Respiratory Specialist Practice Nurse


Company:	NHS Jobs
Salary:	£50,839 - £58,660
Hours:	Full-time
Location:	Slough, SL2 1HD
Job type:	Permanent
Posting date:	28 Jul 2026
Closing date:	25 Aug 2026

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Summary

Lead and deliver structured annual and interim asthma reviews for adults and children, in line with current national guidance (NICE, BTS SIGN and GINA), including assessment of symptom control, adherence and trigger management. Assess and optimise inhaler technique, agree personalised asthma action plans with patients, and provide self-management education and support. Assess asthma control using validated tools (e.g. the Asthma Control Test or RCP three questions), risk-stratify patients, and adjust treatment up or down in accordance with current guidance and within own scope of competence. Plan, perform and interpret quality-assured diagnostic and monitoring spirometry (including bronchodilator reversibility testing where indicated) to support the diagnosis and ongoing monitoring of COPD, to ARTP / national spirometry quality-assurance standards. Interpret spirometry results in the clinical context, distinguishing obstructive from restrictive patterns, and formulate and agree appropriate management plans; recognise abnormal or borderline results requiring onward referral or GP review. Deliver structured COPD reviews, including symptom and exacerbation-risk assessment (e.g. MRC dyspnoea scale / CAT score), optimisation of inhaled and other therapies, and rescue-pack and self-management planning. Undertake FeNO testing to support asthma diagnosis and monitoring, where available and within competence. Provide brief smoking cessation advice and onward referral, and promote referral to pulmonary rehabilitation where clinically indicated. Recognise and manage acute respiratory presentations and exacerbations, initiating appropriate treatment and escalation as required. Maintain accurate respiratory disease registers and support call and recall, ensuring timely and complete SNOMED CT coding of reviews, spirometry, diagnoses and QOF / IIF-relevant data on EMIS Web. Contribute to the practices performance against the QOF respiratory domains and to related audit and quality-improvement activity. Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being. Implement and evaluate individual treatment plans for patients with a known long-term condition. Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition. Assess and care for patients presenting with leg ulceration and general wound care. Support and advise women requesting information relating to contraception and sexual health issues. Support and manage the health needs of women presenting for cervical cytology consultations. Implement and participate in vaccination and immunisation programmes for both adults and children. Promote and deliver evidence-based care for patients presenting with aural conditions. Undertake minor ailment clinics or triage. Assist in the supervision and support of health checks. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Provide information and advice on prescribed or over-the-counter medication, including medication regimens, side effects and interactions. Support patients to adopt health promotion strategies that encourage them to live healthily, and apply the principles of self-care. Awareness of and compliance with all relevant practice policies and guidelines. Reporting of significant events. Contributing to evaluation, audit and clinical standard setting within the organisation. Contributing to the development of computer-based patient records on EMIS Web. Contributing to the summarising of patient records and SNOMED CT coding of patient data. Participating in regular staff training sessions to ensure development of skills and knowledge; assessing own learning needs and undertaking learning as appropriate. Participating in clinical, multidisciplinary and whole-team meetings. Observing and complying with all appropriate statutory requirements in relation to child and adult safeguarding, and being familiar with the reporting process should this be required. Contributing to policy development and the implementation of procedures and guidelines in relation to their own area of work. Attending any protected learning time sessions provided for the practice or by the practice itself. Attending training where appropriate. Strive to maintain quality within the organisation. Alert other team members to issues of quality and risk. Assess own performance and take accountability for own actions, either directly or under supervision. Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the teams performance. Work effectively with individuals in other agencies to meet patients needs. Effectively manage own time, workload and resources. Be an ambassador for FRMG, displaying commitment and loyalty to the Group at all times and treating internal practice discussions as confidential.

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