Job summary An exciting opportunity for a Pulmonary Rehabilitation / Respiratory Clinician (Physiotherapist, Occupational Therapist or Nurse) or Clinical Exercise Physiologist has arisen in the Norfolk and Waveney (East Coast Great Yarmouth and Waveney) area. This is a full-time fixed post for one year. The key purpose of this role is to deliver an NHS commissioned pulmonary rehabilitation service. The successful applicant will work under the direct supervision of the Team Lead / Clinical Specialist and alongside support worker colleagues in an innovative, exciting, and pro-active team. Applicants will ideally have experience of working within Pulmonary Rehabilitation (as a student or post-graduate) although training will be provided. The successful applicant will (with support) be responsible for the day-day provision of Pulmonary Rehabilitation, including exercise and education of patients within a group or virtual setting, pre- and post-assessment of patients and will provide encouragement and support for patient self-management. In addition, the post holder, with support of the team lead will promote, develop, and evaluate the service using evidence-based practice, audit, and outcome measures and will also be expected to contribute to delivery of the other services provided by the team as required, such as home oxygen assessment and review (HOSAR) and any other quality improvement projects. Location/Base TBC Main duties of the job Undertake and oversee all aspects of clinical duties as an autonomous practitioner without daily clinical supervision, access to advice and support is available from senior clinicians. Clinical work is not routinely evaluated. To be professionally and legally responsible and accountable for all aspects of professional activities, including management of patients in your care. Support peers and support staff to do similarly. To flexibly manage responsibilities for own caseload. To work both independently and within a team structure, to manage the patient pathway from referral to discharge of patients and to designate to own and support staff caseload. To provide a pulmonary rehabilitation service in several community locations within the locality. To provide a holistic, comprehensive clinical assessment of patients referred to the Pulmonary Rehabilitation Service with a respiratory diagnosis who have chronic and or acute presentations. Use clinical reasoning skills and manual assessment techniques to provide an accurate respiratory problem list and place this within the context of their respiratory pathology and its treatment. To use manual therapy, therapeutic handling, and other interventions in the treatment of patients. To deliver pulmonary rehabilitation classes incorporating a comprehensive programme of exercise and education. To participate in locality MDT discussions to ensure the delivery of a well-co-ordinated multidisciplinary service. About us ECCH is well established health care provider and has been successfully delivering NHS care within the community since 2011. We provide a range of NHS, community health and social care services predominantly across the easterly region of the Norfolk/Suffolk borders. We are aligned to NHS terms and conditions, and offer many employee benefits, to find out more about us visit our website - www.ecch.org. We are a social enterprise and staff owned organisation which means staff can opt to be shareholders and have a real say in how ECCH is run and evolves to deliver healthcare for the future. At the heart of our ambition, we work in partnership with and for the community to become the provider and employer of choice for community healthcare. We encourage you to apply as early as possible as this job may close earlier than the advertised closing date once enough applications have been received. Date posted 12 March 2025 Pay scheme Agenda for change Band Band 5 Salary £29,970 to £36,483 a year Contract Fixed term Duration 1 years Working pattern Full-time Reference number B9849-008-25A Job locations Hamilton House Battery Green Road Lowestoft Suffolk NR32 1DE Job description Job responsibilities Please see attached Job Description for full details. Freedom to Act: Undertake and oversee all aspects of clinical duties as an autonomous practitioner without daily clinical supervision, access to advice and support is available from senior clinicians. Clinical work is not routinely evaluated. To be professionally and legally responsible and accountable for all aspects of professional activities, including management of patients in your care. Support peers and support staff to do similarly. To flexibly manage responsibilities for own caseload. Responsible for deciding priorities for own work area as agreed with the Senior Team Lead but without direct supervision, balancing these, other patient related activities, professional demands, and other responsibilities. Ensure that these remain in accordance with those of the Service as a whole and readjust plans as situations change/arise. To adhere to BOC, regulatory, and professional standards of practice, codes of conduct and guidelines (Health Care Professions Council (HCPC) / Nursing and Midwifery Council (NMC)/ Academy for Healthcare Sciences (ACHS) and Chartered Society of Physiotherapy (CSP) / Royal College of Occupational Therapists / Royal College of Nursing (RCN)) and encourage others to do likewise. To undertake delegated duties / responsibility as deemed appropriate from senior clinicians and to seek clinical support appropriately. To make judgements about the suitability of patients to receive rehabilitation and what programme of care they will receive. To support the Service Lead in: Developing the service Communicating and promoting the service locally Ensuring the service is highly integrated within the care pathway Propose and implement continuous improvements to the service Communication and Working Relationships: To participate in the development of an effective team and the development of productive working relationships throughout the service. To contribute to the development of clear and concise written information to be made available to patients/carers/other stakeholders. Use effective listening skills to receive information and understand the physical, emotional, and psychological needs of patients and carers, incorporating these into treatment planning. This includes the ability to interpret and respond to patients unsaid needs, to respond to an opening that the patient may provide and to refer patients to the appropriate health care professional to address this need. Responsibility for Patient/Client Care : To work both independently and within a team structure, to manage the patient pathway from referral to discharge of patients and to designate to own and support staff caseload. To provide a pulmonary rehabilitation service in several community locations within the locality. To occasionally undertake triage of referrals within locality. This will involve utilising advanced clinical reasoning, evidence-based knowledge, investigative and analytical skills, and knowledge of a wide range of specialist treatment options in order to interpret referral information and relevant diagnostic reports such as spirometry, ECGs, and CT reports to decide on the patients suitability for the service and identify the most appropriate pathway through the service or if inappropriate, options of signposting to other services. Support from the Senior leadership team and other Specialist Respiratory Physiotherapists / Nurses or Team Leads will be available. Analytical and Judgement skills : To undertake comprehensive subjective and objective assessment of patients with diverse or complex respiratory conditions and multiple pathologies. To prioritise patient problems and to formulate and deliver appropriate treatment programmes based on assessment findings, with evidence of discharge planning and in line with national standards. This process is fully autonomous, and treatments will vary according to assessment findings. To evaluate patient progress, reassess and alter treatment programmes if required, based on knowledge of evidence-based practice and patient outcomes. Frequently readjust plans as situations change / arise due to unforeseen circumstances. Planning and Organisational skills : To contribute to the overall planning, delivery, strategic development, and evaluation of the Pulmonary Rehabilitation Service in conjunction with other clinical staff and within relevant guidelines and evidence-base. To participate in networking locally, regionally, and nationally and within the organisation as required. E.g., Attendance at regional steering or network groups to gather information / intelligence and disseminate within service and organisation. Be an active member of relevant multi-professional working parties as agreed with the Senior Team Lead. To provide supervision of students and clinical support staff daily within service. To include prioritisation and delegation of workload appropriately. Responsibilities for policy and service development implementation : Support BOCs Clinical Governance programme within the service by: Seeking, proposing, and implementing continuous improvements to the service Safeguarding high standards of care by following key components of our robust clinical governance system, including: Clinical effectiveness Clinical Audit Research & Development Education and Training Evidence based healthcare User/Patient involvement Performance Appraisal and Continuous Professional Development Incidents and complaints Responsibilities for Human Resources: Support the development of support staff and students. To contribute to the performance management of support staff and students within the service in conjunction with the Team Lead. To ensure that support staff and students implement policy and service developmental changes. To ensure support staff and students records are appropriately maintained. Contribute to the local induction (and supervision, where appropriate) of all new staff within service. Responsibilities for Research and Development: To be responsible for the effectiveness of delegated pulmonary rehabilitation programmes measured via objective outcome measures. To be responsible for the effective flow of patients through delegated pulmonary rehabilitation programmes to meet service key performance indicator (KPI) targets and assist the Team Lead by monitoring caseloads, prioritising referrals, collecting, and collating team activity data in an agreed format to monitor the clinical effectiveness of the team. Job description Job responsibilities Please see attached Job Description for full details. Freedom to Act: Undertake and oversee all aspects of clinical duties as an autonomous practitioner without daily clinical supervision, access to advice and support is available from senior clinicians. Clinical work is not routinely evaluated. To be professionally and legally responsible and accountable for all aspects of professional activities, including management of patients in your care. Support peers and support staff to do similarly. To flexibly manage responsibilities for own caseload. Responsible for deciding priorities for own work area as agreed with the Senior Team Lead but without direct supervision, balancing these, other patient related activities, professional demands, and other responsibilities. Ensure that these remain in accordance with those of the Service as a whole and readjust plans as situations change/arise. To adhere to BOC, regulatory, and professional standards of practice, codes of conduct and guidelines (Health Care Professions Council (HCPC) / Nursing and Midwifery Council (NMC)/ Academy for Healthcare Sciences (ACHS) and Chartered Society of Physiotherapy (CSP) / Royal College of Occupational Therapists / Royal College of Nursing (RCN)) and encourage others to do likewise. To undertake delegated duties / responsibility as deemed appropriate from senior clinicians and to seek clinical support appropriately. To make judgements about the suitability of patients to receive rehabilitation and what programme of care they will receive. To support the Service Lead in: Developing the service Communicating and promoting the service locally Ensuring the service is highly integrated within the care pathway Propose and implement continuous improvements to the service Communication and Working Relationships: To participate in the development of an effective team and the development of productive working relationships throughout the service. To contribute to the development of clear and concise written information to be made available to patients/carers/other stakeholders. Use effective listening skills to receive information and understand the physical, emotional, and psychological needs of patients and carers, incorporating these into treatment planning. This includes the ability to interpret and respond to patients unsaid needs, to respond to an opening that the patient may provide and to refer patients to the appropriate health care professional to address this need. Responsibility for Patient/Client Care : To work both independently and within a team structure, to manage the patient pathway from referral to discharge of patients and to designate to own and support staff caseload. To provide a pulmonary rehabilitation service in several community locations within the locality. To occasionally undertake triage of referrals within locality. This will involve utilising advanced clinical reasoning, evidence-based knowledge, investigative and analytical skills, and knowledge of a wide range of specialist treatment options in order to interpret referral information and relevant diagnostic reports such as spirometry, ECGs, and CT reports to decide on the patients suitability for the service and identify the most appropriate pathway through the service or if inappropriate, options of signposting to other services. Support from the Senior leadership team and other Specialist Respiratory Physiotherapists / Nurses or Team Leads will be available. Analytical and Judgement skills : To undertake comprehensive subjective and objective assessment of patients with diverse or complex respiratory conditions and multiple pathologies. To prioritise patient problems and to formulate and deliver appropriate treatment programmes based on assessment findings, with evidence of discharge planning and in line with national standards. This process is fully autonomous, and treatments will vary according to assessment findings. To evaluate patient progress, reassess and alter treatment programmes if required, based on knowledge of evidence-based practice and patient outcomes. Frequently readjust plans as situations change / arise due to unforeseen circumstances. Planning and Organisational skills : To contribute to the overall planning, delivery, strategic development, and evaluation of the Pulmonary Rehabilitation Service in conjunction with other clinical staff and within relevant guidelines and evidence-base. To participate in networking locally, regionally, and nationally and within the organisation as required. E.g., Attendance at regional steering or network groups to gather information / intelligence and disseminate within service and organisation. Be an active member of relevant multi-professional working parties as agreed with the Senior Team Lead. To provide supervision of students and clinical support staff daily within service. To include prioritisation and delegation of workload appropriately. Responsibilities for policy and service development implementation : Support BOCs Clinical Governance programme within the service by: Seeking, proposing, and implementing continuous improvements to the service Safeguarding high standards of care by following key components of our robust clinical governance system, including: Clinical effectiveness Clinical Audit Research & Development Education and Training Evidence based healthcare User/Patient involvement Performance Appraisal and Continuous Professional Development Incidents and complaints Responsibilities for Human Resources: Support the development of support staff and students. To contribute to the performance management of support staff and students within the service in conjunction with the Team Lead. To ensure that support staff and students implement policy and service developmental changes. To ensure support staff and students records are appropriately maintained. Contribute to the local induction (and supervision, where appropriate) of all new staff within service. Responsibilities for Research and Development: To be responsible for the effectiveness of delegated pulmonary rehabilitation programmes measured via objective outcome measures. To be responsible for the effective flow of patients through delegated pulmonary rehabilitation programmes to meet service key performance indicator (KPI) targets and assist the Team Lead by monitoring caseloads, prioritising referrals, collecting, and collating team activity data in an agreed format to monitor the clinical effectiveness of the team. Person Specification Qualifications Essential Diploma/Degree in Physiotherapy, Occupational Therapy or Nursing or MSc in Clinical Exercise Physiology (Exercise Professional) Registration with HCPC, NMC or AHCS Evidence of on-going relevant Postgraduate Continued Professional Development (CPD) in field of Respiratory Care / Pulmonary Rehabilitation Desirable Level 4 Certificate in Exercise Training (ideally for Chronic Respiratory Disease) Nursing or Occupational Therapy only Post-graduate course in Exercise Physiology / Exercise and Rehabilitation Member of CSP, RCOT or RCN Member of ACPRC, ARNS, PCRS or relevant SIG First Aid at Work / Mental Health First Aider or other 1st aid qualification ALERT Course Spirometry (accredited to ARTP standards) Practice Educator and Assessor / Mentorship Course or equivalent. Experience Essential Clinical experience of treating patients with Respiratory conditions. Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level or on student placement. Wide range of acute student or post-graduate experience including for example ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients. Experience in the provision of smoking cessation advice Experience in the education of patients in self-management of their condition and devising of individualised care plans Previous contribution to practice education / training/ support Experience of working as part of a multidisciplinary team Experience of liaising with other agencies, services, and professional colleagues Desirable Previous experience at Band 5 Previous experience in the delivery of Pulmonary Rehabilitation classes Experience of home oxygen prescription Experience of working in a community setting Previous involvement in quality improvement projects, audit, or research Experience of people management or leadership Experience of working with the voluntary sector Skills and Knowledge Essential Essential Skills: Autonomous practitioner Good interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures Ability to demonstrate empathy Good documentation skills Respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills Manual Physiotherapy techniques, which require skilled dexterity, precision, hand-eye co-ordination, and good sensory coordination Ability to safely perform client and object moving and handling Clinical reasoning skills / problem solving skills Confident and competent IT skills and in use of electronic patient management software Competent teaching and presentation skills Good organisational, prioritisation and time management skills Reliability and resilience Ability to manage resources Delegation, feedback, and appraisal skills Diplomacy and negotiation skills and ability to manage stressful situations Ability to work as a team member High patient orientation and commitment to patient-centred care Enthusiastic, highly motivated, and highly motivating Innovative with an openness and commitment to constantly improve self and the service Professional manner and approachable Awareness of own limitations and scope of practice and when to seek help Commitment to life-long learning Basic life support skills Ability to drive around locality in timely manner Essential Knowledge: Knowledge of respiratory conditions and the treatment and management of these Knowledge of Pulmonary Rehabilitation Clinical governance and clinical risk assessment Thorough and up-to-date knowledge of the NHS and its processes Safe working practices in all clinical settings e.g., Lone working in the community Desirable Desirable Skills: Supervisory and basic leadership skills Desirable Knowledge: Key Pulmonary Rehabilitation, Respiratory and Oxygen Guidelines and Standards Exercise assessment and prescription Home oxygen supply systems Knowledge of palliative and end of life care coordinating / treatments Audit and evaluation methods to implement quality improvements Voluntary sector role in supporting patients with respiratory pathology Personal Attributes Essential Ability to embrace our Culture, Values and Signature Behaviours: (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together) Willingness and ability to work across different sites and travel to alternative sites and across the community as required Person Specification Qualifications Essential Diploma/Degree in Physiotherapy, Occupational Therapy or Nursing or MSc in Clinical Exercise Physiology (Exercise Professional) Registration with HCPC, NMC or AHCS Evidence of on-going relevant Postgraduate Continued Professional Development (CPD) in field of Respiratory Care / Pulmonary Rehabilitation Desirable Level 4 Certificate in Exercise Training (ideally for Chronic Respiratory Disease) Nursing or Occupational Therapy only Post-graduate course in Exercise Physiology / Exercise and Rehabilitation Member of CSP, RCOT or RCN Member of ACPRC, ARNS, PCRS or relevant SIG First Aid at Work / Mental Health First Aider or other 1st aid qualification ALERT Course Spirometry (accredited to ARTP standards) Practice Educator and Assessor / Mentorship Course or equivalent. Experience Essential Clinical experience of treating patients with Respiratory conditions. Evidence of completing relevant respiratory rotation(s) at Band 5 / junior level or on student placement. Wide range of acute student or post-graduate experience including for example ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients. Experience in the provision of smoking cessation advice Experience in the education of patients in self-management of their condition and devising of individualised care plans Previous contribution to practice education / training/ support Experience of working as part of a multidisciplinary team Experience of liaising with other agencies, services, and professional colleagues Desirable Previous experience at Band 5 Previous experience in the delivery of Pulmonary Rehabilitation classes Experience of home oxygen prescription Experience of working in a community setting Previous involvement in quality improvement projects, audit, or research Experience of people management or leadership Experience of working with the voluntary sector Skills and Knowledge Essential Essential Skills: Autonomous practitioner Good interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures Ability to demonstrate empathy Good documentation skills Respiratory consultation, clinical assessment (Including chest auscultation), and treatment skills Manual Physiotherapy techniques, which require skilled dexterity, precision, hand-eye co-ordination, and good sensory coordination Ability to safely perform client and object moving and handling Clinical reasoning skills / problem solving skills Confident and competent IT skills and in use of electronic patient management software Competent teaching and presentation skills Good organisational, prioritisation and time management skills Reliability and resilience Ability to manage resources Delegation, feedback, and appraisal skills Diplomacy and negotiation skills and ability to manage stressful situations Ability to work as a team member High patient orientation and commitment to patient-centred care Enthusiastic, highly motivated, and highly motivating Innovative with an openness and commitment to constantly improve self and the service Professional manner and approachable Awareness of own limitations and scope of practice and when to seek help Commitment to life-long learning Basic life support skills Ability to drive around locality in timely manner Essential Knowledge: Knowledge of respiratory conditions and the treatment and management of these Knowledge of Pulmonary Rehabilitation Clinical governance and clinical risk assessment Thorough and up-to-date knowledge of the NHS and its processes Safe working practices in all clinical settings e.g., Lone working in the community Desirable Desirable Skills: Supervisory and basic leadership skills Desirable Knowledge: Key Pulmonary Rehabilitation, Respiratory and Oxygen Guidelines and Standards Exercise assessment and prescription Home oxygen supply systems Knowledge of palliative and end of life care coordinating / treatments Audit and evaluation methods to implement quality improvements Voluntary sector role in supporting patients with respiratory pathology Personal Attributes Essential Ability to embrace our Culture, Values and Signature Behaviours: (Compassion - We Listen, We Learn, We Lead| Action - My Accountability, My Responsibility | Respect - Respect Our Resources: People, Time and Money | Everyone - Work Together, Achieve Together) Willingness and ability to work across different sites and travel to alternative sites and across the community as required 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 East Coast Community Healthcare CIC Address Hamilton House Battery Green Road Lowestoft Suffolk NR32 1DE Employer's website https://www.ecch.org/ (Opens in a new tab)