Admiral Nurse - Primary Care

Job responsibilities

Summary of Responsibilities:

The Admiral Nurse will lead, deliver and coordinate relationship-centred dementia care within operational areas of Newgate Medical Group PCN, Larwood & Bawtry PCN, in order to improve the experience of carers/families affected by dementia[1]with complex needs.

In line with the Admiral Nurse Competency framework at an enhanced specialist level, the post holder will provide:

Specialist bio-psychosocial assessment and support for people with dementia and families with complex needs

Facilitation of education and training for staff in the delivery of evidence-based dementia care

Clinical leadership with policy development and quality improvements in relation to dementia care

Consultancy to other health and social care professionals regarding dementia

Manage a team of Admiral Nurses within Newgate Medical Group PCN and Larwood, Bawtry PCN (as and when applicable).

Main Duties and Responsibilities:

Clinical

Deliver regular clinical 1:1 sessions for families affected by dementia who meet the referral criteria within designated areas/ practices

Provide clinical leadership on the care of people with dementia and their carers/families with complex care needs from peri-diagnosis to post bereavement support, to support reduced reliance on GP appointments

Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework or appropriate tools for carers/families affected by dementia, including positive risk taking, managing distressed behaviours and risk minimisation strategies

Provide a range of bio-psychosocial interventions to promote health and wellbeing for people with dementia and their carers/families

Work collaboratively with other professionals to improve the identification and management of co morbidities and frailty for people with dementia and their carers/families

Develop and support care plans for people with dementia and families including positive risk management

Support people with dementia, carers/families and staff to understand and respond to changes in behaviour and relationships as a result of dementia

Provide care coordination for a clinical caseload of families with complex needs as identified within triage assessment

Ensure the safeguarding of vulnerable adults and that all legal requirements relating to Mental Capacity Act 2005, Mental Health Act 1983 (amended 2007), and Deprivation of Liberty Safeguards (2009)[2]are considered and adhered to in relation to patient care

Act as an advocate for people with dementia and their carers/families to promote their rights and best interests

Participate and lead on case conferences, continuing health care processes and best interest meetings where required

Work collaboratively with health, social and voluntary sector services to achieve coordinated care

Work in partnership with colleagues to promote the use of advance care planning for people with dementia and to support and inform families, around advance care planning, best interest decisions and end of life care

Manage and advise on complex care transitions for people with dementia and their carers/families to reduce the frequency of crisis situations

Regularly attend multi-disciplinary team meetings for long-term conditions to inform and receive information regarding patients who have a diagnosis of dementia

Refer to secondary care if there is deterioration in condition/a review of medication including antipsychotics is required or any other concerns regarding a persons health that cannot be managed in primary care, in line with their dementia expertise

Support and advise on carer assessments and reviews

Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Newgate Medical Group policies

Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required

Ensure that clinical records are up to date and maintained and stored appropriately in line with local and national GDPR regulations

[1]Dementia UK defines this as the person living with dementia and others who may be carers or family members. Admiral Nurses work together with families to provide support, expert guidance & practical solutions.

[2]Soon to be replaced by Liberty Protection Safeguards in 2022

Education and Leadership

Facilitate and support the development and delivery of innovative dementia training and education to staff, to improve competence and confidence, in line with best practice and guidance

Participate in and/or lead formal training events promoting best practice in dementia care and disseminating Admiral Nursing work

Provide professional and clinical leadership and mentorship, acting as a clinical role model on the delivery of evidence-based practice in dementia care within Newgate Medical Group PCN and Larwood, Bawtry PCN

Advise and support on the development and delivery of work streams as part of Newgate Medical Group PCN and Larwood, Bawtry PCNs, dementia strategy, where appropriate

Work proactively with key local and national stakeholders to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge

Contribute to the delivery of local policy, procedures and protocol for Newgate Medical Group PCN and Larwood, Bawtry PCN to improve identification, assessment, ongoing support for people with dementia and their family carers

Evaluation and Audit

Support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within Newgate Medical Group PCN and Larwood, Bawtry PCN where appropriate to role

Collect and review quantitative and qualitative data, as agreed, to evaluate and audit the Admiral Nurse Service and make necessary improvements

Undertake analysis and evaluation and make any recommendations to the Newgate Medical Group PCN and Larwood, Bawtry PCNs Dementia Strategy Group or similar

Ensure service information and data recorded is relevant, accurate, complete and captured in a contemporaneous manner

Support evaluation of workforce development in dementia to improve staff knowledge and skills across Newgate Medical Group PCN and Larwood, Bawtry PCN

Liaise with Dementia UK Insights and Evaluation team where appropriate, to ensure that the impact and effectiveness of Admiral Nurse interventions are well evaluated

Be fully aware of and comply with the Data Protection Act (2018) and the GDPR in relation to protecting the confidentiality of patient and service-user information and enabling appropriate information-sharing

Professional

Ensure all nursing practice is carried out in accordance with the agreed policies and procedures of Newgate Medical Group and the NMC Code

Attend and actively participate in practice development, clinical supervision, and continuing professional development, including the Admiral Nurse Competency module and the Admiral Nurse Forum, as supported by Dementia UK

Develop own competence through use of the Admiral Nurse Competency Framework and portfolio development using resources provided by Dementia UK

To maintain professional registration in line with NMC guidance, including re-validation

Contribute to and lead the development of policies, procedures and protocols relevant to dementia and Admiral Nursing within Newgate Medical Group, including the Standard Operational Policy

Ensure compliance with Newgate Medical Groups clinical governance requirements, including all mandatory training

Participate in clinical supervision/mentoring within Newgate Medical Group where appropriate

Maintain up-to-date knowledge of research and evidence-based recommendations on supporting people with dementia and their carers/families within the primary care setting

Agree a rotational working week to support families and GPs in the identified geographical areas

Maintain positive working relationships with Dementia UK

Skills and Knowledge

Essential

• Ability to demonstrate the 6 Admiral Nurse competencies:
• person-centred care
• therapeutic skills
• triadic relationship centred working
• sharing knowledge
• delivering best practice
• critical reflective practice
• Skills to enable clinical leadership, including:
• strong communication skills
• good facilitation/presentation skills
• ability to influence change
• ability to act as a decision maker and advocate
• expert clinical practice
• the ability to use appropriate information technology, including MS office software to enable efficient service delivery
• Knowledge and understanding of relevant areas to enable clinical leadership, including:
• relevant policies/national strategy in relation to
• dementia care
• Admiral Nursing and its application
• evidence based practice in dementia care
• clinical needs/implications of the relevant setting

Desirable

• Understanding of local/national skills and competency frameworks

Values and Attributes

Essential

• ability to build constructive relationships with warmth
• and empathy
• ability to treat families affected by dementia with respect
• and dignity
• working together for people with dementia/ carers
• demonstrates compassion and a caring nature
• demonstrates a commitment to quality of care
• demonstrates integrity and respect

Qualifications

Essential

• Registered Nurse (RN/RNMH/RNLD)
• Post graduate qualification in relevant field
• Evidence of continued professional development/training in relevant areas, including dementia and leadership
• Commitment to continued professional and practice development through Dementia UKs Admiral Nurse Academy
• Completion of Dementia UKs Pre Admiral Nurse e-learning course prior to starting in post

Desirable

• Postgraduate qualification in dementia/leadership

Experience

Essential

• Significant post registration clinical experience of supporting people with dementia and their carers/families
• Experience of:
• completing holistic nursing assessments
• providing bio-psychosocial interventions
• facilitating and delivering training/ development of staff
• working as an autonomous practitioner
• managing care transitions
• professional supervision of staff, including staff development, critical companionship, and role modelling
• audit/evaluation of clinical practice
• collaborative/multi-agency working

Desirable

• Experience in service specific setting
• Experience of leading/managing a service
• Experience of supporting practice development/ quality improvement and service evaluation

Other Requirements

Essential

• flexibility to work outside of core office hours
• Disclosure Barring Service (DBS) check
• use of own vehicle
• health clearance for role completion of health
• questionnaire
• up to date vaccination record to include Hepatitis B and
• Covid-19

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.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).