Job responsibilities See Job description for full list Principal Responsibilities To undertake comprehensive subjective and objective assessment of patients with diverse or complex respiratory 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 pulmonary 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 Senior 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. 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 Pulmonary 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 Respiratory landscape to ensure co-ordinated and efficient patient centred and evidence-based care with effective use of all available resources. Support BOCs 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 Senior 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 pulmonary 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.