Advanced Respiratory Practitioner in Liverpool

Main area Respiratory Directorate Grade Band 7 Contract Permanent Hours Full time – 37.5 hours per week (2x 9-8 and 2x 9-6) Job ref 287-AMED-356-25

Employer Liverpool University Hospitals NHS Foundation Trust Employer type NHS Site Community Respiratory Team Town Liverpool Salary £47,810 – £54,710 per annum Salary period Yearly Closing 09/02/2026 23:59

Advanced Respiratory Practitioner

Band 7

Job overview

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.

Working for our organisation

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 Hospital is 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 Hospital is home to elective surgical, diagnostic and treatment services, together with specialist patient rehabilitation.Liverpool Women’s Hospital specialises 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 Hospital is the largest hospital in the country to provide inpatients with 100% single bedrooms and focuses on complex planned care and specialist services.

Detailed job description and main responsibilities

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.
• Participate in virtual ward models or ARI early discharge services, conducting remote patient monitoring, telephone triage, and virtual clinics. 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 modes—home visits, clinics, virtual wards—while 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 empathy—especially in chronic and palliative contexts.
• Leadership: Offer peer support to other team members, coordinate the caseload and staffing and adapt as required.
• 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 don’t meet all essential criteria.

Person specification

Qualifications

• Degree or equivalent in relevant discipline
• Registration with relevant professional body
• Evidence of CPD/short courses
• Evidence of Masters level study
• Clinical examination and/or diagnostics at level 6 minimum
• Appropriate prescriber

Experience

• Experience of management and clinical leadership
• Experience of successful multi-agency working
• Demonstrable experience in relevant area of practice or equivalent
• Experience with working in community
• Experience independently working in a clinic

Skills

• Excellent communication, organisational and interpersonal skills
• Self management and motivation skills
• IT literate
• Experience using EMIS

Knowledge

• Understanding of current national and local agenda in health and social care
• Understanding of the principles of respiratory care management
• Understanding of factors that contribute to good health and the importance of promoting these in line with the organisational public health policy
• Evidence of being able to communicate complex information and advice on healthcare to patients/clients, carers and colleagues
• Understanding of improving outcomes with partnership working

Please ensure you check the email account (including junk/spam boxes) from which you apply regularly as we will use this to contact you regarding your application.

Posts advertised to internal staff are open to employees of hospitals within University Hospitals of Liverpool Group and you should confirm your employment within your application form.

Note: Under current Home Office Immigration Rules we are currently unable to offer right to work visa sponsorship for Band 2 and 3 roles with a salary of less than £25,000 pa as they do not meet the UK Visas & Immigration criteria.

Only those applicants who demonstrate clearly how they meet our person specification will be shortlisted for interview. We reserve the right to close any vacancies from further applications when we have received a minimum number of applications from which to make a shortlist. Please apply without delay if you wish to be considered for this role.

Candidates applying for the role of Healthcare Assistant on the staff bank should note that due to the nature of the role, workers must be aged 18 or above when commencing in post. Applicants are therefore welcome from those aged over 18 or within 3 months of their 18th birthday.

The Trust is committed to promoting a healthy work-life balance and achieve fair, equitable and consistent practice. We welcome flexible working requests and will consider a variety of flexible working arrangements from day one of your employment. Not all roles are suitable for every flexible working opportunity all of the time. Flexible working options may include reduced hours, compressed hours, fixed shifts, time back in lieu and home working.

The Trust is committed to promoting equality and diversity; we value the contribution of individual talent, skills, knowledge and experience and aim for a workforce demography representative of the local community. We encourage applicants from the following groups that are currently under-represented in our workforce: Black, Asian and Minority Ethnic, LGBTQ+, disabled, male and age 16-24.

Trust policy requires that the cost of submitting and processing the successful applicant/s DBS application be recovered via salary deduction following start in post. The amount of £26.50 (standard disclosure) or £54.50 (enhanced disclosure) will be deducted from salary, in manageable monthly instalments for up to 3 months following commencement of employment. Bank posts require upfront payment.

From April 2017, Skilled visa applicants and their adult dependants will be required to provide a criminal record certificate from each country they have lived in consecutively for 12 months or more in the past ten years.

Applicants requiring sponsorship may wish to determine the likelihood of obtaining sponsorship for this position by assessing themselves against the criteria on the gov.uk website – https://www.gov.uk/check-uk-visa.

This organisation has a zero-tolerance approach to the abuse of children, young people and vulnerable adults. All staff must ensure they adhere to the organisations safeguarding children and adults’ policy and comply with the Local Safeguarding Children and Adult Board procedures.

Staff should be mindful of their responsibility to safeguard children and adults in any activity performed on behalf of the organisation in line with the requirements of statutory guidance and legislation.

All employees (and volunteers) are expected maintain their safeguarding knowledge and skills by completing mandatory safeguarding training which includes understanding and recognising the signs of abuse and neglect and taking appropriate action.

As an organisation, we have adopted the Merseyside Domestic abuse workplace scheme which supports our staff who are experiencing Domestic Abuse /any forms of sexual violence.

If you have any personal requirements that will enable you to participate in our recruitment process please contact a member of the Recruitment Services by phone on 0151 706 4666 at the earliest opportunity to ensure that measures can be put in place to enable your application for this post.

Please note: new entrants to the NHS will commence on the first pay point of the relevant band.

Employer certification / accreditation badges

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.

Name Paul Tinnion Job title Clinical Team Lead Email address paul.tinnion@liverpoolft.nhs.uk Telephone number 01515292209

Additional information

For further information, or to arrange a pre interview meeting, please contact Paul Tinnion

Clinical Team Leader

Liverpool Community Respiratory Team

07500892854 or 5292209

Paul.Tinnion@LiverpoolFT.NHS.UK