Job summary
We are looking for an enthusiastic and dynamic Advanced Respiratory Practitioner to work within the Liverpool Community Respiratory Team/Acute Respiratory Infections Virtual ward.
Liverpool Community Respiratory Team host The Acute Respiratory Infections Virtual Ward. We provide hospital admission avoidance and early supported discharge for patients with exacerbation COPD, bronchiectasis, community acquired pneumonia and viral lower respiratory tract infections, along with nurse led respiratory optimisation in patient's homes and clinic settings.
Medical leadership is by a respiratory Consultant working in the service. There are also 2 Advanced Clinical Practitioners who provide clinical support. The team is also made up of a team leader, B6 and B7 specialist nurses, physiotherapists, an assistant practitioner and admin support.
The service provides a 2-hour rapid assessment hospital admission avoidance and early supported discharge for patients with a range of respiratory conditions. This is from the patient's homes, from 2 acute hospitals and includes the continued case management during their exacerbation in the community.A high level of clinical decision-making is required for this post therefore sound theoretical and practical knowledge relating to this speciality is required.
Given the community-wide nature of this role, a high degree of mobility is required. The role will include working across various locations, with shifts covering 7-days per week.
Main duties of the job
Provide care, treatment plans, advice and guidance in the treatment of others, when dealing with complex highly specialist respiratory conditions in the community and LUHFT hospital sites.
Responsible for the delivery of identified specialist training.
Work in partnership with the other services/stakeholder partnership agencies to enable patients/clients to be treated in the appropriate setting.
Ensure that the team provides a high quality service to its patients/clients by providing caseload and clinical supervision.
Ensure that teams work proactively in order to deliver anticipatory and maintenance care, providing a responsive service to patients with both planned and unplanned care needs.
Develop partnerships and joint working with service users and stakeholders to improve patient/client care.
Work in partnership with other organisations to support the effective and co-ordinated provision of health and social care services.
Participate in the development of caseload management across the local health economy.
Provide leadership and mentoring to those staff developing into a caseload management role.
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 Hospitalis 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
Conduct full patient assessments in community and hospital settings (history, physical exams, spirometry, blood gases), analyse diagnostic tests (pathology, imaging) and determine suitable care settings (clinic, home, virtual, emergency admission).
Develop and implement personalised complex care plans (medication review, oxygen therapy, inhaler training), manage exacerbations in the community (COPD, pneumonia), and support early discharge schemes.
Refer to pulmonary rehabilitation programmes; provide education on disease self-management, inhaler technique, smoking cessation, and prevention strategies.
Refer to allied community services such as ICT, ICRAS, Citizens Advice on Prescription for ongoing non- medical interventions.
Participate in virtual ward models or ARI early discharge services, conducting remote patient monitoring, telephone triage, and virtual clinics. [
Provide specialist advice to colleagues, train nursing and therapy staff, contribute to local guidelines, clinical audits, and quality improvement initiatives.
Maintain comprehensive patient records, participate in national audits (e.g. COPD, asthma), monitor KPIs, and engage in service evaluation and research.
Collaborate with palliative care teams to deliver advance care planning and symptom management in advanced respiratory disease.
In-depth understanding of respiratory pathophysiology, pharmacology, diagnostic interpretation (e.g. spirometry, arterial blood gases, chest imaging).
Ability to independently assess, triage, and manage complex cases in non-acute settings.
Strong communication with patients, carers, and MDT; proficient in conveying medical information clearly and supporting behavioural change.
Works effectively within MDTs and fosters relationships across community, acute, and primary care sectors.
Capable of managing a caseload across multiple delivery modeshome visits, clinics, virtual wardswhile maintaining documentation and governance standards.
Willingness to travel across community sites, sometimes working as a lone practitioner within specified policies.
Values holistic approaches, supports long-term self-care, and demonstrates empathyespecially in chronic and palliative contexts.
Offer peer support to other team members, be able to coordinate the caseload and staffing and be able to adapt as required.
Independently prescribe medications within scope of practice, including:
Bronchodilators, corticosteroids, antibiotics for exacerbations.
Inhalers and nebulised medications
Make evidence-based prescribing decisions considering:
NICE guidelines and local formulary.
Patient comorbidities, polypharmacy, and risk factors.
Conduct medication reviews, deprescribing where appropriate, and ensure safe monitoring of high-risk drugs.
Provide patient education on medication adherence and inhaler technique.
An Annex 21 position would be considered for applications who dont meet all essential criteria.
Job description
Job responsibilities
Key Responsibilities
Conduct full patient assessments in community and hospital settings (history, physical exams, spirometry, blood gases), analyse diagnostic tests (pathology, imaging) and determine suitable care settings (clinic, home, virtual, emergency admission).
Develop and implement personalised complex care plans (medication review, oxygen therapy, inhaler training), manage exacerbations in the community (COPD, pneumonia), and support early discharge schemes.
Refer to pulmonary rehabilitation programmes; provide education on disease self-management, inhaler technique, smoking cessation, and prevention strategies.
Refer to allied community services such as ICT, ICRAS, Citizens Advice on Prescription for ongoing non- medical interventions.
Participate in virtual ward models or ARI early discharge services, conducting remote patient monitoring, telephone triage, and virtual clinics. [
Provide specialist advice to colleagues, train nursing and therapy staff, contribute to local guidelines, clinical audits, and quality improvement initiatives.
Maintain comprehensive patient records, participate in national audits (e.g. COPD, asthma), monitor KPIs, and engage in service evaluation and research.
Collaborate with palliative care teams to deliver advance care planning and symptom management in advanced respiratory disease.
In-depth understanding of respiratory pathophysiology, pharmacology, diagnostic interpretation (e.g. spirometry, arterial blood gases, chest imaging).
Ability to independently assess, triage, and manage complex cases in non-acute settings.
Strong communication with patients, carers, and MDT; proficient in conveying medical information clearly and supporting behavioural change.
Works effectively within MDTs and fosters relationships across community, acute, and primary care sectors.
Capable of managing a caseload across multiple delivery modeshome visits, clinics, virtual wardswhile maintaining documentation and governance standards.
Willingness to travel across community sites, sometimes working as a lone practitioner within specified policies.
Values holistic approaches, supports long-term self-care, and demonstrates empathyespecially in chronic and palliative contexts.
Offer peer support to other team members, be able to coordinate the caseload and staffing and be able to adapt as required.
Independently prescribe medications within scope of practice, including:
Bronchodilators, corticosteroids, antibiotics for exacerbations.
Inhalers and nebulised medications
Make evidence-based prescribing decisions considering:
NICE guidelines and local formulary.
Patient comorbidities, polypharmacy, and risk factors.
Conduct medication reviews, deprescribing where appropriate, and ensure safe monitoring of high-risk drugs.
Provide patient education on medication adherence and inhaler technique.
An Annex 21 position would be considered for applications who dont meet all essential criteria.
Person Specification
Qualifications
Essential
- Degree or equivalent in relevant discipline
- Registration with relevant professional body
- Post registration qualification, or demonstrable equivalent experience
- Evidence of CPD/short courses
- Evidence of Masters level study
- Clinical examination and/or diagnostics at level 6 minimum
Desirable
Experience
Essential
- Experience of management and clinical leadership
- Experience of successful multi-agency working
- Demonstrable experience in relevant area of practice or equivalent
Desirable
- First line management experience
- Experience with working in community
- experience independently working in a clinic
- previous autonomous practice
Skills
Essential
- Excellent communication, organisational and interpersonal skills
- Risk assessment skills
- Self management and motivation skills
- IT literate
Desirable
Knowledge
Essential
- Understanding of current national and local agenda in health and social care
- Understanding of the principles of respiratory care management
- Understanding 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
- Understanding of improving outcomes with partnership working
Desirable
Person Specification
Qualifications
Essential
- Degree or equivalent in relevant discipline
- Registration with relevant professional body
- Post registration qualification, or demonstrable equivalent experience
- Evidence of CPD/short courses
- Evidence of Masters level study
- Clinical examination and/or diagnostics at level 6 minimum
Desirable
Experience
Essential
- Experience of management and clinical leadership
- Experience of successful multi-agency working
- Demonstrable experience in relevant area of practice or equivalent
Desirable
- First line management experience
- Experience with working in community
- experience independently working in a clinic
- previous autonomous practice
Skills
Essential
- Excellent communication, organisational and interpersonal skills
- Risk assessment skills
- Self management and motivation skills
- IT literate
Desirable
Knowledge
Essential
- Understanding of current national and local agenda in health and social care
- Understanding of the principles of respiratory care management
- Understanding 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
- Understanding of improving outcomes with partnership working
Desirable
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).
