Job summary
he Liverpool Community Respiratory Team hosts the Acute Respiratory Infections Virtual Ward, delivering hospital admission avoidance and early supported discharge for patients with COPD exacerbations, bronchiectasis, community-acquired pneumonia, and viral lower respiratory tract infections. We also provide nurse-led respiratory optimisation in homes and clinics, following NICE and local guidelines.
Medical leadership is supported by a Respiratory Consultant and two Advanced Clinical Practitioners, alongside a multidisciplinary team including a team leader, Band 6 and 7 specialist nurses, physiotherapists, an assistant practitioner, and admin staff.
This role involves assessing patients in two local hospitals for safe early discharge and delivering hospital-level care at home. Responsibilities include home visits to monitor health and treatment during exacerbations, holistic assessments, and optimisation of respiratory management. Strong communication skills and the ability to make autonomous clinical decisions at pace are essential. A commitment to audit, research, and understanding national and local respiratory priorities is required.
The service operates 8am-8pm, seven days a week, across multiple community locations, so flexibility and mobility are vital. This is an exciting opportunity to join an innovative team improving patient outcomes and reducing hospital pressures.
Main duties of the job
Clinical decision-making is required for this post. Therefore sound theoretical and practical knowledge relating to this speciality is required from a practitioner who strives to maintain clinical excellence.
Practice autonomously and demonstrate evidence based clinical decision making, within the hospital setting and patients home.
Provide clinical respiratory expertise and knowledge to others when managing continuing and highly complex situations.
Assess patient conditions and consider a range of options when delivering continuing and highly complex care, drawing on external specialist services as required.
Undertake chronic disease management reviews of the housebound patient/client, where appropriate.
Provide support in managing patients/clients with chronic diseases.
Following holistic assessment of need, develop individualised care plans to fulfil those needs, with the involvement of patients and carers. Refer on to partner organisations.
Implement and evaluate care delivery for patients/clients with identified needs.
Ensure that all clinical activity provided by the team directly reflects the core objectives of health promotion, supported self-care, disease specific management, management of long term conditions and end of life
Ensure all assessments and referrals are documented to the standards set by the NMC.
About us
Liverpool University Hospitals NHS Foundation Trust comprises Aintree University Hospital, Broadgreen Hospital & Royal Liverpool University Hospital.
We are part of NHS University Hospitals of Liverpool Group, formed on 1 Nov 2024 from the coming together of LUHFT and Liverpool Women's NHS Foundation Trust. The Group was born from a shared aim to improve the care we provide our patients.
UHLG is one of the largest employers in the region, with over 16,800 colleagues dedicated to caring for our communities - from birth and beyond.
For the 630,000 people across Merseyside, we are their local NHS. We provide general and emergency hospital care, alongside highly specialised regional services for more than two million people in the North West.
Aintree University Hospitalis the single receiving site for adult major trauma patients in Cheshire and Merseyside and hosts a number of regional services including an award-winning stroke facility.Broadgreen Hospitalis home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation.Liverpool Women's Hospitalspecialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. TheRoyal Liverpool University Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.
Job description
Job responsibilities
Key Responsibilities
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Clinical Assessment & DiagnosisConduct full patient assessments (history, physical exams, spirometry, blood gases), analyse diagnostic tests (pathology, imaging) and determine suitable care settings (clinic, home, virtual).
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Care Planning & DeliveryDevelop and implement personalised care plans (medication review, oxygen therapy, inhaler training), manage exacerbations in the community (COPD, pneumonia), and support early discharge schemes.
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Pulmonary Rehabilitation & Self-management SupportRefer to pulmonary rehabilitation programmes; provide education on disease self-management, inhaler technique, smoking cessation, and prevention strategies.
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Virtual Ward & Telehealth CareParticipate in virtual ward models or ARI early supported discharge service, conducting remote patient monitoring and telephone triage
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Education, Training & MDT CollaborationProvide specialist advice to colleagues, train nursing and therapy staff, contribute to local guidelines, clinical audits, and quality improvement initiatives.
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Clinical Governance & Quality AssuranceMaintain comprehensive patient records, participate in national audits, monitor KPIs, and engage in service evaluation and research.
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End-of-Life Care & Advanced Care PlanningCollaborate with palliative care teams to deliver advance care planning and symptom management in advanced respiratory disease.
Essential Skills & Qualities
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Clinical ExpertiseIn-depth understanding of respiratory pathophysiology, pharmacology, diagnostic interpretation (e.g. spirometry, arterial blood gases, chest imaging).
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Decision-Making & AutonomyAbility to independently assess, triage, and manage complex cases in non-acute settings.
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Communication & EducationStrong communication with patients, carers, and MDT; proficient in conveying medical information clearly and supporting behavioural change.
-
Interprofessional CollaborationWorks effectively within MDTs and fosters relationships across community, acute, and primary care sectors.
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Organisational SkillsCapable of managing a caseload across multiple delivery modeshome visits, virtual wardswhile maintaining documentation and governance standards.
-
Adaptability and MobilityWillingness to travel across community sites, sometimes working as a lone practitioner within specified policies.
-
Compassion & Patient-Centred CareValues holistic approaches, supports long-term self-care, and demonstrates empathyespecially in chronic and palliative contexts.
Job description
Job responsibilities
Key Responsibilities
-
Clinical Assessment & DiagnosisConduct full patient assessments (history, physical exams, spirometry, blood gases), analyse diagnostic tests (pathology, imaging) and determine suitable care settings (clinic, home, virtual).
-
Care Planning & DeliveryDevelop and implement personalised care plans (medication review, oxygen therapy, inhaler training), manage exacerbations in the community (COPD, pneumonia), and support early discharge schemes.
-
Pulmonary Rehabilitation & Self-management SupportRefer to pulmonary rehabilitation programmes; provide education on disease self-management, inhaler technique, smoking cessation, and prevention strategies.
-
Virtual Ward & Telehealth CareParticipate in virtual ward models or ARI early supported discharge service, conducting remote patient monitoring and telephone triage
-
Education, Training & MDT CollaborationProvide specialist advice to colleagues, train nursing and therapy staff, contribute to local guidelines, clinical audits, and quality improvement initiatives.
-
Clinical Governance & Quality AssuranceMaintain comprehensive patient records, participate in national audits, monitor KPIs, and engage in service evaluation and research.
-
End-of-Life Care & Advanced Care PlanningCollaborate with palliative care teams to deliver advance care planning and symptom management in advanced respiratory disease.
Essential Skills & Qualities
-
Clinical ExpertiseIn-depth understanding of respiratory pathophysiology, pharmacology, diagnostic interpretation (e.g. spirometry, arterial blood gases, chest imaging).
-
Decision-Making & AutonomyAbility to independently assess, triage, and manage complex cases in non-acute settings.
-
Communication & EducationStrong communication with patients, carers, and MDT; proficient in conveying medical information clearly and supporting behavioural change.
-
Interprofessional CollaborationWorks effectively within MDTs and fosters relationships across community, acute, and primary care sectors.
-
Organisational SkillsCapable of managing a caseload across multiple delivery modeshome visits, virtual wardswhile maintaining documentation and governance standards.
-
Adaptability and MobilityWillingness to travel across community sites, sometimes working as a lone practitioner within specified policies.
-
Compassion & Patient-Centred CareValues holistic approaches, supports long-term self-care, and demonstrates empathyespecially in chronic and palliative contexts.
Person Specification
Qualifications
Essential
Desirable
- V300 Prescriber, if required for the post.
Experience
Essential
- Demonstrable post registration/qualification experience.
- Experience of successful multi-agency working.
- Demonstrable experience in relevant area of practice or equivalent
- Evidence of CPD/Short courses.
Desirable
- Management and clinical leadership experience
Knowledge
Essential
- Awareness of current national and local agenda in health and social care
- Understanding of improving outcomes with partnership working
- Understanding of the principles of respiratory care management
- Awareness of factors that contribute to good health and the importance of promoting these in line with the organisational public health policy
- Evidence of being able to communicate complex information and advice on healthcare to patients/clients, carers and colleagues
Skills
Essential
- Excellent communication, organisational and interpersonal skills
- Risk assessment skills
- Self management and motivation skills
- IT literate
Person Specification
Qualifications
Essential
Desirable
- V300 Prescriber, if required for the post.
Experience
Essential
- Demonstrable post registration/qualification experience.
- Experience of successful multi-agency working.
- Demonstrable experience in relevant area of practice or equivalent
- Evidence of CPD/Short courses.
Desirable
- Management and clinical leadership experience
Knowledge
Essential
- Awareness of current national and local agenda in health and social care
- Understanding of improving outcomes with partnership working
- Understanding of the principles of respiratory care management
- Awareness of factors that contribute to good health and the importance of promoting these in line with the organisational public health policy
- Evidence of being able to communicate complex information and advice on healthcare to patients/clients, carers and colleagues
Skills
Essential
- Excellent communication, organisational and interpersonal skills
- Risk assessment skills
- Self management and motivation skills
- IT literate
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).
