditions.
- Comply with BOC Healthcare policy on risk management, specifically patient risk assessment and clinical incident reporting.
- Maintain confidentiality when recording, storing and transmitting patient information in accordance with NMC Code of Conduct.
- Follow BTS guidelines, NICE guidelines, Department of Health policies and procedures, local trust policies and procedures and updating service policies and procedures to reflect any changes or updates.
Information Governance
All employees working within BOC Healthcare are bound by a legal duty of confidence to protect personal information they may come into contact with during the course of their work. All staff, whether permanent, temporary or contracted, are responsible for ensuring that they are aware of Information Governance requirements incumbent upon them and for ensuring that they comply with these on a day-to-day basis.
Champion Information Governance within the team and ensure that the team have the information required to comply with requirements.
Person Specification
Qualifications
Essential
- National qualification (Registered Nurse on part 1 or 2 of the Nursing and midwife Council register with current NMC registration ENB 998 or equivalent (teaching and assessing in Clinical Practice post graduate module) COPD respiratory diploma or other recognised respiratory course Evidence of continued professional development
Desirable
- ARTP Certification in Spirometry or willingness to undertake Leadership / management modules or willingness to develop skills
Experience
Essential
- Recent experience with respiratory patients within primary/secondary or community care and the ability to transfer these skills to the appropriate setting.
- Clinical knowledge in respiratory patient assessment.
- Experience of the diagnosis and management of respiratory conditions. Knowledge of the principles of Clinical and Information Governance and application within clinical practice Knowledge of national and international guidelines relevant to the role.
- Experience of working in an MDT.
- Experience of effective team working.
- Excellent communication and interpersonal skills.
- Car driver with valid driving license.
- Ability to act on own initiative and take responsibility of own caseload. To be highly motivated and highly motivating.
- Desire to constantly improve self and the service.
- A high level of personal integrity.
Desirable
- Previous community experience Experience in the provision of smoking cessation advice
- Experience of supervising staff/students.
- Experience of audit or research
- Experience of educating patients in self-management of their condition and devising individualised care plans
- Innovative with an openness to constantly improve the service
- Teaching and assessing skills
Person Specification
Qualifications
Essential
- National qualification (Registered Nurse on part 1 or 2 of the Nursing and midwife Council register with current NMC registration ENB 998 or equivalent (teaching and assessing in Clinical Practice post graduate module) COPD respiratory diploma or other recognised respiratory course Evidence of continued professional development
Desirable
- ARTP Certification in Spirometry or willingness to undertake Leadership / management modules or willingness to develop skills
Experience
Essential
- Recent experience with respiratory patients within primary/secondary or community care and the ability to transfer these skills to the appropriate setting.
- Clinical knowledge in respiratory patient assessment.
- Experience of the diagnosis and management of respiratory conditions. Knowledge of the principles of Clinical and Information Governance and application within clinical practice Knowledge of national and international guidelines relevant to the role.
- Experience of working in an MDT.
- Experience of effective team working.
- Excellent communication and interpersonal skills.
- Car driver with valid driving license.
- Ability to act on own initiative and take responsibility of own caseload. To be highly motivated and highly motivating.
- Desire to constantly improve self and the service.
- A high level of personal integrity.
Desirable
- Previous community experience Experience in the provision of smoking cessation advice
- Experience of supervising staff/students.
- Experience of audit or research
- Experience of educating patients in self-management of their condition and devising individualised care plans
- Innovative with an openness to constantly improve the service
- Teaching and assessing skills
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).
