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Home Oxygen Nurse or Physiotherapist HOS-AR Service

Worcestershire Acute Hospitals NHS Trust
£43,742 to £50,056 a year pro rata
Closing date
30 Apr 2024
A part time (30hr) vacancy has come up in the Worcestershire Home Oxygen Service.

We are looking for an enthusiastic nurse or physiotherapist to come and join the team who manage the home oxygen needs of adults within Worcestershire.

Main duties of the job

The overall purpose of this role is to ensure the HOS-AR service for Worcestershire is meeting key expected outcomes outlined in the service specification are delivered. These include provision of a systematic, responsive, integrated, efficient HOS-AR that ensures service users have a positive experience of care. The scope of the service is adult patients with a Worcestershire general practitioner

To develop clinically effective practice in the HOS-AR service through care pathways, which are integrated alongside the whole system of primary and secondary care.

About us

Our purpose is simple - Putting Patients First. We are looking for exceptional colleagues who can help us achieve this.

Worcestershire Acute Hospitals NHS Trust is a large acute and specialised hospital trust that provides a range of local acute services to the residents of Worcestershire and more specialised services to a larger population in Herefordshire and beyond.

The Trust operates hospital-based services from three sites in Kidderminster, Redditch and Worcester

Our workforce is nearly 6,800 strong, and our caring staff are recognised as providing good and outstanding patient-centred care. You could be one of them.

We are committed to recruiting the best people to work with us to achieve our Vision - working in partnership to provide the best healthcare for our communities, leading and supporting our teams to move 4ward. Our 4ward behaviours, which we ask all staff to demonstrate, underpin our everyday work and remain firmly at the heart of all we do.

Our objectives are simple:
  • Best services for local people
  • Best experience of care and best outcomes for our patients
  • Best use of resources
  • Best people

Better never stops, and our Clinical Services Strategy provides a clear future vision for our Trust, our hospitals, our services and our role in the wider health and care system.

We are proud to have achieved Timewise accreditation - this means we are committed to embedding flexible working within our organisation as a flex positive employer.

Job description

Job responsibilities

1. Provision of Specialist Clinical Services
The post-holder will:

To triage all referrals for oxygen assessment, allocating the patient to the most appropriate assessment clinic.

To provide a responsive, integrated, easily accessible assessment and follow up service

To carry out specialist oxygen assessments of adult patients in both acute and non-acute situations. This procedure may include: pulse oximetry, arterial and capillary blood gas sampling, exercise testing and assessment, functional assessment and measurement of psycho-social status.

Where appropriate, it may be necessary to deal with other aspects of the patients during oxygen assessment/review. This may include managing acute exacerbation, nebulised medication, breathlessness, panic and fear, patient monitoring, education of patient and carers, and link into other appropriate health care professionals, for example neurology and cardiology.

To identify accurately those patients who will benefit from Long term Oxygen (LTOT)

And review of existing patients to identify those who have prescribed home oxygen but will not benefit

Patients who retain CO2, consider non-invasive ventilation (NIV) with advice from Respiratory Physician as required

To ensure all assessments and reviews are undertaken in accordance with the British Thoracic Society Guidelines

Plan, deliver and evaluate the care of patients in partnership with other hospital and community teams.

To develop oxygen assessment and review pathways for patients in community settings, both the patients home and community institutions.

To construct and maintain a countywide oxygen database with IT assistance.

To use communication tools (verbal and non-verbal) to gain informed consent from patients including where there are barriers to effective communication.

Using appropriate assessment tools ensure an appropriate level of nursing intervention so that patients who present with additional or more complex needs are referred to the appropriate clinician.

To discuss all treatment options with sensitivity, knowledge and expertise and to act as patient advocate when appropriate and respecting patient confidentiality and privacy with respect for diverse cultural backgrounds and requirements.

To work in partnership with the patients to empower them to make informed choices about their health and their healthcare.

Establish and maintain communication links with other professionals while dealing with complex and sensitive information.

Communicate with patients and carers using a range of communication skills to manage care and information which may be of a complex, and distressing nature dealing empathetically with sensitive information, including discussing patients changing condition with patient and/or carer

Keep accurate and up to date records in partnership with clients.

Actively respect patients privacy and dignity and protect their property and possessions.

2. Education and Training

Participate in the Trust personal development review (PDR).

Agree service and personal objectives with the Clinical Team Lead and be responsible for self-audit to demonstrate both achievement of objectives and evidence of value to the trust.

Provide specialist advice, teaching and training of other healthcare professionals with regard to optimal management of patients with COPD on a formal and informal basis.

Advise, educate and train other members of the team, as appropriate, to ensure high quality clinical care is delivered to patients.

Commit to a philosophy of care which has an emphasis on self-management and patient empowerment through undertaking health education and health promotion activities.

To be an active member of the in-service training programme by attending and delivering presentations at staff meetings, tutorials and training sessions internally and by attending external courses and utilising reflective practice to ensure continuing professional development.

To actively participate in audit and/or research, leading in specific projects and supporting others. Thus facilitating evaluation of services offered, quality of care and further developing the services delivered by the HOS Team in conjunction with the Clinical Team Lead.

Act as a clinical educator for students within the team providing the appropriate level of clinical supervision, education and assessment according to the training provider standards and regulations.

2 Professional

Be professionally and legally accountable for all aspects of own work including caseload management. Ensure a high standard of clinical care is provided to your patients and support junior staff to achieve this also.

Demonstrate a working knowledge of clinical governance and risk management strategies relevant to the role.

Be aware of Health and Safety relevant to the role and comply with any policies which may be required to maintain and improve the safety of your work area, including the prompt recording and reporting of incidents or accidents via the appropriate channel e.g. Datix.

Maintain own continuing professional development records and assume responsibility for remaining fit to practice within your profession.

Plan, organise and conduct own areas for practice-based research, including audit and service evaluation, in conjunction with the Clinical Team Lead.

Maintain accountability for practice following the Nursing and Midwifery Council Codes of Professional Conduct.

To act as expert practitioner and resource to colleagues offering support and advice where needed, promoting the principles of recovery and service user involvement and ensuring that team members

work in accordance with all relevant policies and procedures including care planning, risk assessment and safeguarding

4. Managerial

To assist in the maintenance and update of protocols according to national and local guidelines for the safe and effective provision of the HOS-AR service

Work as an effective member of the department of thoracic medicine, participating in multi-disciplinary working initiatives and contributing to the development of organisation change.

Provide monthly reports to commissioners and GP practices.

To contribute to the ongoing promotion and marketing of the HOS-AR service to all key stakeholders including patients/carers.

To organise the monitoring, evaluation and audit of the HOS-AR service quality and develop reporting mechanisms in order to meet the locally set targets outlined in the service Specification.

To be responsible for ensuring sound governance within the HOS-AR team

To attend and chair home oxygen meetings, and ensure action, as appropriate.

Along with other senior team members, to develop effective teamwork, cohesion and collaborative working.

Along with other senior team members, to use evidence, vision and creativity to design and develop the service for the future.

Participate in the departmental service development strategy and promote its implementation within practice.

Utilize and keep up-to-date with administrative systems to support work programmes.

Be responsible for all aspects of the line management of band 6 practitioners. Assist the Clinical Team Lead with recruitment.

Deputise for the Clinical Team Lead and carry out team managerial duties as allocated.

Attend meetings representing the HOS Team and engage with colleagues on the development of services

Use trust clinical software e.g. Bluespier, MS Word/Excel/PowerPoint to produce documents e.g. reports, SOPs, analyses, training materials to support the delivery of the post holders key roles and responsibilities

Person Specification



  • Able to competently undertake assessment and review of patients for home oxygen therapy.
  • Can demonstrate experience of decision making for patients receiving home oxygen at a specialist nurse level.
  • Demonstrates experience of appropriate home oxygen prescription


  • Service development.
  • Project management
  • Caring for patients in the community.
  • Recent experience in acute medicine

Skills/ Knowledge


  • Knowledge of evidence based respiratory patient management.
  • Be able to perform oxygen assessment and reviews.
  • Able to perform and interpret blood gas analysis.
  • Able to perform and interpret pulse oximetry.
  • Understand principles of NIV.
  • Able to evaluate effectiveness of care.
  • Able to manage a project effectively.
  • Able to deliver an effective presentation.
  • Knowledge of research processes
  • Knowledge of IT skills
  • Ability to pass on skills / knowledge to others.
  • Able to maintain judgement and work effectively under pressure.
  • Ability to maintain contemporaneous, accurate and up to date patient records.


  • Good critical appraisal skills
  • Experience of managing audit



  • First degree or evidence of study at first degree level in nursing/ Physiotherapy
  • State registration
  • Evidence of relevant post Graduate) courses / CPD maintained in portfolio


  • Relevant validated clinical course
  • MSc working towards or equivalent CPD to masters level

Personal Qualities


  • Excellent interpersonal skills
  • Self-directed learning
  • Ability to work independently and as part of a team
  • Be able to work collaboratively within a multi-disciplinary team
  • Team player
  • Ability to motivate self and others
  • Committed to personal and team development
  • Excellent verbal and written communication skills
  • Excellent public communication skills
  • Car driver, current licence



  • Confident and enthusiastic
  • Reliable and flexible
  • Effective time management

Employer details

Employer name

Worcestershire Acute Hospitals NHS Trust


Droitwich Medical Centre

Ombersley Street East




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