Advanced Respiratory Practitioner | Liverpool University Hospitals NHS Foundation Trust

We are looking for an enthusiastic and dynamic Advanced Respiratory Practitioner to work within the Liverpool Community Respiratory Team / Acute Respiratory Infections Virtual ward.

The role provides 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 patients’ homes and clinic settings.

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.
• Virtual Ward & Telehealth Care
  • Participate in virtual ward models or ARI early discharge services, conducting remote patient monitoring, telephone triage and virtual clinics.
• Education, Training & MDT Collaboration
  • 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 (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 caseload and staffing and adapt as required.

Prescribing & Medicines Management

• Independently prescribe medications within scope of practice, including bronchodilators, corticosteroids, antibiotics for exacerbations and inhalers and nebulised medications.
• Make evidence‑based prescribing decisions considering NICE guidelines, local formulary, patient comorbidities, polypharmacy and risk factors.
• Conduct medication reviews, deprescribe 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.

This advert closes on Thursday 23 Apr 2026.

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