Respiratory Nurse Specialist-Surrey Downs H&C

Posting date:	13 February 2026
Salary:	£50,008.00 to £56,908.00 per year
Additional salary information:	£50008.00 - £56908.00 a year
Hours:	Full time
Closing date:	01 March 2026
Location:	Leatherhead, KT22 8SD
Company:	NHS Jobs
Job type:	Permanent
Job reference:	C9343-26-0145

Summary

Nursing Caseload To work independently as a respiratory nurse specialist practicing holistic evidence-based, guideline management strategies To prioritise workload and manage own patient caseload, including planning and evaluating care provided. To be professionally and legally accountable for all work undertaken. To ensure that, as a lone worker in the community, appropriate risk assessments are undertaken to ensure safety at all times. To practice advanced standards of clinical assessment through history taking and physical examinations as an autonomous practitioner using highly specialised skills with advanced clinical reasoning; analyse findings, recognise and diagnose exacerbations of respiratory conditions and differentiate from other diagnoses (eg heart failure) and appropriately seeking advice from within the team or in-patient Respiratory Consultant. To interpret clinical assessment findings, using medical assessment tools such as spirometry; blood tests, etc. On the basis of assessment findings make recommendations to the patient and other health care professionals on the best course of intervention, and initiate appropriate treatment plan as indicated. This may be through use of independent nurse prescribing, and initiation of standby medication or via direct discussion with GPs. To promote self-management of respiratory conditions, through disease specific education, Health promotion, including stop smoking (with appropriate referral to the specialist Stop Smoking Team), nutrition (with referral to the specialist dietetics and speech and language therapy teams), psychological interventions (with appropriate referral to integrated psychology service) and exercise. (To participate in community pulmonary rehabilitation provision where required).would like this as a separate mention to encourage cross supportive working To triage and review patients referred to the service and AECOPD pathway using agreed protocols and procedures. To carry out follow up assessments and treatment in patients homes, liaising with other team members as required. Collaborate with community based professionals such as GPs, district nurses and home carers to promote continuity of care for patients. Collaboratively identify patients goals in relation to their respiratory condition and facilitate meeting these through education and support, empowering them to manage their long term condition effectively, seeking advice and support when required. To act as a resource to all professionals involved in the care of respiratory patients To be responsible for keeping contemporaneous up to date patient records by ensuring all relevant information is documented on EMIS nursing progress notes and write specific reports as required To initiate and implement changes in clinical practice which improve standards of care and health outcomes for patients In conjunction with other professionals, develop standards of practice against, which quality of care may be measured To identify and address clinical issues and incidents within the community in order to improve the quality of care To identify and resolve patient related or service problems and prioritise demanding and conflicting needs Manage own nursing caseload To act as a change agent and innovator, planning, instigating and evaluating change through robust cycles of audit. To lead in the development and maintenance of collaborative relationships, partnerships and networks aimed at influencing and improving health outcomes for respiratory patients To lead in the development of COPD services to improve practice and health outcomes are underpinned by local and national guidance, patient and carer needs and utilisation of multidisciplinary skills to formulate and test new developments To contribute to measuring the effectiveness and productivity of respiratory/COPD disease management provided through the collection and correlation of data for the team annual reports To develop and implement evidence based clinical practice within the team To be responsible for the upkeep and maintenance of equipment used in the respiratory service reporting all equipment defects in order for them to be repaired or replaced. Communication/Collaboration To work collaboratively with members of the respiratory team and other clinical specialities, i.e. ILTs, GP practice, palliative care team, in order to provide seamless, high quality care in the borough