- To provide supported discharge for respiratory patients and facilitate early discharge from the wards - To support admission prevention by providing specialist support through in reach to unscheduled care. - To act as an accessible specialist resource and educator within the Gloucestershire Respiratory Service, providing education and training to colleagues within the trust, and members of primary and community care teams. - Proactively participate in quality and service improvement, working closely with the Lead Respiratory Nurse, Senior Matron and multidisciplinary team. - Facilitate and support discharge of patients from hospital to home - Follow up patients post discharge to prevent inappropriate admission to hospital - Participate in the implementation of local policies and procedures to improve the effectiveness of the department - To participate in the day to day co-ordination of the virtual supported discharge service - Respond effectively to referrals within stated timescales - Coach patients and carers on how to access help when they feel that their condition or needs have changed, including what to do out of hours - Be responsible for data collection and inputting to databases for local and national clinical audits - To be involved in monitoring and evaluation of patient feedback, offering recommendations as part of the team to improve services - Maintain accurate patient and staff records in line with Trust guidelines. - Support the MDT to facilitate safe and effective transition of care between hospital and community services in order to provide seamless support for people. - Respond to queries from patients, carers and visitors providing verbal and written information in a timely manner - Arrange delivery of consumables to patients when required. - Maintain confidentiality at all times in line with Trust and Data Protection policies - To be able to prioritise your workload and manage your own time and caseload effectively - Good organisational skills and the ability to prioritise effectively - To participate in negotiating individual and highly complex care programmes and liaise with other members of the multidisciplinary /multi agency team in the planning, delivering and evaluating care to improve outcomes for service users. - To manage and record complex clinical and management information on the appropriate IT Systems/documentation in accordance the policy guidelines and data protection act. - To identify, apply and disseminate relevant research findings within the area of practice to support clinical effectiveness and the development of the service. - To participate in the teaching, assessing and support of student nurses and NVQ students within their community placements, meeting the aims and objectives of the university/college where needed liaising with tutors. - To provide specialist advice, support and care to patients and their relatives, facilitating high quality, evidence-based care in collaboration with the multidisciplinary team and Specialist Centres. - Contribute to the Trust Clinical Governance Agenda through education, clinical guideline production, audit and research within the respiratory field.