Advanced Clinical Respiratory Specialist

Job responsibilities

The postholder(s) working closely with the Respiratory Clinical Leads at the ICB will support Surrey Heartlands ICB to improve identification and review of patients with asthma. The postholder(s) will deliver a quality highly specialised improvement programme, focusing on either West Surrey or East Surrey GP facing practices. The post holder will proactively support GP practices, by helping them to identify and manage uncontrolled asthma patients, aged 18 and over to embed evidence-based guideline care to improve asthma management across the entire asthma spectrum - from mild patients who may be on Short acting beta 2 agonists (SABA) monotherapy alone, right through to severe asthma patients who may be on long term oral steroids and high dose Inhaled corticosteroids (ICS). The post holder will conduct face to face patient reviews and educate both practice staff and staff within the locality in asthma management.

The postholder(s) will support the CORE20Plus5 delivery for patients with Long Term Conditions (respiratory) by:

Providing additional capacity to support proactive patient reviews, alleviating pressure from the system ensuring care aligns with NICE and local guidelines

Act as an independent non-medical prescriber and contribute to adherence of medi-cines optimisation strategies

Deliver a positive reduction in environmental burden from carbon emissions from re-duced use of metered dose inhaler SABA therapy, and increased use of dry powder inhalers for AIR and MART.

Promote patient self-management and deliver individualised care plans

Encourage uptake of Influenza, Pneumococcal and Covid Vaccinations where they meet eligibility criteria.

Improve the equity in standard of care for Asthma patients.

Reducing the clinical burden in primary and secondary care from increasing appropri-ateness of referrals and reducing unscheduled visits for asthma care (hospital admis-sions from severe exacerbations and GP visits for exacerbations).

Provide support for education to GP practices as needs are identified to help improve HCP knowledge and capabilities regarding asthma care

Provide educational support for the rollout of SENTINEL to GP Practices

Providing a sustainable impact on the improved capability of HCPs to manage asthma on project completion e.g. by role modelling clinics.

Ensuring effective communication and collaboration across multidisciplinary teams and organisational boundaries.

Build relationships with all stakeholders to enable delivery of identified programmes and targets which support integration and continuity of care for patients with respiratory conditions.

Key Responsibilities

To lead and promote high quality specialist asthma care within Primary Care

Clinical

Review a caseload of patients with respiratory needs, providing evidence-based as-sessment, planning, implementation, and evaluation of care with Primary Care.

Liaise and support Community Services and Secondary care to support patient care and improve overall outcomes.

Undertake detailed clinical assessments, including diagnostic investigations (e.g., spi-rometry, FENO, peak flow, airway reversibility).

Develop and review individualised self-management plans and support patients in life-style changes.

Provide specialist advice to patients, carers, and professionals, including education on inhaler technique and medication adherence.

Participate in Practice MDT meetings as appropriate.

Ensure accurate and timely documentation in line with local and national standards.

Service Development & Management

Lead and promote integration of respiratory care between primary, secondary, and community services.

Identifying patients for review, and support GP practices to set up systems and pro-cesses for improving ongoing care of asthma patients

Develop and implement policies, protocols, and guidelines in line with national and lo-cal standards.

Monitor and report on service outcomes, including cost savings and quality improve-ments.

Participate in and lead service audits or evaluations for the project.

Attend and participate in ICB respiratory Network meeting relating to this project

Attendance as a member of the Steering Group, providing updates as required.

Teaching & Training

Provide specialist training and education to clinicians, management, and staff at all levels.

Support the development and maintenance of clinical competencies within the team.

Act as a clinical tutor/mentor for junior staff and students.

Communication

Develop and maintain effective relationships with key stakeholders across the health and social care system.

Present information in a variety of formats tailored to different audiences.

Manage complex and sensitive situations with empathy and professionalism

Raise challenges or concerns with the project team as soon as identified.

Governance & Quality

Adhere to all relevant policies, procedures, and codes of conduct (NHS, NMC, GPhC, etc.).

Ensure compliance with infection control, health and safety, safeguarding, and equality and diversity policies.

Maintain confidentiality and data protection standards at all times.

Wellbeing & Professional Development

Engage with wellbeing initiatives and support a positive workplace culture.

Maintain professional registration and continuous professional development.

Participate in annual appraisal and personal development planning.

Skills

Essential

• Advanced clinical assessment and decision-making;
• Excellent communication and interpersonal skills; Ability to work autonomously and as part of a team;
• Teaching and mentoring skills;
• IT literacy (including extracting and analysing data in excel)

Desirable

• Ability to run searches and use software to extract patient data; Behavioural/motivational skills

Other

Essential

• Ability to travel between sites;
• Flexible approach to service needs; Commitment to equality, diversity, and safeguarding

Desirable

• Involvement in clinical networks

Qualifications

Essential

• Registered Nurse (NMC) or Pharmacist (GPhC); Degree or equivalent;
• Non-medical Prescriber;
• Advanced clinical practice respiratory qualification (to Masters level)

Desirable

• ARTP accredited Spirometry; Advanced Inhaler Technique trainer;
• Teaching qualification;
• Good Clinical Practice certificate;
• Published work

Knowledge

Essential

• Expert knowledge in respiratory care (esp. asthma);
• Knowledge of NICE/BTS/local guidelines; Understanding of medicines optimisation

Desirable

• Involvement in change management; Knowledge of primary care IT systems (EMIS, System One, AccuRx, DOCMAN, ICE etc.)

Experience

Essential

• Relevant post-registration experience in respiratory care;
• Use of FENO testing;
• Experience of audit, research, and presenting findings

Desirable

• Experience in service development; Experience in both nurse-led and pharmacy-led clinics
• Experience in both primary and secondary care;

Values & Behaviours

Essential

• Commitment to dignity, respect, fairness, integrity, openness, honesty, caring, kindness, and compassion;
• Ability to work collaboratively and put people at the heart of care

Desirable

• Involvement in relevant clinical networks (ARNS, PCRS, BTS)

Other Information

Essential

• Other Information
• The post holder(s) will be required to work flexibly across sites within Surrey Heartlands as required.
• Corporate and Local Policies & Procedures
• All staff are required to comply with the organisation's corporate and local policies and procedures relating to clinical management and human resources. Furthermore, adherence to professional standards and codes of conduct is mandatory for all employees. The postholder must engage in annual appraisals, complete mandatory training, and pursue ongoing professional development. It is essential that the postholder follows all relevant policies, including those pertaining to confidentiality, health and safety, infection control, and safeguarding. Supporting colleagues' wellbeing and contributing positively to workplace culture are also expected.
• Registered Health Professional
• Staff who are members of a professional body must adhere to the relevant standards of professional practice and conduct. It is the responsibility of the postholder to ensure familiarity with, and compliance to, these requirements.
• Risk Management / Health & Safety
• The postholder is responsible for managing risk and maintaining health and safety for themselves and others, operating within the organisations established policies and procedures.
• Records Management
• The postholder is expected to maintain accurate and timely records, ensuring compliance with organisational and professional guidelines as appropriate.
• Confidentiality
• The postholder must maintain confidentiality of information at all times, in accordance with organisational and national policies. Access to information should be limited to the need-to-know basis for the direct performance of duties, and disclosure of information should occur only in the proper execution of responsibilities.

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).