Respiratory Nurse Specialist

To provide specialist respiratory assessment, diagnosis, treatment and care to a range of patients with acute and chronic respiratory conditions. The post links closely with SGH acute assessment areas, emergency department, respiratory nurses and chest clinics based at SGH and QMH. As well as linking with SWLCCG, GPs, community MDT teams and other partners such as Oxygen providers.

The post-holder should provide a high-quality service to all respiratory patients within St Georges Hospital. The respiratory clinical nurse specialist will work as part of the multi-professional team in the:

Provision of out-patient nurse led clinics for respiratory conditions, including asthma, COPD, oxygen assessment

Provision of inpatient review of asthma/COPD in-patients

Support development of seamless patients pathways, eg Inpatient to outpatients

Assessment for long term and ambulatory oxygen

Provide on-going support for patients requiring domiciliary Non-Invasive Ventilation (NIV)*

Support asthma service and work alongside the severe Asthma MDT to provide care for patients with severe asthma including those requiring biologic therapy*

*There will be an opportunity to undertake these roles within this JD but it would be to deliver care to patients requiring NIV OR Severe Asthma provision rather than staff undertaking both in the same role. In addition, the post holder will be expected to participate in the strategic development of the respiratory service by:

Being recognised as an expert in their field holding additional specialist knowledge and experience

Providing leadership in clinical practice for the professional team and peers and ensuring effective learning experience for students through provision of an educational environment

Working as a competent, autonomous advanced clinical nurse specialist.

Actively disseminating best practice through teaching, publication and conference presentations and participating in nursing research and national working parties

The key components identified for the role of a advanced specialist nurse include:

Expert Clinical Practise.

Education.

Research & Audit.

St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC).

After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.

Essential: - oNMC Level 1 or Registered Nurse; - oDegree (BSc) or equivalent in a health-related subject; - oAdvanced Clinical assessment skills accredited module or willing to undertake

Desirable: - oLeadership Training; - oDegree (MSc) or willing to undertake; - oRelevant Post registration course (e.g. respiratory/critical care/NIV).; - oNon-Medical Prescriber; - oTraining in spirometry and FeNo testing; - oCBG Training with blood gas analysis; - oSmoking Cessation level 1/2

Essential: - oMinimum of 3 year's NHS experience relating to acute care or within respiratory setting.; - oEvidence of NIV competence; - oBroad range of experience at B5 and B6 level; - oAbility to work independently and as part of a team.; - oKnowledge and experience of a wide range of approaches to the management of respiratory patients demonstrated by advanced clinical reasoning; - oExperience of managing junior staff members.; - oExperience of teaching in a clinical setting; - oExperience of student supervision/ clinical education

Desirable: - oHDU or critical care experience; - oExperience in caring for patients requiring acute NIV; - oExperience in initiating and caring for patients requiring domiciliary NIV; - oExperience of looking after patients with severe/difficult Asthma; - oExperience of running research and audit programmes; - oExperience of service development /quality improvement.

Essential: - oAbility to lead and motivate others; - oRemains updated with professional practice and new research; - oUnderstand the legal responsibilities of the profession; - oAble to present information, written and orally, in a clear and logical manner; - oWillingness to lead staff training; - oShow evidence of being self-motivated; - oAbility to cope with working in a stressful and unpredictable environment

Desirable: - oExcellent IT skills; - oPresentation skills; - oAbility to run courses - internal/external

Essential: - oAwareness of skill mix and service needs; - oUnderstanding of Clinical Governance and the implications for physiotherapy services including experience of quality issues and audit; - oRemains updated on professional practice and new research; - oClear understanding of safeguarding procedures; - oComputer literacy