Respiratory Specialist Practice Nurse

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.

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.

QOF respiratory domains and to related audit and quality-improvement activity.

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 women requesting information relating to contraception and sexual

health issues.

Support

and manage the health needs of women presenting for cervical cytology

consultations.

Implement

and participate in vaccination and immunisation programmes for both adults and

children.

Promote

and deliver evidence-based care for patients presenting with aural conditions.

Undertake

minor ailment clinics or triage.

Assist

in the supervision and support of health checks.

Prioritise

health problems and intervene appropriately to assist the patient in complex,

urgent or emergency situations, including initiation of effective emergency

care.

Provide

information and advice on prescribed or over-the-counter medication, including

medication regimens, side effects and interactions.

that encourage them to live healthily, and apply the principles of self-care.

of and compliance with all relevant practice policies and guidelines.

Reporting

of significant events.

Contributing

to evaluation, audit and clinical standard setting within the organisation.

Contributing

to the development of computer-based patient records on EMIS Web.

Contributing

to the summarising of patient records and SNOMED CT coding of patient data.

Participating

in regular staff training sessions to ensure development of skills and

knowledge; assessing own learning needs and undertaking learning as

appropriate.

Participating

in clinical, multidisciplinary and whole-team meetings.

Observing

and complying with all appropriate statutory requirements in relation to child

and adult safeguarding, and being familiar with the reporting process should

this be required.

Contributing

to policy development and the implementation of procedures and guidelines in

relation to their own area of work.

Attending

any protected learning time sessions provided for the practice or by the

practice itself.

Farnham Road

Medical Group (FRMG) is an outstanding group of training GP practices that are

approved by Health Education England. With four clinical sites based in Slough,

we now have a team of over 100 people looking after 38,730 patients. The

practice is committed to innovation in providing high-quality health care for

our patients and a protected working and learning environment for our staff.

Our team includes pharmacists, nurses, physician assistants, paramedics, MSK

practitioners, Mental Health Practitioners, managers, social prescribers, and

care coordinators as well as GPs and a large Patient Services team. This

resolute team provides an evolving healthcare and medical service to meet the

varying needs of our patients and, in turn, provides what we believe is a

sustainable model of modern General Practice. We have expanded our expertise

and have transformed how we provide medical services to try to ensure we meet

the demands of Sloughs diverse population.

Our vision is simple: Looking after our staff to Put Patients First

and providing services that tailor to their needs, which we strive to achieve

through brilliant leadership, mentoring, teamwork, communication, problem

sharing and solving, support, integrity, fun, training, education, and

continued development.

Qualifications

Experience