Job summary As a Respiratory Health Care Professional, the post holder is responsible for the delivery of Asthma and COPD investigations and reviews. The post holder will support patients to better manage their long-term conditions, using a personalised care planning approach. They will work collaboratively with the Multi-Disciplinary Team to meet the needs of patients. They will support the clinical team as well as the Health Care Assistants. The post holder will demonstrate courageous and critical thinking and is a caring, compassionate and committed experienced nurse or relevant clinician who, acting within their professional boundaries, will provide care for the presenting patient from initial history taking, clinical assessment, diagnosis, treatment and evaluation of care. They will demonstrate safe, competent clinical decision-making and expert care, including assessment and diagnostic skills, for patients within the general practice. Main duties of the job Responsibilities: To initiate investigations for patients on respiratory pathways To carry out FeNO/Spirometry if indicated, and interpret the results (where qualified to do so) Implement and evaluate individual care plans for patients with Asthma and COPD, ensuring they have an understanding of how to manage any exacerbations or changes in symptoms Identify and manage appropriately patients at risk of developing respiratory disease To recommend and prescribe (where qualified to do so) inhaled therapies in line with local and national guidance, aiming for good symptom control. Provide patients with teaching to ensure good inhaler technique Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care Support patients to adopt health promotion strategies that encourage good health, deliver opportunistic health promotion at all times and support the principles of self-care Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures Prioritise, organise and manage own workload that maintains and promotes quality Understand and apply the legal policy that supports the identification of vulnerable and abused adults and children being aware of local policies, guidelines and procedures About us Our Mission is to support our practices and patients by being a leading provider of innovative, responsive and high-quality GP led primary care services in North West Surrey, delivering equitable access to primary care services and improving the healthcare of our population. Our Vision is to support our practices and their patients by providing high quality, responsive and compassionate health care services. We do this by working collaboratively with our practices and other health providers across Surrey. Our Values Commitment to quality of care Working together for our patients Everyone counts Improving Lives We offer a number of benefits as an organisation to enhance staff experience and well-being: Lease car scheme NHS pension scheme Employee discount via the NHS Bluecard Enhanced maternity leave Free flu jabs Health & wellbeing programme Sabbatical Enhanced company sick pay Work from home Date posted 14 February 2025 Pay scheme Other Salary Depending on experience Very competitive Contract Fixed term Duration 2 years Working pattern Part-time Reference number M0050-25-0001 Job locations Woking Community Hospital Heathside Road Woking Surrey GU227HS Job description Job responsibilities Responsibilities To initiate investigations for patients on respiratory pathways To carry out FeNO/Spirometry if indicated, and interpret the results where qualified to do so Implement and evaluate individual care plans for patients with Asthma and COPD, ensuring they have an understanding of how to manage any exacerbations or changes in symptoms Identify and manage appropriately patients at risk of developing respiratory disease To recommend and prescribe (where qualified to do so) inhaled therapies in line with local and national guidance, aiming for good symptom control. Provide patients with teaching to ensure good inhaler technique Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care Support patients to adopt health promotion strategies that encourage good health, deliver opportunistic health promotion at all times and support the principles of self-care Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures Prioritise, organise and manage own workload that maintains and promotes quality Understand and apply the legal policy that supports the identification of vulnerable and abused adults and children being aware of local policies, guidelines and procedures Service Provision Running spirometry clinics from NICS Acute Illness sites and outreach clinics. Numerical and clinical Interpretation of adult and paediatric spirometry and FeNO results for the service. Provide support to Administration Team with triage of referrals. Troubleshoot problems occurring on clinic days with spirometers and connection errors. Provide on-call support to HCA team when clinics are running, via teams WhatsApp group. Liaise with Respiratory Nurse Specialist. Liaise with other services to support joined-up working with outside agencies as part of the development of the service. Quality Assurance Quality control and verification of interpretations carried out by other clinicians. Maintain quality and standard required for all testing performed. Ensure spirometer settings at each location are in line with correct protocols. Identify patients requiring urgent onward referral to secondary care. Remain up to date with guidelines for performing spirometry and FeNO and feedback to team. Deliver care according to the NSF and National Institute for Clinical Excellence (NICE) guidelines and Evidence based care To keep up to date with changes in guidance. Recognise and work within their own competence and professional code of conduct. Line Management Supervise and support HCAs both in person on-site and via on-line training. Feedback any concerns to Clinic lead and Clinic co-ordinators Participate in team meetings. Governance Ensure service is providing ARTP BTS standard spirometry testing. Check calibration ranges equipment maintenance for each location. Conduct IPC monthly audits Ensure clinic data results and history is accurate on EMIS. Support with Standard operating procedure updates Incident Reporting: Report Safeguarding concerns arising in clinic Report IT issues encountered by service Report Infection Control and other Health and Safety concerns Performing and Interpretation of spirometry certificate or similar Enthusiastic and innovative team player who can work autonomously. Specialist interest in Respiratory disease Supervisory experience Confidentiality Everyone working in or for the NHS has the responsibility to use information and data in a secure and confidential way. Staff who have access to information about individuals (whether patients, staff, or others) need to use it effectively, whilst maintaining appropriate levels of confidentiality. You must be aware of the data protection legislation in relation to data security (confidentiality, integrity and availability) and ensure strict adherence to the provisions therein at all times. In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, NICS staff and other healthcare workers. They may also have access to information relating to NICS as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of NICS may only be divulged to authorised persons in accordance with the NICS policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & safety Health & Safety policy and NICS Infection Control policy and published procedures. This will include (but will not be limited to): Maintaining an up-to-date knowledge of health, safety, and infection control statutory and best practice guidelines and ensuring implementation across the business. Using personal security systems within the workplace according to NICS guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across the business. Making effective use of training to update knowledge and skills, Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers Undertaking periodic infection control training (minimum annually) Routine management of team areas, and maintenance of workspace standards Demonstrate due regard for safeguarding and promoting the welfare of children. Equality and diversity The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner that is welcoming to, of the individual, is non-judgmental, and respects their circumstances, feelings priorities and rights. Personal and Professional development The post-holder will participate in any training programme implemented by NICS as part of this employment, with such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Communication The post-holder should recognise the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. Contribution to the implementation of services The post-holder will Apply NICS policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect their own work. Participate in audit where appropriate. Job description Job responsibilities Responsibilities To initiate investigations for patients on respiratory pathways To carry out FeNO/Spirometry if indicated, and interpret the results where qualified to do so Implement and evaluate individual care plans for patients with Asthma and COPD, ensuring they have an understanding of how to manage any exacerbations or changes in symptoms Identify and manage appropriately patients at risk of developing respiratory disease To recommend and prescribe (where qualified to do so) inhaled therapies in line with local and national guidance, aiming for good symptom control. Provide patients with teaching to ensure good inhaler technique Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including the initiation of effective emergency care Support patients to adopt health promotion strategies that encourage good health, deliver opportunistic health promotion at all times and support the principles of self-care Produce accurate, contemporaneous and complete records of patient consultations, consistent with legislation, policies and procedures Prioritise, organise and manage own workload that maintains and promotes quality Understand and apply the legal policy that supports the identification of vulnerable and abused adults and children being aware of local policies, guidelines and procedures Service Provision Running spirometry clinics from NICS Acute Illness sites and outreach clinics. Numerical and clinical Interpretation of adult and paediatric spirometry and FeNO results for the service. Provide support to Administration Team with triage of referrals. Troubleshoot problems occurring on clinic days with spirometers and connection errors. Provide on-call support to HCA team when clinics are running, via teams WhatsApp group. Liaise with Respiratory Nurse Specialist. Liaise with other services to support joined-up working with outside agencies as part of the development of the service. Quality Assurance Quality control and verification of interpretations carried out by other clinicians. Maintain quality and standard required for all testing performed. Ensure spirometer settings at each location are in line with correct protocols. Identify patients requiring urgent onward referral to secondary care. Remain up to date with guidelines for performing spirometry and FeNO and feedback to team. Deliver care according to the NSF and National Institute for Clinical Excellence (NICE) guidelines and Evidence based care To keep up to date with changes in guidance. Recognise and work within their own competence and professional code of conduct. Line Management Supervise and support HCAs both in person on-site and via on-line training. Feedback any concerns to Clinic lead and Clinic co-ordinators Participate in team meetings. Governance Ensure service is providing ARTP BTS standard spirometry testing. Check calibration ranges equipment maintenance for each location. Conduct IPC monthly audits Ensure clinic data results and history is accurate on EMIS. Support with Standard operating procedure updates Incident Reporting: Report Safeguarding concerns arising in clinic Report IT issues encountered by service Report Infection Control and other Health and Safety concerns Performing and Interpretation of spirometry certificate or similar Enthusiastic and innovative team player who can work autonomously. Specialist interest in Respiratory disease Supervisory experience Confidentiality Everyone working in or for the NHS has the responsibility to use information and data in a secure and confidential way. Staff who have access to information about individuals (whether patients, staff, or others) need to use it effectively, whilst maintaining appropriate levels of confidentiality. You must be aware of the data protection legislation in relation to data security (confidentiality, integrity and availability) and ensure strict adherence to the provisions therein at all times. In the course of seeking treatment, patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. In the performance of the duties outlined in this job description, the post-holder may have access to confidential information relating to patients and their carers, NICS staff and other healthcare workers. They may also have access to information relating to NICS as a business organisation. All such information from any source is to be regarded as strictly confidential. Information relating to patients, carers, colleagues, other healthcare workers or the business of NICS may only be divulged to authorised persons in accordance with the NICS policies and procedures relating to confidentiality and the protection of personal and sensitive data. Health & safety Health & Safety policy and NICS Infection Control policy and published procedures. This will include (but will not be limited to): Maintaining an up-to-date knowledge of health, safety, and infection control statutory and best practice guidelines and ensuring implementation across the business. Using personal security systems within the workplace according to NICS guidelines Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks across the business. Making effective use of training to update knowledge and skills, Actively identifying, reporting, and correcting health and safety hazards and infection hazards immediately when recognised Keeping own work areas and general / patient areas generally clean, identifying issues and hazards / risks in relation to other work areas within the business, and assuming responsibility in the maintenance of general standards of cleanliness across the business in consultation (where appropriate) with other sector managers Undertaking periodic infection control training (minimum annually) Routine management of team areas, and maintenance of workspace standards Demonstrate due regard for safeguarding and promoting the welfare of children. Equality and diversity The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner that is welcoming to, of the individual, is non-judgmental, and respects their circumstances, feelings priorities and rights. Personal and Professional development The post-holder will participate in any training programme implemented by NICS as part of this employment, with such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development. Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work. Communication The post-holder should recognise the importance of effective communication within the team and will strive to: Communicate effectively with other team members. Communicate effectively with patients and carers. Recognise peoples needs for alternative methods of communication and respond accordingly. Contribution to the implementation of services The post-holder will Apply NICS policies, standards and guidance. Discuss with other members of the team how the policies, standards and guidelines will affect their own work. Participate in audit where appropriate. Person Specification Personal Qualities Essential Flexible approach to the needs of the department/service Flexibility to be able to work a full range of shifts Willingness to undertake training and development, particularly in the area of clinical photography and dermatology care. A genuine desire to make a real difference in peoples lives Enthusiastic and innovative team player who can work autonomously. Values align with NICS Driving licence and ability to travel between sites Experience Essential Good communication and interpersonal skills Ability to cope with and manage change. IT literacy with experience in using electronic health record systems EHR and image management software. Cerner or EMIS preferable Must be prepared to undertake all mandatory/essential training. Must be prepared to undertake further training as required by the service. Knowledge of the respiratory system Specialist interest in Respiratory disease Working and up to date knowledge of Asthma and COPD Performing and Interpretation of spirometry certificate or similar Desirable Experience of operating NHS IT Systems Qualifications Essential Registered Health Care Professional. Respiratory experience/education or relevant clinical experience. Performing and interpretation of Spirometry/ adults and paediatric FeNO diagnostics Be willing to undertake further training in respiratory education Awareness of, and commitment to, continuing professional development relevant to the post. Experience of working in community setting. Supervisory experience Evidence of ongoing professional development Asthma Diploma or equivalent ARTP or similar accreditation Desirable Have postgraduate specialist qualification Ability to evidence previous experience of the day to day management of a service including management of staff/resources. Independent prescriber Experience of operating NHS IT Systems Experience in Primary care Person Specification Personal Qualities Essential Flexible approach to the needs of the department/service Flexibility to be able to work a full range of shifts Willingness to undertake training and development, particularly in the area of clinical photography and dermatology care. A genuine desire to make a real difference in peoples lives Enthusiastic and innovative team player who can work autonomously. Values align with NICS Driving licence and ability to travel between sites Experience Essential Good communication and interpersonal skills Ability to cope with and manage change. IT literacy with experience in using electronic health record systems EHR and image management software. Cerner or EMIS preferable Must be prepared to undertake all mandatory/essential training. Must be prepared to undertake further training as required by the service. Knowledge of the respiratory system Specialist interest in Respiratory disease Working and up to date knowledge of Asthma and COPD Performing and Interpretation of spirometry certificate or similar Desirable Experience of operating NHS IT Systems Qualifications Essential Registered Health Care Professional. Respiratory experience/education or relevant clinical experience. Performing and interpretation of Spirometry/ adults and paediatric FeNO diagnostics Be willing to undertake further training in respiratory education Awareness of, and commitment to, continuing professional development relevant to the post. Experience of working in community setting. Supervisory experience Evidence of ongoing professional development Asthma Diploma or equivalent ARTP or similar accreditation Desirable Have postgraduate specialist qualification Ability to evidence previous experience of the day to day management of a service including management of staff/resources. Independent prescriber Experience of operating NHS IT Systems Experience in Primary care 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 North West Surrey Integrated Care Services Address Woking Community Hospital Heathside Road Woking Surrey GU227HS Employer's website https://www.nicsfed.co.uk/ (Opens in a new tab)