Respiratory Nurse Practitioner

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 supplemented 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 role will involve the assessment of patients in two local hospitals for the suitability of providing early supported discharge and the continued daily case management, during their exacerbation in the community setting. You will need excellent communication skills and will be able to demonstrate your ability to make clinical decisions autonomously at pace. A willingness to undertake clinical audit and research, and to gain an understanding of the local and national issues relating to respiratory disease, in order to optimise the management of this group of patients is essential. Given the community-wide nature of this role, a high degree of mobility is required. The role involves working across various locations, with shifts covering 8am-8pm 7-days per week.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. 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, Assess plan and implement care of acute respiratory patients (COPD/ bronchiectasis Community acquired pneumonia, viral lower respiratory tract infections) facilitating supported hospital discharge. Provide care and optimisation of patients living with respiratory conditions including promotion of patient self-management. Work within the set up of a new Virtual ward environment, supporting patients and colleagues in service development., 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 £23 (standard disclosure) or £43 (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. DBS applications submitted from 2nd December will be subject to the new DBS fee of £26.50 (standard) and £54.50 (Enhanced). 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.

• Registered Professional.
• Teaching/mentorship qualification or equivalent or equivalent work based experience.
Desirable criteria
• 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 partnership working
• Understanding of the principles of 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.