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Job summary

Main area
Thoracic Medicine
Grade
NHS AfC: Band 7
Contract
Permanent
Hours
  • Full time
  • Part time
37.5 hours per week
Job ref
216-PL-DC7833263
Employer
University Hospitals Plymouth NHS Trust
Employer type
NHS
Site
Derriford Hospital
Town
Plymouth
Salary
£49,387 - £56,515 Per Annum, pro rata
Salary period
Yearly
Closing
21/04/2026 23:59

Employer heading

University Hospitals Plymouth NHS Trust logo

Specialist Respiratory Integrated Nurse

NHS AfC: Band 7

Job overview

We are offering an exciting opportunity for an experienced and motivated Band 7 Respiratory Nurse/ Non-medical prescriber to join our integrated respiratory service. This dynamic role bridges acute and community settings, supporting patients across the Acute Respiratory Assessment Unit (ARAU) and in the community. You will play a key role in shaping the service, delivering high-quality care focused on admission prevention, early supported discharge, and long-term condition management. This is a leadership role within the service.

 

Working closely with multidisciplinary teams, you will manage complex cases, make independent clinical decisions, and contribute to pathway development. The role involves cross-sector collaboration with Livewell and Derriford respiratory teams, virtual wards, and community services to support patients throughout their journey. With consultant supervision and MDT input, you will help reduce hospital admissions and length of stay through proactive assessment, triage, and care planning. This is a forward-thinking team offering excellent development opportunities and a chance to influence service innovation.

 

The postholder will be involved in assessments, triage and formulating appropriate care plans for individuals, including investigative work-up, safe management plan and an awareness of any complex care needs to enable the individual to remain in their own home or be admitted to the ward. 

 

 

 

Main duties of the job

The Band 7 Senior Nurse for the Acute Respiratory Assessment Unit (ARAU) will provide clinical and managerial leadership to ensure the delivery of high-quality, evidence-based care to patients presenting with acute and complex respiratory conditions. The postholder will act as a clinical expert, role model, and resource for the multidisciplinary team, promoting best practice in respiratory assessment, treatment, and ongoing management.

The role involves day-to-day operational management of the unit, development of clinical pathways, coordination of patient flow, and ensuring effective liaison with respiratory physicians, physiotherapists, and community teams to facilitate safe, timely discharge and continuity of care.

***Preference will be given to internal Trust staff, as well as Priority and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***

Working for our organisation

We are a people business – where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment manager for this post who will put you in touch with the recruitment team. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.

Detailed job description and main responsibilities

Clinical

·         Deliver specialist respiratory care within the Acute Respiratory Assessment Unit and/or community settings

·         Provide enhanced  clinical assessments of patients with respiratory issues, including physical examination, ordering and interpreting investigations, and developing individualised patient centred treatment plans

·         Act as an independent prescriber, initiating and adjusting treatment plans in line with clinical guidelines

·         Support admission avoidance strategies and facilitate early supported discharge.

·         Utilise criteria-led nurse discharge processes.

·         Provide respiratory education, self-management plans, and personalised care planning for patients and their families.

·         Support the coordination of patients within the ARAU and throughout their journey back into the community.

·         Deliver evidence-based care, including non-pharmacological interventions such as pulmonary rehabilitation support, and oxygen management.

·         Work in partnership with hospital teams, GP’s, community services, and other allied health professionals to ensure continuity of care.

·         Participate in collaborative decision making

·         Act as patients advocate in raising concerns around health and social care when required

·         Ensure patients’ views are considered in the decision-making process

·         Recognise and support the needs of carers and family members

·         Ensure documentation is accurate and up to date, utilising all necessary paper and electronic records

·         Be responsible for and facilitate others in the knowledge and awareness of appropriate use of digital health/care solutions for patients with long term conditions

·         Advises and supports other staff in their planning of patient care.

·         Provides support and advice to patients’ carers and relatives (with consent) on patient’s conditions and prognosis where appropriate.

·         Keep accurate and complete records of activities and communications consistent with legislation, policies and procedures

·         Works as part of a multi-disciplinary team Lead on service development initiatives and contribute to quality improvement projects

·         Communicate effectively with all staff across the MDT, community teams and patients

For further details please refer JD & PS

Person specification

Knowledge & Experience

Essential criteria
  • • Significant demonstrable post registration experience in respiratory nursing across acute and/or community settings
  • • Understanding of Clinical Governance
  • • Proven ability to work autonomously and within multidisciplinary teams
  • • Understanding of integrated care models and admission prevention strategies
  • • Demonstrable clinical and line management experience
  • • Demonstrable experience of oxygen assessments and prescribing O2
Desirable criteria
  • • Good proven Knowledge of Secondary & Primary Care Sector including integrated care pathways
  • • Proven Knowledge of Pulmonary rehabilitation and/or oxygen therapy
  • • Current evidence-based practice in respiratory management including ability undertake ABGs, spirometry, FENO
  • • Understanding or previous involvement in early supported discharge, or admission avoidance pathways
  • • demonstrable frailty experience and multidisciplinary working

Qualifications

Essential criteria
  • • NMC Registered Nurse (Adult)
  • • Non-medical prescribing (or working towards)
  • • Recognised teaching or mentorship qualification
  • • Degree (or commitment to work towards) in healthcare
  • • Completion of or willingness to complete respiratory assessment module/s, for example: Diploma module in asthma / Diploma module in COPD
Desirable criteria
  • • Recognised Acute Care Assessments module
  • • Management and leadership module or study days
  • • Clinical Assessment Qualification (or working towards)

Aptitude & Abilities

Essential criteria
  • • Demonstrates a proactive, solution-focused approach with a positive attitude.
  • • Excellent verbal and written communication skills, including the ability to engage effectively with staff, patients, and families in challenging or distressing situations.
  • • Proficient in the use of information technology to support clinical practice and communication.
  • • Able to build credibility and influence colleagues, including driving clinical improvements where appropriate.
  • • Strong organisational skills with the ability to prioritise and manage complex situations effectively.
  • • Resilient and adaptable, able to perform well in fast-paced and demanding environments.
Desirable criteria
  • • Previous recent demonstrable experience of managing change towards improvement in a clinical setting.

Employer certification / accreditation badges

Disability confident leaderArmed Forces Covenant Gold AwardMindful employer.  Being positive about mental health.Defence Employer Recognition Scheme (ERS) - Gold

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Mike Lynn
Job title
Matron for Respiratory
Email address
[email protected]
Telephone number
01752 438604
Additional information

Mike Lynn

01752 438604

[email protected]

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