Consultant Respiratory Practitioner (Physiotherapist / Nurse)

Job summary

The Consultant Respiratory Practitioner will provide expert clinical leadership to develop services and promote respiratory care pathways for Powys Teaching Health Board. Taking the lead role and responsibility for the strategic and operational management of the specialist respiratory care services, working with the Clinical Lead for Respiratory, and wider integrated professions. Through clinical leadership and strategic planning, leading on and working in collaboration including pathway and service redesign, deliver a robust and sustainable respiratory service model for Powys Teaching Health Board.

The Consultant Respiratory Practitioner is a highly experienced autonomous clinical leader providing advanced triage, assessment, diagnosis, treatment and management of people with complex respiratory conditions across community, primary and secondary care interfaces. The post holder leads service transformation, education, research and quality improvement aligned with NHS Wales Consultant Practice Framework and Powys Teaching Health Board values.

Key responsibilities include:

• Provision of expert consultant-level respiratory clinical practice across integrated pathways
• Leadership of service redesign, innovation and improvement across community respiratory care
• Development and delivery of education, supervision and workforce capability including Advanced Clinical Practice

Main duties of the job

• Act as the highest-level clinical expert within the organisation for respiratory practice. Provide autonomous assessment and management of complex respiratory patients including COPD, asthma, bronchiectasis, ILD and respiratory failure, and other nonspecific presentations
• Lead specialist respiratory clinics across community and integrated settings and potentially cross border
• Interpret and act upon diagnostic investigations including spirometry, ABGs and imaging reports
• Lead admission avoidance and supported discharge pathways including virtual ward models
• Provide expert advice on oxygen therapy, NIV and other areas of long-term respiratory management
• Act as a consultant resource for MDTs, primary care and acute colleagues
• Receive and advise on referrals of exceptional complexity beyond advanced practice scope, providing expert second opinion and clinical decision support across Powys and relevant cross-border pathways
• Prescribe independently within professional scope of practice, leading medicines optimisation, respiratory formulary advice and prescribing governance in collaboration with pharmacy and medicines management colleagues
• Provide advanced and effective triage to referrals and provide advice and guidance to referrers and the wider clinical team
• Lead redesign of integrated respiratory pathways across Powys and cross-border services. Support integration of cardiac and respiratory services and breathlessness pathway

About us

Being the smallest Health Board in Wales means that you won't get lost in the crowd. Everybody at Powys Teaching Health Board is valued for the contribution they make to our varied and diverse portfolio of community-based services. Together, we can continue to make a real difference to our patients and build on our unrivalled reputation.

As a supportive and progressive employer, we actively encourage you to carve out a career with us, through a range of development pathways. We're also lucky enough to be situated in one of the most beautiful rural counties in Britain, let alone Wales! Achieving a healthy work-life balance is essential, and something we recognise by prioritising your well-being.

To start your journey with us, and to learn more about what we can offer you please visit: There you will find information about our benefits and values, read staff experiences and more about what our beautiful county has to offer.

Details

Pay scheme: Agenda for change

Band: Band 8b

Salary: £67,583 to £78,530 a year per annum

Contract: Permanent

Working pattern: Full-time

Reference number: 070-NMR

Job locations: Newtown Hospital, Montgomery County Infirmary, Newtown, SY16 2DW, United Kingdom

Job responsibilities

The post holder will function as an autonomous consultant-level practitioner, providing highly specialised clinical expertise in the assessment, diagnosis, treatment and ongoing management of patients with complex acute and chronic respiratory conditions. This will include advanced clinical decision-making, independent caseload management, expert triage, clinical risk assessment, interpretation of diagnostic investigations and development of personalised management plans across community, primary and secondary care interfaces.

The Consultant Respiratory Practitioner will provide expert assessment and management of patients presenting with undiagnosed and chronic breathlessness, ensuring timely access to diagnostics, specialist assessment, treatment optimisation and referral to appropriate services. The post holder will support the delivery of a coordinated, patient-centred approach to breathlessness management, recognising the interaction between respiratory, cardiac, metabolic, psychological and functional causes of breathlessness.

Person Specification

Qualifications

Essential

• Master level qualification

Desirable

• Teaching experience or qualification

Experience

Essential

• Service redesign and interaction experience

Desirable

• Teaching experience or qualification

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. 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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details

Employer name

Powys Teaching Health Board

Employer's website

For questions about the job, contact

Service Lead for Cardiology & Respiratory PTHB, Helen Hathaway, ,

Date posted

15 October 2026

Closing date

29 October 2026