Admiral Nurse

Job responsibilities

• Work within the GP Led Complex needs team and Home Visiting Service to provide a holistic approach to anticipatory care utilising the multi-disciplinary/ multi-agency team where appropriate

• Deliverregularclinical 1:1sessionsfor families affected by dementia who meetthe referralcriteriawithin 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 Primary Healthcare Derby as part of Derby City Team Up policies and procedures

• 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

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 Primary Healthcare Derby as part of Derby City Team Up

• Advise and support on the development and delivery of work streams as part of Primary Healthcare Derby as part of Derby City Team Up, 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 Primary Healthcare Derby as part of Derby City Team Up to improve identification, assessment, ongoing support for people with dementia and their family carers

• Work together with Derbyshire Community Services and Derby City Council to develop and improve upon current Delirium and Dementia Pathways

Evaluation and Audit

• Support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within Primary Healthcare Derby as part of Derby City Team Up, 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 Primary Healthcare Derby as part of Derby City Team Up 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 Primary Healthcare Derby as part of Derby City Team Up

• 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 Primary Healthcare Derby as part of Derby City Team Up and the NMC Code

• Improve understanding of the management of Long-Term Conditions in the community supported by GP Led team

• 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 Primary Healthcare Derby as part of Derby City Team Up, including the Standard Operational Policy

• Ensure compliance with Primary Healthcare Derby as part of Derby City Team Up clinical governance requirements, including all mandatory training

• Participate in clinical supervision/mentoring within Primary Healthcare Derby as part of Derby City Team Up 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

Managerial

• Lead, co-ordinate, organise and prioritise the work of the Admiral Nurse team on a day-to-day basis

• Undertake staff appraisals/managerial supervision for the Admiral Nurse team

• Ensure the recording and investigation of all accidents, complaints, untoward incidents and losses in accordance with Primary Healthcare Derby as part of Derby City Team Up policy

• Identify and record risks to the Admiral Nurse service, escalating appropriately

• Manage team sickness, absence and performance according to the policies set out locally

• Participate in recruitment of other healthcare professionals where appropriate

• Lead on Admiral Nurse steering groups with Dementia UK and Primary Healthcare Derby as part of Derby City Team Up

• Lead, manage and develop the Admiral Nurse service, continuously seeking improvement opportunities in collaboration with the Admiral Nurse Steering Group

Maintain up-to-date knowledge of 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 & Knowledge

Essential

• Demonstrate all the 6 Admiral Nurse competencies:
• 1) Person-centred care
• 2) Therapeutic skills
• 3) Triadic relationship centred working
• 4) Sharing knowledge
• 5) Delivering best practice
• 6) Critical reflective practice
• Effective role-modelling
• Collaborative and multi-agency working
• Act as a decision maker and advocate
• Good organisational skills
• Good facilitation and presentation skills
• Ability to use Information Technology to improve the delivery of care
• Ability to collect and analyse qualitative and quantitative data for service evaluation and development
• Application of sources of research and research methods to evaluate and enhance practice
• Ability to provide supervision, critical companionship and support to team members
• Evidence of continued professional development
• Ability to write/present for a range of audiences
• Knowledge of relevant policies/national strategy e.g. MCA/DoLS/ACP/NICE guideline/Care Act

Desirable

• Understanding of competency frameworks

Experience

Essential

• Significant post-registration clinical experience of working with people with dementia and their carers/supporters in different settings, including community/primary care
• Experience of completing holistic nursing assessments
• Experience of providing bio-psychosocial interventions
• Experience of recent involvement in practice/ service development
• Experience of facilitating and delivering training
• Experience of working as an autonomous practitioner
• Experience of managing care across care transitions
• Ability to lead and manage services
• Experience of professional supervision of staff
• Experience of audit/ evaluating clinical practice

Desirable

• Experience of undertaking staff performance reviews and planned development of staff
• Experience of working with patients/ clients to develop practice
• Experience of older persons medicine and palliative care
• Experience of working within or alongside Primary care teams
• Experience of supporting systematic practice development/ quality improvement

Values & Attributes

Essential

• Enhanced communication skills
• Flexibility and creativity
• Ability to operate effectively with a constantly developing relationship with key stakeholders and associated agencies
• Ability to work in groups/one to one
• Ability to build constructive relationships with warmth and empathy
• Ability to treat families affected by dementia with respect and dignity, adopting a culturally sensitive approach that considers the needs of the whole person
• Positive mental attitude and a willingness to discuss and negotiate issues and ideas with the appropriate team / individual
• Ability to learn through practice
• Demonstrates a commitment to quality of care
• Demonstrates integrity, compassion and a caring nature

Other Requirements

Essential

• Full driving licence with car

Qualifications

Essential

• Registered Nurse (RMN/RNMH/RGN/RNLD)
• Post registration qualification / training in dementia
• Post-graduate training/ education in dementia/older people
• Willingness to work towards continued professional and practice development through Dementia UKs Admiral Nurse Academy, including the level 6 or 7 Admiral Nurse Competency Framework Module.
• Willingness to complete Dementia UKs pre-Admiral Nursing e-learning module

Desirable

• Additional nursing qualification
• Masters level qualification in dementia / older peoples care
• Mentorship Qualification
• Relevant teaching qualification
• Qualified in Long Term Condition Management

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).