Job summary
Employer heading
Respiratory Clinical Nurse Specialist
NHS AfC: Band 7
Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.
Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.
We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.
To achieve this we value Respect, Compassion, and Inclusion; Being accountable over staying comfortable; Listening over always knowing best; and Succeeding together over achieving alone. You can read more about our visions and values here
Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.
Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.
LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.
We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.
Job overview
The role of Clinical Nurse Specialist requires a high degree of personal professional autonomy and making clinical judgments.
-To assess and review patients attending emergency department and who are admitted in the hospital with asthma, COPD and NIV according to the local protocols and national guidelines.
-To initiate home oxygen therapy in hospital or at home and to do follow-up reviews safely.
-To perform dignostic clinics including performing and interpreting lung function tests namely reversibility and FeNo in outpatient and community hub settings
-Discuss own patient caseload with relevant clinicians and at MDT
-Lead on audits namely national asthma and COPD ones
-Educating other healthcare professionals.
Main duties of the job
- To co-ordinate the specialty care within the Trust, including community clinics across Lewisham and home visits for patients who are unable to access the community clinics.
- To support patients with oxygen in terms of checking their ongoing needs, their safety and in the identification of risk.
- To become an essential member, and point of contact and resource for the multi-disciplinary team and patients and carers.
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. This will include spirometry, FeNo, lung function reports, and blood gas analysis.
- Carries out complex therapeutic/investigational procedures under indirect supervision of the Consultant. Ensuring that they are carried out using safe practice and under agreed guidelines/protocols to ensure that the highest possible standard is obtained based on competent clinical practice.
Working for our organisation
Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:
- Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
- Widening access (anchor institution) and employability
- Improving the experience of staff with disability
- Improving the EDI literacy and confidence of trust staff through training and development
- Making equalities mainstream
Detailed job description and main responsibilities
- Carries out diagnostic/therapeutic interventions as an independent practitioner, interprets, writes reports and commences further possible treatment on the basis of the findings. This will include spirometry, FeNo, lung function reports, and blood gas analysis.
- Perform clinics independently for patients with asthma and COPD and support primary care in managing patients in the community.
- Assess patients on wards to initiate home oxygen therapy and review them at home
- Refer patients with severe asthma to tertiary institution for biologics
- Liaise with other hospitals regarding management of NIV and follow patients up at home
- Perform research and audits regularly
- assists in service development
Person specification
Qualifications
Essential criteria
- • MSc level learning or equivalent level of knowledge
- • RN – Part 1
- • Knowledge of respiratory conditions, management and treatment.
- • Advanced training/skills in lung function interpretation and blood gas analysis.
- • In-depth knowledge of anatomy related to speciality
- • Relevant specialist course preferably in asthma, COPD and physical assessment.
Desirable criteria
- • Knowledge of quality standards
- • Counselling course
- • Non-Medical Prescribing
Experience
Essential criteria
- • Senior clinical experience within their speciality. .
- • Experience in Practice Guideline Development
- • Audit and Research Experience
- • Evidence of clinical leadership qualities
- • Ability to prioritise and organise workload
- • Ability to work autonomously and as a member of a multi-professional team
- • Evidence of using primary and secondary healthcare teams and resources
- • Ability to clinically lead and direct staff
- • Experience in patient advocacy
- • Experience of respiratory care in both primary and secondary care
- • Experience of running a clinic
Desirable criteria
- • Lead an audit and/or research study • Caseload management
- • Presentation and publishing experience
- • Caseload management
Knowledge
Essential criteria
- • Excellent verbal, written and interpersonal communication skills
- • Counselling skills
- • Computer Skills
Desirable criteria
- • Change management
- • Statistics and report writing
Personal Qualities
Essential criteria
- • Creative, lateral thinker
- • Sensitivity based on knowledge
- • Flexible and positive approach to work
- • Enthusiasm and motivation
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Mawuli Foli Awli
- Job title
- Lead Respiratory Nurse
- Email address
- [email protected]
- Telephone number
- 07880087112
- Additional information
Aaron Canero
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