Respiratory Specialist Nurse/Physio/Paramedic

Central London Community Healthcare Nhs Trust; St Albans; On-site; GBP 32,000 - 42,000; Full time

Job summary

Central London Community Healthcare NHS Trust is seeking a Band 6 respiratory clinician to work across West Hertfordshire in the community. You will deliver specialist, patient-centred care in homes and clinics, supported by an MDT.

You will manage respiratory conditions (COPD, Asthma, OSA, ILD) and provide home oxygen services, with opportunities to develop within a supportive service.

Qualifications

• Nursing/paramedic/physio degree and professional registration.
• Experience with respiratory patients; knowledge of guidelines.
• Full UK driving licence and access to a car for business use.

Responsibilities

• Undertaking comprehensive respiratory assessments for patients with complex needs.
• Implementing home oxygen therapy and pulmonary rehabilitation programmes.
• Developing evidence-based management plans and ensuring patient-centred care.
• Delivering care via home visits and nurse/physiotherapist-led clinics.

Skills

Communication skills

Decision making

Clinical skills

Teaching ability

Governance knowledge

Teamwork

Spirometry skills

Self-management plans

Time management

Autonomy

Education

Nursing/ Paramedic/ Physiotherapist degree

HCPC/NMC registration

Teaching/Mentorship qualification

Job description

Job summary

CLCH Hertfordshire Adult Community Services - CLCH NHS Trust provides a range of Community Services, and the Hertfordshire Division is recruiting!
This is a Band 6 role, and we would also welcome applications from experienced Band 5 clinicians with a strong background in Respiratory care who are looking to develop their skills within a supportive service.
You will work as part of a multidisciplinary community respiratory team delivering the Community Respiratory Service across West Hertfordshire. The service provides specialist respiratory care, including:

• Hospital at Home (admission avoidance and early supported discharge, including Virtual Hospital)
• Home oxygen assessment and review
• Community clinics and home visits delivering expert care for patients with OSA, COPD, Asthma, Bronchiectasis and ILD

The role offers the opportunity to work autonomously while being well supported by the wider MDT. You will deliver specialist, patient centred care in a variety of settings, including patients’ homes and nurse-or physiotherapist led clinics, with a strong focus on improving outcomes and enhancing quality patient care.
As this is a community-based role, with travel between patient homes, there is a requirement to hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010).

Main duties of the job

The successful post holder will deliver patient centred, integrated respiratory care as part of a seven day service, supporting admission avoidance and contributing to the development of the Integrated Airways Virtual Hospital in partnership with the Hospitals Trust.
You will develop and apply specialist skills in the management of patients with respiratory conditions including COPD, Asthma, Bronchiectasis, OSA, and ILD, as well as supporting patients who require home oxygen therapy.
This patient centred role includes:

• Undertaking comprehensive respiratory assessments for patients with complex needs and co morbidities, including physical examination, clinical analysis, and the development of individualised, evidence based management and treatment plans.
• Implementing specialist care programmes such as home oxygen therapy, pulmonary rehabilitation, medication optimisation, and psychological support interventions, in line with national and local guidelines.
• Providing compassionate emotional support to patients and their families or carers living with long term and life limiting respiratory conditions.
• Delivering care through a combination of community home visits and nurse or physiotherapist led clinics across West Hertfordshire.

As part of a large, experienced community respiratory service, you will be supported by a skilled multidisciplinary team including Band 7 and Band 8a clinicians, a Consultant Respiratory Physiotherapist, and Respiratory Consultants.

About us

We are proud to be one of the largest community healthcare providers in the country, with more than 4,500 colleagues caring for over four million people across London and Hertfordshire. Every day, our teams bring their skill, compassion, and determination to the people who depend on us.
What inspires us is at the heart of who we are: when we work together, we can help people move forward in ways that truly matter. Our teams support children as they take their first steps in life, and they stand beside adults as they rebuild strength, confidence, and independence. From newborn health visiting to community nursing, stroke rehabilitation, and palliative care, we are there for people through some of life's most important moments.
Joining Central London Community Healthcare means becoming part of a community that lifts each other up. It means working in an organisation that values compassion, welcomes new ideas, and believes in the potential of every colleague. Your development matters here. Your wellbeing matters. Your voice helps shape the future of the care we provide.
We offer a competitive employment package because the work you do matters. At Central London Community Healthcare, you will join an inclusive organisation that invests in its people, supports development, and helps you thrive while delivering high-quality care.

Person Specification

Education/Qulifications

Essential

• Nursing/ Paramedic/ Physio Degree qualification or equivalent
• Current NMC /HCPC registration
• Teaching/Mentorship qualification or equivalent experience

Experience

Essential

• Experience of working with respiratory patients
• Experience of working within acute or community setting.
• With knowledge of relevant of National guidelines in Respiratory
• Demonstrates ability to develop new initiatives.
• Demonstrates ability to managing change

Skills and Knowledge

Essential

• Good effective communication skills, verbally and in writing.
• Ability to make decisions and prioritise actions.
• Evidence of expertise in clinical skills
• Experience of teaching others.
• A working knowledge of clinical governance and evidence-based practice.
• Ability to develop and maintain team working.
• Ability to learn new skills and develop skills in physical assessment, spirometry, developing self-management action plans, capillary blood gas sampling, Feno.
• Ability to work under pressure and to tight deadlines.
• Ability to work autonomously.
• Strong organisational, time-management skills
• To be able to deal with situations which may lead to adjustments within teams' workload.
• Sound working knowledge of guidelines in the field of respiratory care.
• Excellent documentation skills
• Knowledge awareness of recent NHS policies/DoH agenda
• Ability to demonstrate an understanding of the holistic needs of the client group.
• Computer skills i.e., Word, data- bases email, internet
• An eagerness to contribute to quality assurance and audit.

Other

Essential

• Hold a full, valid, UK driving licence and have access to a car to use for business purposes (unless you have a disability as defined by the Equality Act 2010)

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.
Applicants must have current UK professional registration. For further information please see NHS Careers website.