Advanced Fit to Care
A summary of key skills, knowledge and training for clinicians providing Advanced respiratory care.
Download the full Fit to Care document
| Skills | Knowledge | Training |
|---|---|---|
Perform and interpret spirometry testing, including with reversibility Initiate and make referrals for relevant investigations Recognise, assess and manage acute deteriorations in chronic respiratory conditions Make referrals for PR, respiratory specialist review and appropriate multidisciplinary teams Formulate and review personalised, Incorporate prevention strategies proactively into chronic disease reviews and respiratory clinics Use and interpret digital tools such as remote monitoring data, symptom scores and virtual consultation platforms | Advanced knowledge of cardiopulmonary anatomy and physiology Understanding of the pathophysiology of both common and complex respiratory diseases Awareness of extrapulmonary manifestations of respiratory disease Comprehensive knowledge of evidence-based interventions to support smoking cessation Understand:
Greater understanding of the relationship between other determinants of health and respiratory outcomes Knowledge of digital respiratory pathways | Postgraduate module/s in respiratory assessment relevant to practice Completed NCSCT Training and Assessment Programme for Smoking Cessation and be on the NCSCT register of certified practitioners Level 2 Training on/in:
|
Other desirable skills, knowledge and training
- Degree level module in acute and chronic respiratory assessment and/or conditions such as COPD, asthma and acute respiratory infection or chronic breathlessness
- Clinical examination skills and the ability to differentiate breathlessness
- Understanding of possible differential diagnoses for respiratory symptoms such as acute and chronic breathlessness, wheeze and cough (e.g. heart failure, gastric reflux, anaemia)
- Nationally recognised spirometry certificate (minimum in performing test and referring to qualified mentor for interpretation)
- Able to mentor and advise clinicians providing standard levels of respiratory care
- Independent prescribing qualification for respiratory medicine
- Able to undertake group consultations
- ARTP spirometry certification ± CYP component
Key Considerations
Clinicians working at this level should be competent in the criteria expected for standard level, plus:
- Advanced clinicians are expected to act as the role model in a team and, as such, provide education and clinical advice to colleagues responsible for the care of patients living with respiratory conditions.
- Clinicians will have systems set up to utilise local level data for risk stratification and identify high-risk patient/populations.
- Clinicians will be working within a multi-professional team (including access to an expert/specialist) to deliver proactive care and contributing to quality improvement.
PCRS resources available to support you with Advanced Fit to Care requirements
FeNO: Plan-on-a-Page
A personal perspective on using the plan on a page tool to support the development of FeNO services. An article on using the FeNO Plan-on-a-Page tool, with accompanying working example and editable template.
Beyond the lungs
A multi-media tool to illustrate the impact of respiratory disease on other body systems. Press play and click the icons to learn more. Each section has an introduction in the top left icon.
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