Assessing and reviewing respiratory patients at home as part of the Supportive discharge, admission prevention or acute respiratory virtual ward. Visit patients in their homes, using advanced assessment skills; plan, deliver and evaluate patient care during their period of acute illness, and have advanced understanding of the complexity of issues surrounding the patient and their care. Using effective counselling/educational skills which may involve breaking bad news on diagnosis or prognosis of a chronic condition. To contribute to palliative care of respiratory patients as they approach end of life. Assessing and reviewing patients who are on long term oxygen therapy within their usual place of residence. To provide oxygen assessment to those patients referred to the service within the clinic setting, considering the most appropriate modality should oxygen be required. Assess acutely unwell patients with respiratory illness in particular COPD who have been admitted to the Acute Hospitals (FPH) with the view to supporting discharge. This will involve reviews of their physical needs, their social and psychological circumstances and will require advanced assessment skills in those areas.