Respiratory Nurse Practitioner

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.,

• Clinical Assessment & Diagnosis Conduct full patient assessments (history, physical exams, spirometry, blood gases), analyse diagnostic tests (pathology, imaging) and determine suitable care settings (clinic, home, virtual).
• Care Planning & Delivery Develop 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 Support Refer to pulmonary rehabilitation programmes; provide education on disease self-management, inhaler technique, smoking cessation, and prevention strategies.
• Virtual Ward & Telehealth Care Participate in virtual ward models or ARI early supported discharge service, conducting remote patient monitoring and telephone triage
• Education, Training & MDT Collaboration Provide specialist advice to colleagues, train nursing and therapy staff, contribute to local guidelines, clinical audits, and quality improvement initiatives.
• Clinical Governance & Quality Assurance Maintain comprehensive patient records, participate in national audits, monitor KPIs, and engage in service evaluation and research.
• End-of-Life Care & Advanced Care Planning Collaborate with palliative care teams to deliver advance care planning and symptom management in advanced respiratory disease.
  
  Clinical Expertise In-depth understanding of respiratory pathophysiology, pharmacology, diagnostic interpretation (e.g. spirometry, arterial blood gases, chest imaging).
• Decision-Making & Autonomy Ability to independently assess, triage, and manage complex cases in non-acute settings.
• Communication & Education Strong communication with patients, carers, and MDT; proficient in conveying medical information clearly and supporting behavioural change.
• Interprofessional Collaboration Works effectively within MDTs and fosters relationships across community, acute, and primary care sectors.
• Organisational Skills Capable of managing a caseload across multiple delivery modes-home visits, virtual wards-while maintaining documentation and governance standards.
• Adaptability and Mobility Willingness to travel across community sites, sometimes working as a lone practitioner within specified policies.
• Compassion & Patient-Centred Care Values holistic approaches, supports long-term self-care, and demonstrates empathy-especially in chronic and palliative contexts.,
• Registered Professional., V300 Prescriber, if required for the post., 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 criteria
• Management and clinical leadership experience, 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, Excellent communication, organisational and interpersonal skills
• Risk assessment skills
• Self management and motivation skills
• IT literate, You must have appropriate UK professional registration.
  
  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 Hospital is 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 Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation. Liverpool Women's Hospital specialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. The Royal 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.

Note: Under current Home Office Immigration Rules we are currently unable to offer right to work visa sponsorship for Band 2 and 3 roles with a salary of less than £25,000 pa as they do not meet the UK Visas & Immigration criteria. Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview. We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please ensure you apply without delay if you wish to be considered for this role. Candidates applying for the role of Healthcare Assistant on the staff bank should note that due to the nature of the role, workers must be aged 18 or above when commencing in post. Applicants are therefore welcome from those aged over 18 or within 3 months' of their 18^th birthday. The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working. The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce black, Asian and minority ethnic, lesbian, gay, bisexual and Transgender (LGBTQ+), disabled, male and age 16-24. Trust policy requires that the cost of submitting & processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £26.50 (standard disclosure) or £54.50 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment. From April 2017, Skilled visa applicants and their adult dependant(s) will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years. Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website - https://www.gov.uk/check-uk-visa. This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults' policy and comply with the Local Safeguarding Children and Adult Board procedures. Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation. All employees (and volunteers)are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action. As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence. If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on at the earliest opportunity to ensure that measures can be put in place to enable your application for this post. Please note: new entrants to the NHS will commence on the first pay point of the relevant band.