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Senior Cardiorespiratory Physiotherapist / Nurse

NHS England Apprenticeships
Great Yarmouth
Competitive salary
Closing date
1 Jun 2022

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Job Details

Job summary

An exciting opportunity for a Senior Clinician (Physiotherapist or Nurse) has arisen in the Norfolk and Waveney (East Coast - Great Yarmouth and Waveney area) CCG area. The key purpose of this role is to deliver an NHS commissioned Breathlessness Rehabilitation programme (combined Pulmonary and Heart Failure Rehabilitation). This is a further year extension to an initial one year pilot to incorporate heart failure patients into the existing pulmonary rehabilitation service and will likely receive ongoing funding if it continues to demonstrate good clinical outcomes. This is a chance to be part of a team that values quality improvement and innovation and strives for clinical excellence.

Main duties of the job

The Senior Cardiorespiratory Physiotherapist / Nurse supports the Senior Team Lead to plan, promote, co-ordinate, develop, implement, and evaluate a high quality, evidence based Pulmonary Rehabilitation Service. The post-holder will be responsible for the day-to-day management of the heart failure element of the programme to ensure that it delivers pre- and post-assessment, exercise, and education to patients within a group or virtual setting and provides encouragement and support for patient self-management. The post-holder will also be expected to contribute to delivery of the other services provided by the team, such as pulmonary rehabilitation, home oxygen assessment and review (HOSAR) and any other service development projects.

About us

Are you looking for an exciting new career opportunity? BOC is more than the leading medical gases company. Did you know we deliver specialist nursing, oxygen assessment, Cardiac, Heart Failure, Long Covid and pulmonary rehabilitation services nationally for the NHS? We are always developing concepts and therapies to improve our patients' quality of life and are Hiring NOW in West Norfolk. We are looking for a Senior Physiotherapist / Nurse to join our team that has been rated outstanding in caring by CQC 2019.

If you want view our Privacy Statements and see how BOC processes your personal information, please cut and paste the following links: BOC Privacy Statement: Recruitment Privacy Statement: If you have any questions, please contact our Data Protection Officer at

Job description

Job responsibilities

See Job description for full list

Principal Responsibilities
  • To undertake comprehensive subjective and objective assessment of patients with diverse or complex cardiorespiratory conditions and multiple pathologies. To prioritise patient problems and to formulate and deliver appropriate treatment programmes based on assessment findings, with evidence of discharge planning and in line with national standards. This process is fully autonomous, and treatments will vary according to assessment findings.
  • To evaluate patient progress, reassess and alter treatment programmes if required, based on knowledge of evidence-based practice and patient outcomes. Frequently readjust plans as situations change / arise due to unforeseen circumstances.
  • To lead breathlessness rehabilitation classes delivering a comprehensive programme of exercise and education. Including objectively measured assessment of exercise performance and exercise prescription and progression and assessment, interpretation, and feedback to the patient of initial and final outcome measures.
  • In collaboration with the Team Lead as required, identify patients who meet the national criteria for ambulatory oxygen, provide specialist assessment and highly skilled discussion of complex and highly emotive information to patients. Prescription of appropriate equipment and flow rates will frequently require multifactorial decisions to be made to individualise the prescription to optimise the patient's concordance and usage of the equipment.
  • To demonstrate effective communication and negotiation skills across a range of situations, both clinical and non-clinical
  • To assess risk and manage it effectively within the clinical caseload and community setting
  • To contribute to the overall planning, delivery, strategic development, and evaluation of the Breathlessness Rehabilitation Service in conjunction with other clinical staff and within relevant guidelines and evidence-base.
  • To work collaboratively with other staff in the team and across the Cardiorespiratory landscape to ensure co-ordinated and efficient patient centred and evidence-based care with effective use of all available resources.
  • Support BOC's Clinical Governance programme within the service by:

· Seeking, proposing, and implementing continuous improvements to the service

· Safeguarding high standards of care by following key components of our robust clinical governance system, including:

• Clinical effectiveness

• Clinical Audit

• Research & Development

• Education and Training

• Evidence based healthcare

• User/Patient involvement

• Performance Appraisal and Continuous Professional Development

• Incidents and complaints

  • To assist with the performance management of more junior / support staff and students within the service in conjunction with the Team Lead.
  • To maintain, develop and continually update knowledge, skills, and clinical competency to practice through Continuous Professional Development (CPD) activities to incorporate developments into your work and ensure safe practice while undertaking duties.
  • To be responsible for the effective flow of patients through delegated breathlessness rehabilitation programmes to meet service key performance indicator (KPI) targets and assist the Senior Team Lead by monitoring caseloads, prioritising referrals, collecting, and collating team activity data in an agreed format to monitor the clinical effectiveness of the team.
  • To identify and propose service changes for own work area and participate in appropriate research processes and/or data collection, identified in departmental/rehabilitation objectives, with support from the Senior Leadership team
  • To be responsible for maintaining accurate, up to date and comprehensive patient treatment records (electronic or hand-written) in line with the legal requirements and organisational guidelines showing evidence of clinical reasoning / evaluation and treatments that are evidence-based and within broad professional standards and guidelines (HCPC, NMC, CSP, RCN). In addition, to ensure that students, support staff and any other staff maintain patient records in line with guidance and standards.

Person Specification



  • Diploma / Degree in Physiotherapy or Nursing
  • Registration with HCPC or NMC
  • Evidence of on-going relevant Postgraduate Continued Professional Development (CPD) in field of Cardiac / Respiratory Care and Pulmonary / Cardiac Rehabilitation,
  • Full valid driving license and access to a vehicle with business insurance


  • Level 4 Certificate in Exercise Training / Instruction (ideally BACPR Cardiac exercise specialist or Chronic Respiratory Disease) for Nursing only
  • Post-graduate course in Exercise Physiology / Exercise and Rehabilitation
  • Member of CSP or RCN
  • Member of AACVPR, ACPRC, ARNS, PCRS or relevant SIG
  • First Aid at Work or other 1st aid qualification
  • ALERT Course
  • Spirometry (accredited to ARTP standards)
  • Practice Educator and Assessor / Mentorship Course or equivalent.



  • Autonomous practitioner
  • Excellent interpersonal and communication skills (verbal and non-verbal) with people from a wide variety of backgrounds/cultures
  • Ability to demonstrate empathy
  • Excellent documentation skills
  • Advanced cardiorespiratory consultation, clinical assessment (Including chest auscultation), and treatment skills
  • Highly developed manual Physiotherapy techniques, which require skilled dexterity, precision, hand-eye co-ordination, and good sensory coordination.
  • Ability to safely perform client and object moving and handling
  • Advanced clinical reasoning skills/ Problem solving skills
  • Confident and competent IT skills and in use of electronic patient management software
  • Competent teaching and presentation skills
  • Good organisational, prioritisation and time management skills
  • Reliability and resilience
  • Ability to manage resources
  • Delegation, feedback, and appraisal skills
  • Diplomacy and negotiation skills and ability to manage stressful situations
  • Ability to work as a team member
  • High patient orientation and commitment to patient-centred care
  • Enthusiastic, highly motivated, and highly motivating
  • Innovative with an openness and commitment to constantly improve self and the service
  • Professional manner and approachable
  • Awareness of own limitations and scope of practice and when to seek help
  • Commitment to life-long learning
  • Basic life support skills
  • Ability to drive around locality in timely manner


  • Supervisory and leadership skills



  • Previous experience at Band 6 or evidence of meeting Band 5 KSF Exit gateways (or equivalent)
  • Clinical Experience of treating patients with cardiorespiratory conditions.
  • Evidence of completing relevant cardiac / respiratory rotation(s) at Band 5.
  • Wide range of acute experience including ICU, medical and surgical, care of the elderly, neurology, orthopaedics, and outpatients.
  • Previous contribution to practice education / training/ support and supervision of less experienced staff / students
  • Experience of working as part of a multidisciplinary team
  • Experience of liaising with other agencies, services, and professional colleagues


  • Previous experience of leading or assisting in delivery of Breathlessness / Pulmonary / Cardiac Rehabilitation classes
  • Experience of working in a community setting.
  • Previous involvement in audit or research
  • Experience of people management or leadership
  • Experience of working with the voluntary sector



  • Good knowledge of cardiac and respiratory conditions and the treatment and management of these.
  • Good knowledge of Breathlessness / Pulmonary / Cardiac Rehabilitation
  • Clinical governance and clinical risk assessment
  • Thorough and up-to-date knowledge of the NHS and its processes
  • Safe working practices in all clinical settings e.g., Loan working in the community.


  • Key Heart failure, Pulmonary Rehabilitation, Respiratory and Oxygen Guidelines and Standards
  • Exercise assessment and prescription
  • Voluntary sector role in supporting patients with cardiac / respiratory pathology.
  • Audit and evaluation methods to implement quality improvements.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

BOC Limited


Mill Lane Community Centre

Mill Lane


Great Yarmouth


NR31 8HS

Employer's website (Opens in a new tab)


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