University Hospital of North Midlands NHS Trust
Clinical Nurse Specialist
The closing date is 16 April 2026
This post will provide a comprehensive highly specialist service to patients with Interstitial Lung Disease. They will act as an expert and resource for members of the multi-disciplinary team.
The post holder will provide specialist clinical leadership within this area of care and will lead and develop specialist education.
The post holder will act as the key worker and liaise with other healthcare professionals to provide the best possible specialist care for their patients.
Develop nurse‑led clinics.
Lead on delivering national standards including Respiratory services specifications for ILD patients and shared care decision making.
Main duties of the job
* Perform comprehensive physical health assessments for patients presenting with suspected or confirmed Interstitial Lung Disease, including acute exacerbations.
* Evaluate clinical risk and determine suitability for discharge, urgent respiratory review, or hospital admission, ensuring safeguarding and holistic needs are addressed.
* Discuss potential treatment options with patients and carers – including antifibrotic therapy, corticosteroids, immunosuppressants, oxygen therapy, pulmonary rehabilitation, and symptom‑management strategies – supporting shared decision‑making.
* Prescribe appropriate medications.
* Provide tailored education to patients and carers on ILD self‑management, symptom recognition, flare management, pacing, breathlessness strategies, and when to seek help.
* Ensure appropriate follow‑up is arranged, including ILD clinic review, radiology, lung function testing, community respiratory support, or palliative care involvement where appropriate.
* Identify patients who may benefit from onward referral to pulmonary rehabilitation, smoking cessation support, long‑term oxygen therapy assessment, palliative care services, or specialist ILD multidisciplinary team review, and complete referrals accordingly.
* Work closely with the ILD MDT, community respiratory teams, and virtual ward services to highlight patients suitable for remote monitoring, early supported discharge, or admission avoidance pathways.
About us
University Hospitals of North Midlands NHS Trust is one of the largest and most modern in the country. Based across two sites, Royal Stoke in Stoke‑on‑Trent and County Hospital in Stafford, we serve around three million people and are highly regarded for our facilities, teaching and research. We are the specialist centre for major trauma for the North Midlands and North Wales.
All of our employees make a valuable contribution regardless of role here at UHNM and we are proud of our wide range of development packages aimed at ensuring that everyone has the opportunity to fulfil their true potential.
UHNM creates and encourages a culture of inclusion, providing equal opportunities for career development that are fair and transparent. We are committed to being a diverse and inclusive employer and foster a culture in which all staff feel valued and respected. In return we ask all of our employees to make a commitment to the values, co‑created by staff, patients and carers, that unite us as a Trust.
At University Hospitals of North Midlands NHS Trust we know that investing in, supporting and developing our staff has a direct impact on the quality of care that we deliver. Our employees are as important as our patients and the population that we serve.
Person Specification
* Registered Nurse (Adult) with current NMC registration
* Evidence of degree level study or equivalent experience
* Relevant post‑registration training in respiratory care or long‑term conditions
* Master's degree or working towards one
* Advanced clinical assessment training
* Previous experience working within an ILD service
* Experience in pulmonary rehabilitation, oxygen therapy, or home oxygen assessment
* Experience leading service development or pathway redesign
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.
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