Clinical Practice * Provide autonomous clinical assessment, diagnosis, and treatment for patients with respiratory conditions, including but not limited to asthma, COPD, bronchiectasis, and interstitial lung disease * Perform specialist respiratory assessments including spirometry interpretation, peak flow monitoring, and oxygen therapy assessment * Prescribe medications within your scope of practice and in accordance with local formularies and guidelines * Manage complex respiratory cases and coordinate care with secondary care services when necessary Service Development * Lead the development and implementation of respiratory care pathways across the PCN * Establish and maintain clinical protocols and guidelines for respiratory care * Coordinate with practice nurses and healthcare assistants to ensure consistent respiratory care delivery * Implement quality improvement initiatives to enhance respiratory services * Monitor and evaluate service outcomes using audit and research methodologies Education and Leadership * Provide clinical leadership in respiratory care across the PCN * Deliver education and training to primary care colleagues on respiratory care management * Mentor and support other nursing staff in developing respiratory care skills * Participate in multidisciplinary team meetings and case reviews * Maintain up-to-date knowledge of respiratory care guidelines and evidence-based practice