Paediatric Respiratory Clinical Nurse Specialist

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Paediatric Respiratory Clinical Nurse Specialist

Band 7

Main area Paediatrics Grade Band 7 Contract Fixed term: 12 months (Short term funding) Hours Part time - 15 hours per week Job ref 197-RF8748

Site University Hospital Lewisham Town Lewisham Salary £49,387 - £56,515 per annum pro rata plus HCAS Salary period Yearly Closing 04/10/ :59 Interview date 19/10/2026

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary’s Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 – the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as “good” or “outstanding” in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King’s College London’s GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the I CS in Bexley, Greenwich and Lewisham.

Job overview

To provide care, support, advice and education in the acute setting for children and young people with Respiratory conditions such as asthma, wheeze and long-term ventilation. The role will include working within a multidisciplinary Respiratory team and as part of the Paediatric Specialist Nurses workforce cross-site. Cross-site Respiratory Nurse cover and working is essential. The post holder will be required to support the wider team and be involved in the care of all patients under the Respiratory Nursing team.

Main duties of the job

• To provide professional, high quality co-ordinated patient care to children & their families, aiming to improve the management of their long- term condition, within agreed protocols and allocated resources together with the nursing and clinical lead and colleagues.
• Liaising with tertiary centre regarding shared-care patients on Long term ventilation (LTV).
• To review children and young people admitted to hospital with a diagnosis of asthma, with the aim to support early discharge so that they can be managed in their own home and reduce the likelihood of readmissions. To provide appropriate information, education, advice and support particularly to the patients and parents.

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

Detailed job description and main responsibilities

• To be an expert resource that provides sound clinical advice and judgement to patients and their families, nurses and doctors in secondary and primary care.
• To hold regular nurse-delivered clinics where patient assessments, treatment plans are completed and using their clinical judgement request investigations or make onward referrals.
• To develop, implement monitor and review the service against national, network and local asthma audit recommendations and outcomes
• To facilitate appropriate education resources with provision at varying levels to meet the needs of different teams (nurses, doctors, health care assistants) and teach and act as a facilitator to other staff.
• The post holder will work collaboratively with the multi-disciplinary teams in hospital and community to ensure continuity of care.
• The post holder will utilise skills of clinical expertise, leadership and management to promote a quality service for Children, Young People and their Carers.
• The post holder will facilitate and support healthcare teams to implement evidence into practice and will promote/participate in research, audit and education relevant to the speciality.
• To act as a key resource and source of specialist support to colleagues across Primary, Secondary and Tertiary Care settings.
• To support the Paediatric consultant leads and the cross-site nursing lead supporting safe early discharge of asthma patients by providing, education and supervision and provide domiciliary follow up clinics post discharge (within 4 weeks of discharge) to avoid readmission.
• To undertake comprehensive assessments of patients with unstable asthma, changing treatment plan as necessary, including assessment of patients when on an inpatient ward and at post discharge through clinics.
• To be skilled in the assessment and basic management of patients with asthma, developing autonomous clinical decision making and prescribing via Patient Group Directions and/or Non-Medical Prescribing.
• To support the clinical leads to establish a nursing service within secondary care for newly diagnosed and unstable asthma by receiving direct referrals from A&E, Inpatient wards and GPs/Practice nurses.
• To work closely with the Ward Sister and Consultants to facilitate the repatriation process of patients to their local established centre.
• Working closely with the Multidisciplinary team to attend Discharge planning meetings and safeguarding conferences where necessary.
• To provide non-emergency telephone advice and education as appropriate for

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