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Advanced Respiratory Practitioner

Company:NHS Jobs
Salary:£49,387 to £56,515 a year
Hours:Full-time
Location:Liverpool, L9 7AL
Job type:Contract
Posting date:23 Sept 2026
Closing date:7 Oct 2026
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Summary

Key Responsibilities Clinical Assessment & Diagnosis 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). Care Planning & Delivery 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. Pulmonary Rehabilitation & Self-management Support 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. Virtual Ward & Telehealth Care Participate in virtual ward models or ARI early discharge services, conducting remote patient monitoring, telephone triage, and virtual clinics. [ 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 (e.g. COPD, asthma), 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 modeshome visits, clinics, virtual wardswhile 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 empathyespecially in chronic and palliative contexts. Leadership Offer peer support to other team members, be able to coordinate the caseload and staffing and be able to adapt as required. Prescribing & Medicines Management (preferable) 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.

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