Admiral Nurse - Band 6

Job responsibilities

Main Duties and Responsibilities:

Clinical

Deliverregularclinical 1:1sessionsfor families affected by dementia who meetthe referralcriteriawithin designated areas/ practices

Advise 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 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 in clinics or via home visit if required

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 LibertySafeguards (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 in case conferences 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 complex care transitions and support people with dementia and their carers/families to reduce the frequency of crisis situations

Liaise with 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 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

Education and Support

Support the 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 support formal training events promoting best practice in dementia care and disseminating Admiral Nursing work

Provide mentorship, offer clinical expertise and act a role model on the delivery of evidence-based practice in dementia care within Primary Healthcare Derby

Support the development and delivery of work streams as part of Primary Healthcare Derbys, dementia strategy, where appropriate

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

Support delivery of local policy and procedures for Primary Healthcare Derby 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 Primary Health care Derby, where appropriate to the role

Collect quantitative and qualitative data to support the evaluation and audit of the Admiral Nurse Service

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

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 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

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

Contribute to the development of policies, procedures and protocols relevant to dementia and Admiral Nursing within Primary Healthcare Derby

Ensure compliance with Trust clinical governance requirements

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

Qualifications

Essential

• Registered Nurse (RN/RNMH/RNLD)
• Evidence of continued professional development/training in dementia care
• 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 relevant area

Skills & Knowledge

Essential

• Demonstrate all the 6 Admiral Nurse competencies:
• person-centred care
• therapeutic skills
• triadic relationship centred working
• sharing knowledge
• delivering best practice
• critical reflective practice
• Skills to operate as a specialist Nurse:
• strong communication skills
• facilitation/presentation skills
• expert clinical practice
• ability to act as a decision maker and advocate
• ability to use appropriate information technology, including MS office software to enable efficient service delivery
• Knowledge and understanding of:
• relevant policies/national strategy in relation to dementia care
• Admiral Nursing and its application
• dementia and its impact of families
• evidence based practice in dementia care
• effective role-modelling

Desirable

• Understanding of audit/evaluating clinical practice
• Understanding of practice development/quality improvement and service evaluation

Experience

Essential

• Post-registration clinical experience supporting people with dementia and their carers/families
• Experience of:
• completing holistic nursing assessments
• providing bio-psychosocial interventions
• working as an autonomous practitioner
• collaborative and multi-agency working

Desirable

• Experience in service specific setting
• Experience of managing care transitions
• Experience of professional supervision/ mentoring of staff
• Experience of facilitating and delivering training

Values & 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

Other Requirements

Essential

• Full driving licence with car

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).