Advanced Respiratory PractitionerNHS

Job summary

We are looking for an enthusiastic and dynamic Advanced Respiratory Practitioner to work within the Liverpool Community Respiratory Team/Acute Respiratory Infections Virtual ward.

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 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 service provides a 2-hour rapid assessment hospital admission avoidance and early supported discharge for patients with a range of respiratory conditions. This is from the patient's homes, from 2 acute hospitals and includes the continued case management during their exacerbation in the community.A high level of clinical decision-making is required for this post therefore sound theoretical and practical knowledge relating to this speciality is required.

Given the community-wide nature of this role, a high degree of mobility is required. The role will include working across various locations, with shifts covering 7-days per week.

Main duties of the job

Provide care, treatment plans, advice and guidance in the treatment of others, when dealing with complex highly specialist respiratory conditions in the community and LUHFT hospital sites.

Responsible for the delivery of identified specialist training.

Work in partnership with the other services/stakeholder partnership agencies to enable patients/clients to be treated in the appropriate setting.

Ensure that the team provides a high quality service to its patients/clients by providing caseload and clinical supervision.

Ensure that teams work proactively in order to deliver anticipatory and maintenance care, providing a responsive service to patients with both planned and unplanned care needs.

Develop partnerships and joint working with service users and stakeholders to improve patient/client care.

Work in partnership with other organisations to support the effective and co-ordinated provision of health and social care services.

Participate in the development of caseload management across the local health economy.

Provide leadership and mentoring to those staff developing into a caseload management role.

Job description

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.

About us

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 Hospitalis 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 Hospitalis home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation.Liverpool Women's Hospitalspecialises in the health of women and babies, delivering over 7,200 babies in the UK's largest single site maternity hospital each year. TheRoyal Liverpool University Hospitalis the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.