In addition to the below summary you need to familiarize yourself with full Job Description and Person Specification documents attached to this advert 1-identify inpatients within respiratory medicine that have COPD/asthma/ILD/bronchiectasis that are a readmission or are at risk of readmission 2- holistically assess identified patients to ascertain causes of/risks for readmission and formulate a comprehensive plan with them/carers/family/MDT members to optimise care and aid in future admission avoidance 3- refer appropriate patients to members of the MDT within primary and secondary care to include specialist teams, Consultants, palliative care, OT, physiotherapy, dietician 4-liase with family/carers where appropriate and necessary 5-update appropriate people and systems with the plan of care 6-assist in post hospital discharge referrals to IROS 7- regularly meet IROS team to discuss patients meeting certain criteria