Professional / Clinical responsibilities Assist the registered healthcare professionals in the delivery of the Pulmonary Rehabilitation programme in a variety of settings (including virtual and face to face). To undertake core clinical observations (BP, respiratory rate, heart rate, pulse oximetry, temperature) To understand respiratory conditions and how this affects people referred into Pulmonary Rehabilitation service. To undertake delegated duties at venues within Norfolk Community Health and Care or at leisure/community centres across Norfolk. This will include administering respiratory assessment tools (CAT score, BORG score, walk tests) and assessing patients independently determining their suitability/safety to exercise with the support of a registered healthcare professional as required. Work within established national guidelines Manage caseload of non-complex respiratory patients without direct supervision but under the guidance of qualified staff in the performance of specific tasks for an individual or group of patients with lung disease, as part of their treatment. To assess patients responses to interventions and decide on appropriate action, adapting treatments if necessary. Devise a suitable individualised home exercise programme following completion of the course to maintain benefits longer term. Carry out group work including education and health promotion, leading specific tasks where appropriate. To implement treatment plans for complex patients as delegated by by registered clinician team member. Assessing, issuing, and teaching patients with walking aids and ensuring they are used correctly. Provide patients with basic gait re-education and advice To be aware at all times of the needs of the patients during illness or disability whilst promoting, encouraging independence and restoration of function. To communicate with the registered health professionals in the team regarding changes in the patients condition or any other useful/important information. Communication skills of encouragement, motivation and explanation with be needed to maximise rehabilitation potential and discussing how the programme may benefit patients. Barriers to communication within the client group identified and reasonable adjustments made to facilitate participation in the Pulmonary Rehabilitation programme. To undertake administrative/clerical duties as required. This may include maintaining stock levels, registration of patients, filing, managing telephone calls and photocopying. Communicate assessment and treatment outcomes from the programme to patients or clinicians as required. This will include letters/reports/questionnaires. Support to the local Breathe Easy group as required and attendance at monthly meetings. This may include arranging guest speakers. The role will involve good working relationships with a wide range of system partners (such as GPs, Practice Nurses, Consultants and community colleagues). Information management Ensure comprehensive, accurate patient records are completed using Systm 1 in line with the trusts policies. To collect data and statistics as directed. Education & Professional Development Participate and actively seek clinical supervision and mentorship. To be involved with the training, development, and supervision of other unregistered staff/students as appropriate. Attend mandatory training as required. Service Development Involvement in service review and evaluation as undertaken by the team and Norfolk Community Health and Care Participation and contribution to achieving and maintaining national Pulmonary Rehabilitation accreditation. Attend and contribute to team meetings including broader service development such as changes to the Pulmonary rehabilitation programme content. Demonstrate problem-solving and contribute to the solution, working with team colleagues. Risk & Governance Management Completion of service audits this includes mandatory trust audits and audits specific to Pulmonary Rehabilitation such as the National Respiratory Audit Programme (NRAP) In conjunction with the clinical team take responsibility for the general care, cleaning, maintenance and safety of therapy equipment and work areas. Promptly report any accidents/incidents/concerns to a relevant Health Care Professional and clinical lead by use of DATIX.