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Job requirements
Requirements from the employer’s person specification. These describe the role, not your personal match.
Essential
18 listedRequirements the employer expects applicants to meet.
- Knowledge
Excellent verbal, written and interpersonal communication skills
- Knowledge
Computer Skills
- Knowledge
Knowledge and understanding of the relevant local and national guidance
- Knowledge
Evidence of continued professional development
- Knowledge
Knowledge of respiratory anatomy and physiology
- Experience
Minimum two years post-registration experience
- Experience
Experience in patient advocacy
- Experience
Ability to prioritise and organise workload
- Experience
Ability to work autonomously and as a member of a multi-professional team
- Experience
Excellent time management and prioritisation skills
- Experience
Venepuncture/phlaebotomy
- Qualifications
RN – Part 1
- Qualifications
Teaching and assessing qualification
- Qualifications
Non-medical prescribing
- Personal Qualities
Creative, lateral thinker
- Personal Qualities
Flexible and positive approach to work and learning
- Personal Qualities
Effective decision-making skills
- Personal Qualities
Full driver’s license and access to a car
Desirable
8 listedAdditional qualities the employer would prefer.
- Knowledge
Knowledge of respiratory conditions including Cystic Fibrosis, Asthma, COPD, Lung Cancer
- Knowledge
Understanding of the Rapid Respiratory pathway
- Knowledge
Knowledge of research and audit
- Knowledge
Understanding of spirometry as a diagnostic tool
- Experience
Some experience working with patients with a variety of respiratory diseases such as Cystic Fibrosis, Asthma, COPD, Lung Cancer
- Qualifications
Advanced Respiratory Module
- Qualifications
Advanced assessment module
- Qualifications
Counselling course
Job overview
The Clinical Nurse Specialist (CNS) in Respiratory Care is an advanced practice nurse who provides expert clinical leadership, specialist assessment, and evidence-based interventions to patients with acute and chronic respiratory conditions. This role focuses on improving patient outcomes through advanced clinical practice, education, consultation, and service development. The CNS collaborates with multidisciplinary teams to deliver high-quality respiratory care across inpatient, outpatient, and community settings. Responsibilities include leading respiratory care initiatives, managing complex patient cases, developing clinical protocols, supporting staff education, and promoting best practices in areas such as asthma, COPD, cystic fibrosis and oxygen therapy.
CNS within respiratory service will support the individuals referred with suspected lung cancer. Additionally, you'll be involved in the virtual surveillance of lung nodules, adhering to The British Thoracic Society guidelines. Your tasks will include requesting CT scans, responding to findings, coordinating with the diagnostic MDT, and keeping patients informed about their results while referring them to appropriate services when necessary.
Main duties of the job
- To work with the multidisciplinary team across an integrated pathway of care to deliver quality standards in line with NICE guidance.
- To work with the nurse specialist team to ensure that all patients have equitable access to investigations, treatment and follow-up care.
- To work with the nurse/midwifery specialist team to develop best practice in line with NICE guidance.
- To work with the team to develop guidelines to enhance optimal management of patients.
- To collect appropriate data against NICE guidance. To use audit as a tool to improve practice and evaluate services.
- To work with the team to implement recommendations from National audits and benchmarking.
- To identify objectives for own professional development which reflect local and national service needs, accessing advice, guidance and support as appropriate.
Detailed job description and main responsibilities
To demonstrate specialist knowledge and skills and share this with others to positively influence patient care.
- To develop own specialist clinical knowledge and skills and participate in the development of other staff
- To reflect on own practice through clinical supervision/mentorship
- To provide a comprehensive nursing service for patients with conditions within the specialty.
- To work in close liaison with the multi-disciplinary team across the pathway in order to meet the needs of patients and their famillies, and to aim for seamless care.
- To use clinical judgement and skills in decision making to manage this caseload of patients. To develop skills of history taking and physical assessment to direct appropriate intervention.
- To assist in the development of the service
- To vigorously promote the patient’s participation in decision-making, enabling informed choice of treatment.
- To contribute to any audits requested by the Trust, Commissioners or Nationally.
- To identify deteriorating patients and take the appropriate action to manage the situation, liaising with interdisciplinary team as appropriate.
- To obtain valid and effective consent from patients prior to any investigations and treatment.
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
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Applying for this NHS job
This advert is for Senior Respiratory Clinical nurse specialist with Lewisham and Greenwich NHS Trust in London, England. It is listed as a Band 7 Clinical nurse specialist role. The advertised salary is £49,387 - £56,515 per annum plus HCA. The contract type is Permanent. The application deadline is 30 Sep 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (16 Sep 2026) to decide whether this role fits your current NHSjob search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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