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Paediatric Asthma Nurse Specialist

Lewisham and Greenwich NHS Trust
£43,742 to £50,056 per annum pro rata plus HCAS
Closing date
23 Jul 2024
An exciting opportunity has emerged to join our established Paediatric Asthma Team as we expand our services to include support and management of eczema.

We seek to appoint an enthusiastic, innovative, and forward-thinking nurse to evolve with our team. This role entails independently conducting clinics that transition from the diagnosis of asthma to its support and management, in addition to managing eczema clinics.

Comprising four nursing teams, two Clinical Nurse Specialists, and a Practice Development Nurse, our expanding Children's Community Nursing Service invites driven individuals eager for their next pediatric nursing challenge to contact us and discover more.

Main duties of the job

Job Summary:
  • The post holder will provide specialised, highly skilled nursing care to children with asthma within the community setting.
  • The aim of the post is to deliver community- based paediatric asthma care that raises awareness, improves care and helps to reduce emergency department attendances, hospital admissions and readmissions and shortens length of stay where appropriate.
  • The post holder will develop an asthma advisory, educational and support service for children and families and to health care professionals. This will include :
  • Developing and maintaining clinical practice, standards of care and guidelines, protocols and policies in relation to paediatric asthma and in line with the London Asthma Standards for Children and Young People 2015
  • Provide education and training to staff and clients
  • Work in partnership with members of the multi-disciplinary team across acute, primary and community care settings to maintain high quality care and promote practice that is family centred
  • Work closely with local schools, GP surgeries and community organisations, including pharmacists, to improve children's inhaler use and ensure treatment complies with best practice.
  • To undertake and implement research and audit activities to ensure evidence-based practice and best practice guidelines are delivered within the service.
  • Run community based clinics for children and young people with asthma

About us

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

  • Job description

    Job responsibilities

    Key Result Areas & Performance:
  • Clinical
    • Contribute to the overall aim of reducing emergency department attendances, hospital admissions and readmissions and shorten length of stay where appropriate
    • Develop a pathway of care for children with asthma that enables partnership between the nurse, family and GP, empowering families to manage the condition and seek help and advice where appropriate
    • Develop and evaluate protocols, guidelines and policies for use in the Trust and Primary care.
    • Participate in the strategic planning and development of the asthma service within the Trust
    • Participate in appropriate research projects and audits related to the care and management of children and young people with asthma
    • Liaise/make and receive referrals from other disciplines and make decisions regarding client treatments/outcomes without direct supervision.
    • Work closely with colleagues in acute settings to create seamless care
    • Provide a holistic, autonomous and clinical nursing service as an expert practitioner using high levels of decision making and clinical judgement and evidence based practice. To carry out initial assessments/home visits and plan, implement and evaluate nursing care for all patients for whom he/she has continuing responsibility. Act in partnership with the child and family when assessing a childs needs and planning care. To provide advice contributing to the well-being of the patient and participate in health promotion.
    • Use clinical knowledge and expertise in deciding appropriate administration of drugs, route to be administered and dose of the drug, within a set of defined parameters. Prescribe if post holder has appropriate prescribing qualification. Be responsible for dealing with all clinical and dosing queries.
    • Develop and implement written individualised action plan of care
    • Ensure up to date asthma care plans are available for school staff to enable them to manage children in the school setting.
    • Provide advice, education and training to service users, carers and professionals regarding the management and care/support of service users. Provide telephone support and advice. Develop teaching programmes.
    • Empower the child and family to be confident and competent to implement their care. Advise on individualised coping strategies and make appropriate referrals for other support if needed.
    • Promote long term concordance with drug regimes.
    • Work alongside GPs, practice nurses and others to develop, manage or advise in the running of asthma clinics within GP surgeries and other areas eg Childrens Centres.
    • Ensure medical needs and instructions are carried out in accordance with nursing and midwifery council guidelines and ensure accurate record keeping (RIO system used for client records). To create reports for specific formal meetings such as child protection case conferences. Ensure confidentiality of information is adhered to at all times.
    • Undertake individual risk assessments to support children and families within their own homes
    • Recognise and respond to safeguarding issues as they arise

    2. Management and Leadership
    • Raise the profile of the Paediatric Asthma service within other locations and with other professionals.
    • Create and develop practice protocols locally according to best practice guidelines and in line with Trust Policies. Cascade knowledge as appropriate
    • With other senior staff, participate in strategic planning for the future service provision of the service. Attend meeting as necessary
    • Ensure that all key targets and key performance indicators are met by working within local and national policies and procedures
    • Manage client caseload and have the ability to practice autonomously.
    • Establish and maintain effective communication, formal and informal with primary and secondary care
    • Act as a preceptor/mentor to students and other staff as required
    • Work as part of an integrated childrens community nursing team, providing senior clinical support when necessary
    • Participate in clinical supervision and personal development programmes
  • Research
    • Facilitate a high quality, cost effective service through undertaking research, surveys, audits in connection with own work. Implement findings to improve patient care and ensure compliance with agreed standards.
    • Utilise research findings to develop new ways of working and disseminate relevant information to staff.
    • Assist the lead nurse with updating or writing new care plans, policies, guidelines and competencies.
    • Set, monitor and review standards of care on a regular basis and initiate corrective action plans.
    • Contribute to service development
  • Training
    • Have studied for a paediatric asthma /respiratory qualification or have relevant experience
    • Undertake mandatory training as outlined by Lewisham and Greenwich Healthcare Trust
    • Supervise/assess nurse learners and post basic students
    • Plan, design & initiate, monitor & evaluate teaching & learning programmes for a variety of professional and voluntary workers including, clients, carers, junior staff members, nurse learners and other professional staff when required.
    • Be pro-active in promoting the health and welfare of clients and families through providing individual care plans, advice and resources that empower families towards a healthier/safer lifestyle.
  • Financial
    • Demonstrate accountability in the use and management of all resources including financial.
  • Partnerships

  • Communications and Relationships
    • Actively work together with other professionals by communicating with the extended multi-disciplinary teams within the primary, secondary and community settings. To work alongside professionals from other government & non-government agencies including the voluntary sector.
    • Communicate to all relevant staff within the Trust on the asthma service ensuring clarity on care following discharge, expected outcomes and follow-up criteria
    • Actively participate and communicate with Senior Members of the Multi-disciplinary team to promote seamless high quality care for clients and involvement of the appropriate team around the child, coordinating activities and meetings as required.
    • Initiate and negotiate communications with families & carers frequently around complex, emotive and contentious issues regarding management of a childs care in the community. Use appropriate resources as required such as use of interpreters.
    • Communicate effectively with the child and family to gain trust and to support them through the management of both the chronic and acute stage of their condition.

    • Must have highly developed specialist knowledge in paediatric asthma care either through having undertaken relevant asthma /respiratory qualifications or have relevant experience.
    • Must have clinical assessment skills and competencies and practice must be underpinned by theoretical knowledge.
    • Act as a resource and role model to junior staff members & other professional staff.
    • There is a requirement for the post-holder to be IT literate as there is a regular requirement to use computer software to create reports. The team use RIO for all of their client notes.
    • To provide a high standard of professional conduct and nursing care at all times in accordance with the NMC.
    • Attend relevant meetings, courses, seminars and keep professionally up-to-date.
    • Any other duties considered relevant to the post.

    Person Specification

    Qualifications and Training


    • RN Child/RSCN - BSc/ BSc(hons)
    • Relevant post registration qualifications eg asthma respiratory care or relevant experience
    • ENB 998/Mentor Development
    • Evidence of continuing professional development, short courses. Theoretical & evidence based practice.


    • Spirometry Course
    • Non- medical prescribing



    • Extensive post registration experience gained through previous working with children and families in the community environment
    • Extensive theoretical and practical experience relating to the speciality
    • Knowledge and experience handling complex relationships and interpersonal dynamics
    • Experience in undertaking audit
    • Experience in teaching


    • Experience or participation in service development projects

    Employer details

    Employer name

    Lewisham and Greenwich NHS Trust


    Kaleidoscope Children and Young People's Centre

    32 Rushey Green


    SE6 3JD

    Any attachments will be accessible after you click to apply.


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