Cystic Fibrosis Respiratory Nurse Specialist

This Cystic Fibrosis Respiratory Nurse Specialist post sits within the Cystic Fibrosis Team at Lewisham and Greenwich NHS Trust, holding a defined caseload of adults and their families, mainly across Lewisham and Bromley. The work centres on specialist assessment, clinical leadership and NICE-aligned care, with audit and service development built in. It links hospital and community services and acts as a specialist resource for colleagues in primary, secondary and tertiary care.

Non-medical prescribing and two years' post-registration experience are essential.

• Deliver care in line with NICE guidance across an integrated pathway with the multidisciplinary team
• Ensure equitable access to investigations, treatment and follow-up with the nurse specialist team
• Develop best practice and guidelines for optimal management of patients
• Collect data against NICE guidance and use audit to improve practice and evaluate services
• Implement recommendations from national audits and benchmarking
• Provide a comprehensive nursing service for patients with conditions in the specialty, using clinical judgement, history taking and physical assessment
• Identify deteriorating patients and act, liaising with the interdisciplinary team
• Obtain valid consent before investigations and treatment
• Assess the educational needs of patients and carers and provide education and information leaflets
• Refer patients to other specialists to meet their needs
• Promote patient participation in decision-making and informed choice of treatment
• Contribute to audits requested by the Trust, commissioners or nationally

• First-level degree or equivalent
• Non-medical prescribing

• Registered nurse, Level 1 register

• Minimum two years post-registration experience
• Experience in patient advocacy
• Venepuncture and phlebotomy

• Ability to work autonomously and within a multi-professional team
• Time management and prioritisation of workload
• Excellent verbal, written and interpersonal communication
• Computer skills
• Knowledge of relevant local and national guidance
• Knowledge of respiratory anatomy and physiology

• Full driving licence and access to a car

• Evidence of continued professional development
• Creative, lateral thinking and effective decision-making
• Flexible and positive approach to work and learning

• Advanced Respiratory Module
• Advanced assessment module
• Counselling course
• Experience as a Band 6 nurse in respiratory medicine, including cystic fibrosis
• Knowledge of respiratory conditions including cystic fibrosis, asthma, COPD and lung cancer
• Understanding of the Rapid Respiratory pathway
• Knowledge of research and audit
• Understanding of spirometry as a diagnostic tool