Job summary An exciting opportunity has arisen for a Respiratory Lead Nurse to join our Nursing and Care Directorate. This role will require the successful candidate to play a pivotal role in building the respiratory expertise within the clinical team, focusing on upskilling other clinical leads and staff at all levels to ensure the delivery of high-quality care to children and young people with complex respiratory needs. As well as being the clinical nurse expert overseeing respiratory assessment and care plans for the CYP, the post-holder will also empower the wider clinical workforce, ensuring they are fully equipped with the necessary knowledge and skills to provide effective respiratory support. This role will lead the development of education, training, and resources to establish sustainable, expert respiratory care practices across the team. This role reports directly to the Head of Care and works closely with the wider clinical leadership team to ensure the Childrens Trust remains a leader in respiratory care for children with long-term ventilation and tracheostomy needs. Staff benefits include London weighting, shuttle bus, and more Read more below Main duties of the job Role Requirements Lead on the upskilling and education of clinical leads and nursing and care teams across the service to build expertise in respiratory care. Oversight of respiratory assessment and care planning for CYP with complex respiratory needs across residential care and rehabilitation. Decision making responsibility in relation to complex respiratory care (e.g. changing ventilator settings, trialling one-way valves) working in a team around the child. Collaborate with the team around the child within rehabilitation, residential / school settings with particular focus on working in partnership with the respiratory physiotherapist. Collaborate with the Clinical Education Lead to develop and implement structured training programs for nursing staff, ensuring the workforce can confidently manage complex respiratory needs. Develop a system of continuous clinical support and knowledge sharing, ensuring that all staff are equipped to deliver evidence-based, high-quality respiratory care. Support staff who cover the Clinical Site Manager rota (CSMs) and other team leaders in the development of their respiratory care competencies, ensuring they can deliver care at the highest standard without relying on a single expert. Interview Date: To be confirmed. About us About Us The Childrens Trust is the UKs leading charity for children with acquired brain injury, providing expert rehabilitation, education, therapy, and care at our national specialist centre in Tadworth, and to children and their families across the UK, via our Brain Injury Community Service. Boasting a beautiful 24-acre site in Surrey, we are located just outside of London, close to the M25 (accessible via Junction 8, A217 to Tadworth) and easily accessible via National Rail, by way of: Clapham Junction, Sutton, and Epsom. Staff Benefits The work we do is highly rewarding, and in addition to an attractive salary, we offer a valuable range of benefits, including, adoption pay, time off for fertility treatment, enhanced paternity leave, paid carers leave, time out days for those experiencing menopause symptoms, time off for gender reassignment. We also offer additional annual leave days for those with long service, with entitlements ranging from 35 to 41 days (including bank holidays) depending on your length of service. Other benefits include free on-site parking; a staff shuttle service from Epsom and Sutton train stations to Tadworth Court, subsidised cafeteria, on-site staff accommodation (subject to availability), the ability to retain your NHS pension (where applicable) or the opportunity to join an alternative scheme, and the opportunity to develop your career in a supportive and collaborative environment. Date posted 23 February 2025 Pay scheme Other Salary Depending on experience £51,883 - £58,544 pa (dependent on experience and incl of OLW) Contract Permanent Working pattern Full-time Reference number B0474-25-0045 Job locations The Childrens Trust Tadworth Court Tadworth Surrey KT20 5RU Job description Job responsibilities Clinical Leadership and Development Lead on the upskilling and education of clinical leads and nursing and care teams across the service to build expertise in respiratory care. Oversight of respiratory assessment and care planning for CYP with complex respiratory needs across residential care and rehabilitation. Decision making responsibility in relation to complex respiratory care (e.g. changing ventilator settings, trialling one-way valves) working in a team around the child. Collaborate with the team around the child within rehabilitation, residential / school settings with particular focus on working in partnership with the respiratory physiotherapist. Collaborate with the Clinical Education Lead to develop and implement structured training programs for nursing staff, ensuring the workforce can confidently manage complex respiratory needs. Develop a system of continuous clinical support and knowledge sharing, ensuring that all staff are equipped to deliver evidence-based, high-quality respiratory care. Support staff who cover the Clinical Site Manager rota (CSMs) and other team leaders in the development of their respiratory care competencies, ensuring they can deliver care at the highest standard without relying on a single expert. Work in partnership with St Georges University Hospitals NHS Trust who provide external support and expertise to the Childrens Trust through a service level agreement. Work in partnership with community and tertiary centres to both coordinate admissions and discharges and ensure seamless communication with expert teams and timely decision making, seeking specialist guidance as required from external consultants (participation in initial referral screening assessments). Lead and manage onsite tracheostomy clinics on a house-by-house basis, ensuring accurate recording and documentation. Lead the acute management on site of any deteriorating child from a respiratory perspective. Work in partnership with the respiratory physiotherapist to ensure access for CYP to aquatic therapy for CYP with acute respiratory needs. Education and Training Develop, deliver, and review training programs that equip clinical teams with the necessary skills to manage respiratory support, including non-invasive and long-term ventilation, and tracheostomy care. Regularly assess the training needs of the clinical teams and adjust training content to address gaps in knowledge and skills. Provide mentorship and support to junior nurses and clinical leads, fostering a culture of continuous professional development within the respiratory care team. Deliver parent and carer education programs to empower families and ensure they are confident in managing their childs respiratory needs at home. Clinical Governance and Quality Assurance Lead the creation, review, and implementation of clinical protocols and care pathways for managing complex respiratory cases, ensuring they reflect best practice and national guidelines. Develop and maintain evidence-based respiratory care guidelines in collaboration with the team around the child and ensure they are regularly updated to reflect clinical developments. Conduct clinical audits to assess the effectiveness of respiratory care provided, ensuring continuous improvement in care delivery. Oversee the documentation and record-keeping process to ensure high standards of care are being met across all respiratory cases. Work in partnership with the team around the child to review and incorporate national standards into practice, ensuring that clinical delivery is aligned with current best practices. Ensure standards of respiratory equipment are maintained across site and be the point of contact for queries and advice in relation to specialist equipment as well as specialist stock control. Key Performance Indicators (KPIs): 1. Training Effectiveness: Achieve a 90% or higher competency rate among nursing staff in respiratory care following training programs. 2. Staff Upskilling: Demonstrate an increase in the number of clinical leads and staff across the team reporting confidence in managing respiratory cases independently. 3. Quality of Care: Ensure 100% of children with complex respiratory needs have updated and accurate care protocols and care plans in place. 4. Audit Compliance: Conduct quarterly audits on respiratory service delivery, with actionable improvements implemented within one month of audit findings. 5. Family Empowerment: Ensure 95% of families and carers report feeling confident in managing respiratory care at home after education sessions. 6. Feedback and Impact: Regular positive feedback from clinical staff and MDT members on the effectiveness of educational support and clinical leadership provided by the Respiratory Nurse Lead. Collaboration and Multidisciplinary Work Work closely with the Head of Care to ensure strategic direction for respiratory services is aligned with organisational goals. Develop and maintain strong professional relationships with external stakeholders to ensure a holistic approach to the care of children requiring respiratory support. Work collaboratively within a team around the child and ensure effective, clear communication across all teams involved in the care of children with complex respiratory needs. Governance and Risk Management Ensure that all clinical practices are in line with The Childrens Trust policies and national clinical guidelines. Lead the incident review process for respiratory care issues, ensuring learning is shared with the wider team and improvements are made where necessary. Actively contribute to safety incident learning and provide clinical expertise during incident reviews. Engages and works collaboratively with all departments across The Childrens Trust. Attends internal and external events, promoting the services of The Childrens Trust when opportunities arise. Is actively involved in service development and strategy planning of The Childrens Trust, embracing new ideas and change. Adheres at all times to The Childrens Trust Principles of Delegation Policy for Nursing, Care and Therapy Staff policy. Implement care, education and therapy programmes as prescribed by professionals. Management of self and others Identifies future development needs of self, including external study opportunities. Prepares appropriately for Performance and Development Reviews, identifying learning objectives and setting targets. Committed to developing own professional knowledge. Participates in the development and review of policies and ensures these are embedded into practice. Support with the development of Children Support Assistants / students / peers, sharing skills and knowledge, to promote and create a learning environment. Actively engages with ongoing provision of teaching and education for staff across site. Committed to work towards mentorship qualification. Professionalism Takes action and raises concerns. Maintain professional boundaries and professionalism at all times. Committed to demonstrating the organisations values and behaviours at all times. Health and Safey Adheres to all Health and Safety guidelines, principles and regulations to perform your role and comply with The Childrens Trust policies and procedures. Provide evidence of all vaccinations (or medical exemption) required for the post. Adhere to manual handling procedures and complete mandatory manual handling training. Promotes the health and safety of others. Uses the incident reporting and risk assessment system (IRAR), to identify and report risks and incidents/actions if directed. Responsible for identifying and mitigating risk within the work environment. Wellbeing and Emotional Resilience Maintains a positive approach and outlook when dealing with change and overcoming challenges and problems. Recognises own limitations, develops realistic goals, and uses support network resource when or if necessary. Treats challenges and problems as a learning experience. Remains organised and focused when under pressure. Responds appropriately and effectively to all constructive feedback. Motivates self and other. Job description Job responsibilities Clinical Leadership and Development Lead on the upskilling and education of clinical leads and nursing and care teams across the service to build expertise in respiratory care. Oversight of respiratory assessment and care planning for CYP with complex respiratory needs across residential care and rehabilitation. Decision making responsibility in relation to complex respiratory care (e.g. changing ventilator settings, trialling one-way valves) working in a team around the child. Collaborate with the team around the child within rehabilitation, residential / school settings with particular focus on working in partnership with the respiratory physiotherapist. Collaborate with the Clinical Education Lead to develop and implement structured training programs for nursing staff, ensuring the workforce can confidently manage complex respiratory needs. Develop a system of continuous clinical support and knowledge sharing, ensuring that all staff are equipped to deliver evidence-based, high-quality respiratory care. Support staff who cover the Clinical Site Manager rota (CSMs) and other team leaders in the development of their respiratory care competencies, ensuring they can deliver care at the highest standard without relying on a single expert. Work in partnership with St Georges University Hospitals NHS Trust who provide external support and expertise to the Childrens Trust through a service level agreement. Work in partnership with community and tertiary centres to both coordinate admissions and discharges and ensure seamless communication with expert teams and timely decision making, seeking specialist guidance as required from external consultants (participation in initial referral screening assessments). Lead and manage onsite tracheostomy clinics on a house-by-house basis, ensuring accurate recording and documentation. Lead the acute management on site of any deteriorating child from a respiratory perspective. Work in partnership with the respiratory physiotherapist to ensure access for CYP to aquatic therapy for CYP with acute respiratory needs. Education and Training Develop, deliver, and review training programs that equip clinical teams with the necessary skills to manage respiratory support, including non-invasive and long-term ventilation, and tracheostomy care. Regularly assess the training needs of the clinical teams and adjust training content to address gaps in knowledge and skills. Provide mentorship and support to junior nurses and clinical leads, fostering a culture of continuous professional development within the respiratory care team. Deliver parent and carer education programs to empower families and ensure they are confident in managing their childs respiratory needs at home. Clinical Governance and Quality Assurance Lead the creation, review, and implementation of clinical protocols and care pathways for managing complex respiratory cases, ensuring they reflect best practice and national guidelines. Develop and maintain evidence-based respiratory care guidelines in collaboration with the team around the child and ensure they are regularly updated to reflect clinical developments. Conduct clinical audits to assess the effectiveness of respiratory care provided, ensuring continuous improvement in care delivery. Oversee the documentation and record-keeping process to ensure high standards of care are being met across all respiratory cases. Work in partnership with the team around the child to review and incorporate national standards into practice, ensuring that clinical delivery is aligned with current best practices. Ensure standards of respiratory equipment are maintained across site and be the point of contact for queries and advice in relation to specialist equipment as well as specialist stock control. Key Performance Indicators (KPIs): 1. Training Effectiveness: Achieve a 90% or higher competency rate among nursing staff in respiratory care following training programs. 2. Staff Upskilling: Demonstrate an increase in the number of clinical leads and staff across the team reporting confidence in managing respiratory cases independently. 3. Quality of Care: Ensure 100% of children with complex respiratory needs have updated and accurate care protocols and care plans in place. 4. Audit Compliance: Conduct quarterly audits on respiratory service delivery, with actionable improvements implemented within one month of audit findings. 5. Family Empowerment: Ensure 95% of families and carers report feeling confident in managing respiratory care at home after education sessions. 6. Feedback and Impact: Regular positive feedback from clinical staff and MDT members on the effectiveness of educational support and clinical leadership provided by the Respiratory Nurse Lead. Collaboration and Multidisciplinary Work Work closely with the Head of Care to ensure strategic direction for respiratory services is aligned with organisational goals. Develop and maintain strong professional relationships with external stakeholders to ensure a holistic approach to the care of children requiring respiratory support. Work collaboratively within a team around the child and ensure effective, clear communication across all teams involved in the care of children with complex respiratory needs. Governance and Risk Management Ensure that all clinical practices are in line with The Childrens Trust policies and national clinical guidelines. Lead the incident review process for respiratory care issues, ensuring learning is shared with the wider team and improvements are made where necessary. Actively contribute to safety incident learning and provide clinical expertise during incident reviews. Engages and works collaboratively with all departments across The Childrens Trust. Attends internal and external events, promoting the services of The Childrens Trust when opportunities arise. Is actively involved in service development and strategy planning of The Childrens Trust, embracing new ideas and change. Adheres at all times to The Childrens Trust Principles of Delegation Policy for Nursing, Care and Therapy Staff policy. Implement care, education and therapy programmes as prescribed by professionals. Management of self and others Identifies future development needs of self, including external study opportunities. Prepares appropriately for Performance and Development Reviews, identifying learning objectives and setting targets. Committed to developing own professional knowledge. Participates in the development and review of policies and ensures these are embedded into practice. Support with the development of Children Support Assistants / students / peers, sharing skills and knowledge, to promote and create a learning environment. Actively engages with ongoing provision of teaching and education for staff across site. Committed to work towards mentorship qualification. Professionalism Takes action and raises concerns. Maintain professional boundaries and professionalism at all times. Committed to demonstrating the organisations values and behaviours at all times. Health and Safey Adheres to all Health and Safety guidelines, principles and regulations to perform your role and comply with The Childrens Trust policies and procedures. Provide evidence of all vaccinations (or medical exemption) required for the post. Adhere to manual handling procedures and complete mandatory manual handling training. Promotes the health and safety of others. Uses the incident reporting and risk assessment system (IRAR), to identify and report risks and incidents/actions if directed. Responsible for identifying and mitigating risk within the work environment. Wellbeing and Emotional Resilience Maintains a positive approach and outlook when dealing with change and overcoming challenges and problems. Recognises own limitations, develops realistic goals, and uses support network resource when or if necessary. Treats challenges and problems as a learning experience. Remains organised and focused when under pressure. Responds appropriately and effectively to all constructive feedback. Motivates self and other. Person Specification Qualifications Essential NMC Registered Nurse (Child or Learning Disability) (Child branch) Educated at Degree level (BSc) or equivalent in health-related subject or working towards. Desirable Post graduate education at level 7 / or working towards registration critical care course. Personal Qualities Essential Commitment to the vision and values of The Childrens Trust. Flexible and can do attitude to competing commitments in workload. Highly motivated and reliable. Ability to cope working in a demanding environment. Experience Essential Significant experience working with children and young people with complex respiratory needs, particularly in long-term ventilation and tracheostomy care. Experience leading education or training programs is essential. An advance practitioner either through formal qualification and or extensive clinical experience pertinent to the area. Minimum of 4 years post registration experience. Desirable Experience of working in a critical care setting. Skills & Abilities Essential Ability to develop and deliver training programs effectively. Proven ability to lead, educate, and mentor multidisciplinary clinical teams. Strong skills in coaching and empowering clinical leads. Strong critical thinking and clinical judgment skills, able to adapt and innovate in response to changing needs. Knowledge Essential Expert knowledge of respiratory care, including ventilation management and tracheostomy care. Experience of effective partnership working with internal and external stakeholders. Understanding of clinical governance and risk assessment. Clear understanding of safeguarding procedures. Person Specification Qualifications Essential NMC Registered Nurse (Child or Learning Disability) (Child branch) Educated at Degree level (BSc) or equivalent in health-related subject or working towards. Desirable Post graduate education at level 7 / or working towards registration critical care course. Personal Qualities Essential Commitment to the vision and values of The Childrens Trust. Flexible and can do attitude to competing commitments in workload. Highly motivated and reliable. Ability to cope working in a demanding environment. Experience Essential Significant experience working with children and young people with complex respiratory needs, particularly in long-term ventilation and tracheostomy care. Experience leading education or training programs is essential. An advance practitioner either through formal qualification and or extensive clinical experience pertinent to the area. Minimum of 4 years post registration experience. Desirable Experience of working in a critical care setting. Skills & Abilities Essential Ability to develop and deliver training programs effectively. Proven ability to lead, educate, and mentor multidisciplinary clinical teams. Strong skills in coaching and empowering clinical leads. Strong critical thinking and clinical judgment skills, able to adapt and innovate in response to changing needs. Knowledge Essential Expert knowledge of respiratory care, including ventilation management and tracheostomy care. Experience of effective partnership working with internal and external stakeholders. Understanding of clinical governance and risk assessment. Clear understanding of safeguarding procedures. 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 The Children's Trust Address The Childrens Trust Tadworth Court Tadworth Surrey KT20 5RU Employer's website https://www.thechildrenstrust.org.uk/jobs (Opens in a new tab)