NSHI Respiratory Nurse Advisor/Specialist – Pre-Screening Form Please complete all the fields belowApplicant full name(Required) First Address(Required) Street Address Town/city Postcode Contact telephone number(Required)Email address(Required) Screening date(Required) DD slash MM slash YYYY Are you registered with the NMC as a Registered Nurse – Adult Level?(Required) Yes No If yes, please provide your Pin for validationWhere did you hear of the vacancy?(Required)Tell us about yourself?(Required)Would you be looking for full or part time?(Required) Full time Part time (minimum we currently offer is 4 days per week) Why are you leaving your current role?(Required)What do you know about NSHI?(Required)Do you hold any of the following diplomas: Asthma COPD ARTP Please provide details of other relevant qualifications:Are you currently carrying out regular respiratory patient reviews?(Required) Yes No If yes, how frequently?What skills or experience would support your application for this role?(Required)What IT skills/experience do you have?Practice systems SystmOne EMIS AccuRX What IT skills/experience do you have?Microsoft Office Word Excel PowerPoint Outlook Email Please provide details of other relevant IT systems you have usedDo you hold a full driving licence?(Required) Yes No Please provide details of any penalty pointsDo you have a SMART card?(Required) Yes No What is your current notice period?(Required)Would you be happy/able to commit to the travel expectations below(Required)All of our clinics are face to face and travel times to clinics may vary depending on location. There may be occasions where there could be up to a 2 hour drive to reach your clinic, but this is seen to be the exception, rather than the norm. We advise that usual journey times would be half an hour to 1½ hours from your home address. There may also be the occasion when an overnight stay could be required, to minimise the travel burden. We understand that people have commitments, and we would always consult and discuss this with you and endeavour to provide you with as much notice as possible. Yes No About NSHINSHI provide specialist support to general practice by conducting asthma and COPD reviews, often utilising decision support software to enhance patient care. Additionally, we operate spirometry hubs and collaborate with severe asthma centres within secondary care. The specific nature of your work and clinics will depend on your location and skill set. We create a supportive environment to help our nurses develop and progress to Specialist Respiratory Nurse Advisors, with access to the NSHI Academy for up skilling. Our internal training courses and structured nurse progression pathways further enhance professional growth. As part of a collaborative team, you will work within your region alongside up to 10 other Nurse Advisors and a dedicated Nurse Manager. Regular meetings are held via Teams, with face-to-face gatherings at least three times per year, and the entire company comes together twice annually to strengthen professional connections and share best practices. As part of the role, you will have access to a range of benefits including: Annual bonus incentive scheme Company car or car allowance Company pension Private medical insurance NMC/RCN fees reimbursed Subscription to PCRS Monthly broadband contribution Daily lunch allowance when in practice 25 days annual leave (pro-rata) plus bank holidays - Increases after 5 years’ service Consent(Required) By checking this box, you confirm that you have filled out the form to the best of your knowledge. Upon submission, a completed PDF copy will be emailed to you.(Required)Candidate signature(Required)Date(Required) DD slash MM slash YYYY NSHI Ltd 33 Turbine Way Ecotech Business Park Swaffham, PE377XD NSHI HR Team Tel: 01760 725 855 Email: [email protected] HR_FOR025 V1 April 2025