Respiratory Specialist Practice Nurse

Would you like to join our friendly and resolute team of clinicians and non-clinicians at a large NHS general practice based in Slough, Berkshire?, Lead and deliver structured annual and interim asthma reviews for adults and children, in line with current national guidance (NICE, BTS SIGH and GINA), including assessment of symptom control, adherence and trigger management. Assess asthma control using validate tools (e.g., the Asthma Control Test or RCP three questions), risk-stratify patients, and adjust treatment up or down in accordance with current guidance and within own scope of competence.

Plan, perform and interpret quality-assured diagnostic and monitoring spirometry (including bronchodilator reversibility testing where indicated) to support the diagnosis and ongoing monitoring of COPD, to ARTP / national spirometry quality-assurance standards. Interpret spirometry results in the clinical context, distinguishing obstructive from restrictive patterns, and formulate and agree appropriate management plans; recognise abnormal or borderline results requiring onward referral or GP review.

Deliver structured COPD reviews, including symptom and exacerbation-risk assessment (e.g. MRC dyspnoea scale / CAT score), optimisation of inhaled and other therapies, and rescue-pack and self-management planning. Maintain accurate respiratory disease registers and support call and recall, ensuring timely and complete SNOMED CT coding of reviews, spirometry, diagnoses and QOF / IIF-relevant data on EMIS Web., Lead and deliver structured annual and interim asthma reviews for adults and children, in line with current national guidance (NICE, BTS SIGN and GINA), including assessment of symptom control, adherence and trigger management.

Assess and optimise inhaler technique, agree personalised asthma action plans with patients, and provide self-management education and support. Assess asthma control using validated tools (e.g. the Asthma Control Test or RCP three questions), risk-stratify patients, and adjust treatment up or down in accordance with current guidance and within own scope of competence. Plan, perform and interpret quality-assured diagnostic and monitoring spirometry (including bronchodilator reversibility testing where indicated) to support the diagnosis and ongoing monitoring of COPD, to ARTP / national spirometry quality-assurance standards.

Interpret spirometry results in the clinical context, distinguishing obstructive from restrictive patterns, and formulate and agree appropriate management plans; recognise abnormal or borderline results requiring onward referral or GP review. Deliver structured COPD reviews, including symptom and exacerbation-risk assessment (e.g. MRC dyspnoea scale / CAT score), optimisation of inhaled and other therapies, and rescue-pack and self-management planning.

Undertake FeNO testing to support asthma diagnosis and monitoring, where available and within competence. Provide brief smoking cessation advice and onward referral, and promote referral to pulmonary rehabilitation where clinically indicated. Recognise and manage acute respiratory presentations and exacerbations, initiating appropriate treatment and escalation as required. Maintain accurate respiratory disease registers and support call and recall, ensuring timely and complete SNOMED CT coding of reviews, spirometry, diagnoses and QOF / IIF-relevant data on EMIS Web.

Contribute to the practices performance against the QOF respiratory domains and to related audit and quality-improvement activity. Assess, plan, develop, implement and evaluate programmes to promote health and well-being, and prevent adverse effects on health and well-being. Implement and evaluate individual treatment plans for patients with a known long-term condition. Identify, and manage as appropriate, treatment plans for patients at risk of developing a long-term condition.

Assess and care for patients presenting with leg ulceration and general wound care. Support and advise