Clinical Nurse Specialist Paediatric Respiratory & LTV

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.

An exciting opportunity has arisen for an experienced and enthusiastic Clinical Nurse Specialist to join the Paediatric Respiratory Medicine team within West London Children’s Healthcare (WLCH). This is an exciting opportunity to work within one of the UK’s most innovative and collaborative child health partnerships, bringing together services across Chelsea and Westminster Hospital NHS Foundation Trust and Imperial College Healthcare NHS Trust.

This role is ideal for an experienced paediatric nurse with excellent clinical, leadership and communication skills who is motivated by innovation, service development and improving patient outcomes.

The successful candidate will join a highly regarded multidisciplinary respiratory and sleep medicine team led by Professor Louise Fleming and will contribute to the delivery and further development of paediatric respiratory and sleep services across WLCH. The post offers a particular opportunity to develop expertise and service provision in paediatric long-term ventilation (LTV), alongside broader respiratory medicine practice.

The Paediatric Respiratory/LTV Clinical Nurse Specialist is responsible for the delivery and development of specialist respiratory services for children and young people across North West London. Working within the paediatric respiratory multidisciplinary team, the role will support improved outcomes, reduced unwarranted variation, and high-quality, equitable respiratory care.

The Band 7 CNS shall be expected to lead and manage his/her own patient cohort. In addition, work as part of the clinical nurse specialist team, cross covering patient cohorts where necessary and working alongside the MDT at all times.

The role involves working within a seamless specialist asthma / respiratory and allergy medical and nursing service that is aimed at continuously improving standards of patient care and facilitating multi-professional working. This will be achieved through clinical practice, management, education, research and audit.

The post holder will act as an expert practitioner in respiratory care, providing education, training, and clinical leadership to the wider workforce across both organisations. Working collaboratively with multidisciplinary colleagues and partner organisations across the NWL ICS, including community services, primary care, education, and public health, the role will promote integrated working and ensure children and young people with allergy are managed in the right setting, at the right time, and in accordance with evidence-based standards.

Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.

We are committed to equal opportunities and believe that diversity drives innovation and excellence. As part of our dedication to equity, we actively welcome applications from individuals from the global majority, veterans and underrepresented communities. We value the unique perspectives and experiences that diverse teams bring and are committed to creating an environment where all voices are heard, respected, and empowered to succeed."

If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.

Some roles may require weekend shifts at multiple sites.

Key Working Relationships

• Specialist Consultant Teams
• Outpatient managers and staff
• Divisional/Directorate Nurses, Midwives, Matrons, Ward team
• Members of the multidisciplinary team e.g. Allied health professionals, medical staff, health advisors
• External organizations’ and healthcare groups
• Relevant internal healthcare groups

1. Clinical / direct care practice

1.1. To receive referrals within the specialty from the health care team and respond to requests for expert advice and guidance.

1.2. Towork within an agreed job plan to meet service needs which should be reviewed annually

1.3. To conduct holistic assessment and providing supervision & guidance to colleagues in skilled history taking, physical examination, observationand ordering, conducting and interpreting relevant tests and investigations

1.4. To work in collaboration with the multi professional team, contributing expert, evidence based knowledge and skills to relevant aspects of the patients care and treatment.

1.5. To maintain boundaries of own practice within agreed guidelines and protocols, use professional judgment in managing complex and unpredictable situations and seek guidance from other relevant experts

1.6. To address patient’s risk factors and health promotion needs through comprehensive assessment of individuals for risk factors and early signs of illness.

1.7. To builds an environment of trust and rapport, enabling patent empowerment in their healthcare and acting as an advocate for the patient in treatment decisions and choices

1.8. To draw upon an appropriate range of multi-agency and inter-professional resources to ensure that patients receive appropriate services, making referrals to other professions and services as appropriate

1.9. To use effective communication and interpersonal skills to provide information, explanation and reassurance to patients and families.

1.10. To plan and conduct appropriate follow up, closure or transition of care for the patient

1.11. To maintain accurate and contemporaneous records of patients assessment, care and treatment

2. Leadership and Collaborative Practice

2.1 To provide advice, guidance and support to own and other professions to enable best practice in care and treatment within area of expertise

2.2. Towork collaboratively with colleagues, patients and families to seek their views and to develop and improve practice and the service

2.3. To continually evaluate and develop own role and competencies to meet the evolving needs of patients and the service

2.4. To develop networks and collaborative working across professional, and organizational boundaries to develop, integrate and coordinate care

2.5. To support and contribute to delivering the wider Trust agenda as directed by the Chief Nurse and the Trust Senior Nursing and Midwifery Council

2.6 To participate and contribute to National objectives

3. Improving Quality and Developing Practice

3.1 To develop valid and reliable methods to continually evaluate and audit own practice and service outcomes, identifying, interpreting and acting on audit outcomes

3.2. To maintain records of activity including clinical coding, maintain appropriate documentation and participate in audit of documentation, clinical activity and outcomes

3.3. To use and develop information systems to support decision making and improve care

3.4. To maintain knowledge of contemporary epidemiological, demographic, social, political and professional factors relevant to the specialist area of practice.

3.5. To use a reflective and questioning approach to practice, identifying potential opportunities for clinical or service changes

3.6 To maintain awareness and application of relevant research and evidence based practice relating to area of clinical expertise and profession practice

3.7 To identify and responds to gaps in evidence and/or practice knowledge, and to contribute/lead in research / audit/ practice development.

3.8 To enable the sharing of new knowledge and developments with others

3.9To facilitate and enable change at individual and team levels to improve practice and health outcomes, monitoring and evaluating the impact of resultant changes in practice.

3.10. To continually assess, monitor and act on risks in own and others’ practice throughrisk assessment

3.11. To ensure the appropriate and effective use of resources to ensure both cost effectiveness and quality.

3.12. To participate in business and service development including activity and income generation

4. Developing Self and Others

4.1 To participate in review of own practice with colleagues from own and other professions thorough case review and clinical supervision

4.2 To develop and provide patient education and information which is appropriate and responsive to individual needs and level of development.

4.3. To participate in the development of evidence based protocols, standards, policies and clinical guidelines

4.4. To evaluate knowledge and practice, identifying learning opportunities and continuing development through appraisal and personal development planning

4.5.To maintain a personal portfolio illustrating evidence of competence and continuing development

4.6 To supports colleagues in their learning and application of theory to practice through assessment, teaching and clinical supervision

4.7 To contribute to wider education and development programmes in external organizations

4.8. Contribute to the dissemination of knowledge through publication and presentation

5. Communication

5.1Ensure all communication, which may be complex, contentious or sensitive, is undertaken in a responsive and inclusive manner, focusing on improvement and ways to move forward.

5.2Ensure all communication is presented appropriately to the different recipients, according to levels of understanding, type of communication being imparted and possible barriers such as language, culture, understanding or physical or mental health conditions.

These duties are not exhaustive and will be reviewed with the postholder, allowing for amendments within the broad scope and band level of the role

This advert closes on Sunday 20 Sep 2026