Job summary 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. About us 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 Date posted 17 October 2024 Pay scheme Agenda for change Band Band 7 Salary £46,148 to £52,809 a year per annum Plus HCA Contract Permanent Working pattern Full-time Reference number 197-AJ5928 Job locations University Hospital Lewisham Lewisham High Street Lewisham SE13 6LH Job description Job 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 Job description Job 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 oMSc level learning or equivalent level of knowledge oRN - Part 1 oKnowledge of respiratory conditions, management and treatment. oAdvanced training/skills in lung function interpretation and blood gas analysis. oIn-depth knowledge of anatomy related to speciality o Relevant specialist course preferably in asthma, COPD and physical assessment. Desirable oKnowledge of quality standards oCounselling course oNon-Medical Prescribing Experience Essential oSenior clinical experience within their speciality.. oExperience in Practice Guideline Development oAudit and Research Experience oEvidence of clinical leadership qualities oAbility to prioritise and organise workload oAbility to work autonomously and as a member of a multi-professional team oEvidence of using primary and secondary healthcare teams and resources oAbility to clinically lead and direct staff oExperience in patient advocacy oExperience of respiratory care in both primary and secondary care oExperience of running a clinic Desirable oLead an audit and/or research study oCaseload management oPresentation and publishing experience oCaseload management Knowledge Essential oExcellent verbal, written and interpersonal communication skills oCounselling skills oComputer Skills Desirable oChange management oStatistics and report writing Personal Qualities Essential oCreative, lateral thinker oSensitivity based on knowledge oFlexible and positive approach to work oEnthusiasm and motivation Person Specification Qualifications Essential oMSc level learning or equivalent level of knowledge oRN - Part 1 oKnowledge of respiratory conditions, management and treatment. oAdvanced training/skills in lung function interpretation and blood gas analysis. oIn-depth knowledge of anatomy related to speciality o Relevant specialist course preferably in asthma, COPD and physical assessment. Desirable oKnowledge of quality standards oCounselling course oNon-Medical Prescribing Experience Essential oSenior clinical experience within their speciality.. oExperience in Practice Guideline Development oAudit and Research Experience oEvidence of clinical leadership qualities oAbility to prioritise and organise workload oAbility to work autonomously and as a member of a multi-professional team oEvidence of using primary and secondary healthcare teams and resources oAbility to clinically lead and direct staff oExperience in patient advocacy oExperience of respiratory care in both primary and secondary care oExperience of running a clinic Desirable oLead an audit and/or research study oCaseload management oPresentation and publishing experience oCaseload management Knowledge Essential oExcellent verbal, written and interpersonal communication skills oCounselling skills oComputer Skills Desirable oChange management oStatistics and report writing Personal Qualities Essential oCreative, lateral thinker oSensitivity based on knowledge oFlexible and positive approach to work oEnthusiasm and motivation 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 Lewisham and Greenwich NHS Trust Address University Hospital Lewisham Lewisham High Street Lewisham SE13 6LH Employer's website https://www.lewishamandgreenwich.nhs.uk/ (Opens in a new tab)