Job summary
- Main area
- Technical Instructor for pulmonary rehab
- Grade
- NHS AfC: Band 4
- Contract
- 10 months (fixed term to 31/3/2026)
- Hours
- Full time - 37.5 hours per week
- Job ref
- 391-NMUH-7219508
- Employer
- Royal Free London NHS Foundation Trust
- Employer type
- NHS
- Site
- Pine Lodge, St Michaels Site
- Town
- Enfield
- Salary
- £31,081 - £33,665 Inclusive of Outer HCAS per annum
- Salary period
- Yearly
- Closing
- 18/06/2025 23:59
Employer heading

Technical Instructor
NHS AfC: Band 4
The North Middlesex University Hospital NHS Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.
The hospital has been on its present site for over 100 years and was established as an NHS trust by statute in December 1990. The Trust’s services are provided on the North Middlesex University Hospital site as well as a range of community sites across the London Borough of Enfield, including at partner hospitals. They provide services in collaboration with a range of partners, including local GPs, acute, mental health and other community health service providers across North Central London.
In the year ending 31 March 2022, the Trust reported a turnover of £419.7m and employed almost 4,000 staff. Following the transfer of Enfield Community Services on 1st April 2023, this has increased as we have welcomed over 600 new staff including District Nurses, Community Matrons, Community Physiotherapists, Psychologists and many more across a wide range of adult and children’s community services in Enfield. It is an exciting time to join North Mid as we continue our journey to become an integrated care organisation to deliver high quality, seamless care in our local communities, with a focus on tackling health inequalities.
Job overview
The community respiratory team in Enfield has a vacancy for a fixed term technical instructor band 4.
The community respiratory team provides self management advice and support to patients with chronic lung disease (asthma, chronic obstructive pulmonary disease, bronchiectasis and interstitial lung disease). The team consists of nurses, physios and support staff and provides pulmonary rehabilitation which is a 6 week exercise and education course, home oxygen assessment and review service, home visits, clinics and telephone advice for complex management of conditions.
This role will support delivery of pulmonary rehabiliation,
Main duties of the job
To undertake clinical work delegated from the qualified therapy/nursing staff.
To work effectively as a member of a team in providing a programme of community based and home-based pulmonary rehabilitation and therapeutic activities
To be able to do a non-complex respiratory assessment and treatment in liaison with the physio/nurse both in clinic and home including: -
Able to perform basic spirometry and calibration as needed
Demonstrate and teach inhaler techniques
o Demonstrates correct use of nebulisers to clients
o Completes outcome measures including CRQ, Nijmegen, HAD score, and patient surveys.
o Able to demonstrate and follow up correct techniques of using Sputum clearance adjuncts including ACBT, flutter, acapella, OPEP, PEP, Incentive spirometer, bubble PEP
o To follow up patients and do respiratory techniques including positioning, postural drainage, breathing control, percussion, vibrations, shaking and Buteyko and breathing retraining techniques as instructed by the physiotherapist.
To contribute to all stages of the pulmonary rehabilitation (PR) and therapeutic process including: - Referral taking and information gathering through liaison with clients, their informal carers, and colleagues from health and other agencies. PR Initial assessment including ISWT,6MWT, STST, CRQ, HAD, TUAG. To be able to warm up, cool down and modify PR exercises in liaison with the physio. To organise education sessions for PR both in the community and home.
Working for our organisation
NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/
Detailed job description and main responsibilities
See Job description and person spec for further details.
To be responsible for a designated caseload of patients.
To be able to deliver and install temporary adaptive equipment in clients own homes. To be able to operate manual handling equipment i.e. hoists, rota stands, to be able to perform therapeutic manual handling techniques with patients. To be able to operate computer systems.
To provide clients with general information and advice on a range of services that could meet their need and quality of life, referring on to the partnership services as needed.
To form appropriate relationships with clients and their families and communicate with them in a way that respects their views, autonomy, and culture.
To be able to produce internal reports of clients progress.
To deal with a range of patient and carers who may be distressed
Person specification
Education & professional Qualifications
Essential criteria
- • Relevant qualification e.g., C & G Health & Social Care NVQ 3 or equivalent
- • English qualification at GSCE or equivalent level.
Experience
Essential criteria
- Experience at working at band 3 level in a physical rehabilitation setting
- Experience working within a physiotherapy setting, delivering care to patients with physical or respiratory problems
- Evidence of working with and caring for adults either in an acute or community NHS setting
- Knowledge and experience of working with respiratory patients and their carers
Skills and aptitudes
Essential criteria
- Physio rehabilitation skills
- Ability to organise & respond effectively to complex information.
- Word processing and PC skills
Personal Qualities & attributes
Essential criteria
- Willingness to further training and develop clinical skills and competency relevant to the role.
- Effective written and verbal communication skills
other
Essential criteria
- Car owner/driver and able to use vehicle for work
- Full UK driving license
Applicant requirements
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
Further details / informal visits contact
- Name
- Helen Littler
- Job title
- respiratory consultant nurse
- Email address
- [email protected]
- Telephone number
- 02045535693
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