The community respiratory team in Enfield has a vacancy for a fixed term technical instructor band 4.

The community respiratory team provides self management advice and support to patients with chronic lung disease (asthma, chronic obstructive pulmonary disease, bronchiectasis and interstitial lung disease). The team consists of nurses, physios and support staff and provides pulmonary rehabilitation which is a 6 week exercise and education course, home oxygen assessment and review service, home visits, clinics and telephone advice for complex management of conditions.

This role will support delivery of pulmonary rehabiliation,

To undertake clinical work delegated from the qualified therapy/nursing staff.

To work effectively as a member of a team in providing a programme of community based and home-based pulmonary rehabilitation and therapeutic activities

To be able to do a non-complex respiratory assessment and treatment in liaison with the physio/nurse both in clinic and home including: -

Able to perform basic spirometry and calibration as needed

Demonstrate and teach inhaler techniques

o Demonstrates correct use of nebulisers to clients

o Completes outcome measures including CRQ, Nijmegen, HAD score, and patient surveys.

o Able to demonstrate and follow up correct techniques of using Sputum clearance adjuncts including ACBT, flutter, acapella, OPEP, PEP, Incentive spirometer, bubble PEP

o To follow up patients and do respiratory techniques including positioning, postural drainage, breathing control, percussion, vibrations, shaking and Buteyko and breathing retraining techniques as instructed by the physiotherapist.

To contribute to all stages of the pulmonary rehabilitation (PR) and therapeutic process including: - Referral taking and information gathering through liaison with clients, their informal carers, and colleagues from health and other agencies. PR Initial assessment including ISWT,6MWT, STST, CRQ, HAD, TUAG. T o be able to warm up, cool down and modify PR exercises in liaison with the physio. T o organise education sessions for PR both in the community and home.

NMUH North Middlesex University Hospital NHS Hospital Trust (NMUH) is one of London’s busiest healthcare providers, providing hospital care and community services for the 350,000 people living in Enfield, Haringey and beyond. Our specialist services include HIV, cardiology, blood disorders, diabetes, fertility, sickle cell and thalassemia. In addition to a full range of cancer diagnosis and treatment services, the Helen Rollason Cancer Support Centre is based on-site and provides services to support cancer patients’ wellbeing. We also provide community services and have a dedicated 0-19 service for children and young people in Enfield so that they can get the best possible start in life. This includes health visitors and school nurses who are delivering the national Healthy Child Programme, which provides a structured framework for the delivery of key interventions to support the health and wellbeing of children and families from 0 to 5 and school aged children from 5-19. The 0-19 service aims to improve pathways and partnerships with services in the hospital and deliver excellent care for the children and families. For more information, please access the following link: https://www.northmid.nhs.uk/

See Job description and person spec for further details.

To be responsible for a designated caseload of patients.

To be able to deliver and install temporary adaptive equipment in clients own homes. To be able to operate manual handling equipment i.e. hoists, rota stands, to be able to perform therapeutic manual handling techniques with patients. To be able to operate computer systems.

To provide clients with general information and advice on a range of services that could meet their need and quality of life, referring on to the partnership services as needed.

To form appropriate relationships with clients and their families and communicate with them in a way that respects their views, autonomy, and culture.

To be able to produce internal reports of clients progress.

To deal with a range of patient and carers who may be distressed