Job summary
In collaboration with Dementia UK, Portsmouth Hospitals University NHS Trust is looking to recruit an exceptional, registered nurse with a passion for, and experience of, providing relationship-centred dementia care to join our team at Queen Alexandra Hospital as an Admiral Nurse.
Admiral Nurses are specialist dementia nurses who work with and support people with dementia and their families. As an Admiral Nurse within Portsmouth Hospitals University NHS Trust, you will be based at Queen Alexandra Hospital and work as part of a wider dementia team to influence, deliver, and coordinate relationship-centred dementia care in order to improve the experience of people living with dementia and their families throughout the hospital stay. You will provide specialist one-to-one support, expert guidance and practical solutions for families and will support the best practice of Portsmouth Hospitals University NHS Trust staff with regards to dementia.
Employed by Portsmouth Hospitals University NHS Trust you will work under the Lead Nurse for Dementia and will be supported by Dementia UK to maintain and strengthen your clinical expertise as a specialist nurse in dementia care through ongoing Professional and Practice Development. You will also become part of a network of Admiral Nurses and will have the opportunity to access relevant post-graduate courses and develop professionally, informed by the Admiral Nurse Competency Framework.
Main duties of the job
- Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework, for carers/families affected by dementia during hospital admission.
- Develop and support care plans for people with dementia including positive risk management ( eg falls, delirium, depression, incontinence).
- Clinical leadership and support with policy development and quality improvement initiatives.
- 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) are considered and adhered to in relation to patient care.
- Work collaboratively with health, social and voluntary sector services to achieve coordinated care.
- Work in partnership with colleagues to provide support and information to families, particularly around advance care planning, best interest decisions and end of life care.
- Support the development and delivery of innovative dementia training and education to staff within the Trust at all levels, to improve competence and confidence, in line with best practice and guidance.
- Advise and support on the development and delivery of work streams as part of the Trusts Dementia Strategy.
- Collect and review quantitative and qualitative data, as agreed, to evaluate and audit the Admiral Nurse Service and make necessary improvements.
2nd Contact Details Dawn Brown, Regional Account Manager, Dementia UK Dawn.brown@dementiauk.org 07719
025782
Interview Date 05/10/2023
About us
The Trust is committed to driving excellence in care for our patients and communities and was rated good by the Care Quality Commission report published 2020 and became a University Hospital. We are ranked as the third in the country for research; embedding education and training across the organisation and we continuously strive to achieve our core values which are at the heart of everything we do. The Trusts main hub is the Queen Alexandra Hospital, starting life as a military hospital over a century ago and now one of the largest hospitals on the south coast and you may have seen us on the TV series Nurses on the Ward. The Trust provides comprehensive secondary care and specialist services to a local population of 675,000 people across South East Hampshire. The Trust employs over 8,000 staff and are #ProudtobePHU; our patients come from all walks of life and so do we. We hire great people from a wide variety of backgrounds, not just because its the right thing to do, but because it makes our hospital stronger. If you share our values and our enthusiasm for providing outstanding care and support for patients, colleagues and our community you will find a home at PHU. In recruiting for our team, we welcome the unique contributions that you can bring in
terms of your education, opinions, culture, ethnicity, race, sex, gender
identity and expression, nation of origin, age, languages spoken, veterans
status, colour, religion, disability, sexual orientation and beliefs.
Job description
Job responsibilities
The Admiral Nurse will lead, deliver and coordinate relationship-centred dementia care in order to improve the experience of people with dementia and their families with complex needs, during the acute stay and transitions of care within operational areas of Portsmouth Hospitals University NHS Trust.
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 and support with policy development and quality improvement initiatives.
- Consultancy to other health and social care professionals regarding dementia.
Main Duties and Responsibilities:
Clinical
- Provide clinical leadership on evidence-based approaches to care, which meet the needs of people with dementia, carers/families and staff.
- Lead on the care of people with dementia and their carers/families with complex care needs from peri-diagnosis to post bereavement support.
- Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework, for carers/families affected by dementia during hospital admission.
- Provide a range of bio-psycho-social 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 comorbidities and frailty for people with dementia and their carers/families.
- Develop and support care plans for people with dementia including positive risk management (e.g. falls, delirium, depression, incontinence).
- Support people with dementia, carers/families and staff to understand and respond to changes in behaviour and relationships as a result of dementia.
- 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) 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 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 provide support and information to families, particularly around advance care planning, best interest decisions and end of life care.
- Manage care transitions and support effective discharge for people with dementia and their carers/families in order to reduce frequency of admissions and length of stay.
- Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Portsmouth Hospitals University NHS Trusts policies.
- Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required.
Education and Leadership
- Support the development and delivery of innovative dementia training and education to staff within the Trust at all levels, to improve competence and confidence, in line with best practice and guidance.
- Support the development and delivery of 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 Portsmouth Hospitals University NHS Trust.
- Advise and support on the development and delivery of work streams as part of the Trusts Dementia Strategy.
- 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.
- Support on the delivery of policy and procedures for Portsmouth Hospitals University NHS Trust to improve identification, assessment, ongoing support and effective discharge 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 Portsmouth Hospitals University NHS Trust, where appropriate to the 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 Portsmouth Hospitals University NHS Trusts Dementia Strategy Group or similar.
- Ensure information and data recorded is relevant, accurate, complete and captured in a contemporaneous manner.
Professional
- Ensure all nursing practice is carried out in accordance with the agreed policies and procedures of Portsmouth Hospital University NHS Trust 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 and lead on the development of policies, procedures and protocols relevant to dementia and Admiral Nursing within Portsmouth Hospitals University NHS Trust, including the Standard Operational Policy.
- Ensure compliance with Trust clinical governance requirements.
- Participate in clinical supervision/mentoring within Portsmouth Hospitals University NHS Trust, where appropriate.
- Maintain up-to-date knowledge of evidence-based recommendations on supporting people with dementia and their carers/families.
- Maintain positive working relationships with Dementia UK.
Managerial
- Ensure the recording and investigation of all accidents, complaints, untoward incidents and losses in accordance with Portsmouth Hospitals University NHS Trusts policy.
- Participate in recruitment of other healthcare professionals where appropriate.
- Lead on Admiral Nurse steering groups with Dementia UK and Portsmouth Hospitals University NHS Trust.
- Lead, manage and develop the Admiral Nurse service, continuously seeking improvement opportunities in collaboration with the Admiral Nurse Steering Group.
Please note that this job description serves to provide an illustrative example of the duties and responsibilities the post holder will undertake during the course of their normal duties. It is not therefore an exhaustive list and the post holder may be required to undertake other responsibilities and duties that correspond with the band.
Job description
Job responsibilities
The Admiral Nurse will lead, deliver and coordinate relationship-centred dementia care in order to improve the experience of people with dementia and their families with complex needs, during the acute stay and transitions of care within operational areas of Portsmouth Hospitals University NHS Trust.
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 and support with policy development and quality improvement initiatives.
- Consultancy to other health and social care professionals regarding dementia.
Main Duties and Responsibilities:
Clinical
- Provide clinical leadership on evidence-based approaches to care, which meet the needs of people with dementia, carers/families and staff.
- Lead on the care of people with dementia and their carers/families with complex care needs from peri-diagnosis to post bereavement support.
- Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework, for carers/families affected by dementia during hospital admission.
- Provide a range of bio-psycho-social 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 comorbidities and frailty for people with dementia and their carers/families.
- Develop and support care plans for people with dementia including positive risk management (e.g. falls, delirium, depression, incontinence).
- Support people with dementia, carers/families and staff to understand and respond to changes in behaviour and relationships as a result of dementia.
- 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) 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 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 provide support and information to families, particularly around advance care planning, best interest decisions and end of life care.
- Manage care transitions and support effective discharge for people with dementia and their carers/families in order to reduce frequency of admissions and length of stay.
- Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Portsmouth Hospitals University NHS Trusts policies.
- Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required.
Education and Leadership
- Support the development and delivery of innovative dementia training and education to staff within the Trust at all levels, to improve competence and confidence, in line with best practice and guidance.
- Support the development and delivery of 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 Portsmouth Hospitals University NHS Trust.
- Advise and support on the development and delivery of work streams as part of the Trusts Dementia Strategy.
- 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.
- Support on the delivery of policy and procedures for Portsmouth Hospitals University NHS Trust to improve identification, assessment, ongoing support and effective discharge 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 Portsmouth Hospitals University NHS Trust, where appropriate to the 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 Portsmouth Hospitals University NHS Trusts Dementia Strategy Group or similar.
- Ensure information and data recorded is relevant, accurate, complete and captured in a contemporaneous manner.
Professional
- Ensure all nursing practice is carried out in accordance with the agreed policies and procedures of Portsmouth Hospital University NHS Trust 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 and lead on the development of policies, procedures and protocols relevant to dementia and Admiral Nursing within Portsmouth Hospitals University NHS Trust, including the Standard Operational Policy.
- Ensure compliance with Trust clinical governance requirements.
- Participate in clinical supervision/mentoring within Portsmouth Hospitals University NHS Trust, where appropriate.
- Maintain up-to-date knowledge of evidence-based recommendations on supporting people with dementia and their carers/families.
- Maintain positive working relationships with Dementia UK.
Managerial
- Ensure the recording and investigation of all accidents, complaints, untoward incidents and losses in accordance with Portsmouth Hospitals University NHS Trusts policy.
- Participate in recruitment of other healthcare professionals where appropriate.
- Lead on Admiral Nurse steering groups with Dementia UK and Portsmouth Hospitals University NHS Trust.
- Lead, manage and develop the Admiral Nurse service, continuously seeking improvement opportunities in collaboration with the Admiral Nurse Steering Group.
Please note that this job description serves to provide an illustrative example of the duties and responsibilities the post holder will undertake during the course of their normal duties. It is not therefore an exhaustive list and the post holder may be required to undertake other responsibilities and duties that correspond with the band.
Person Specification
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.
- 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/families in different settings, including acute 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 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 supporting systematic practice development/ quality improvement.
- Experience of professional supervision of staff.
Skills & Knowledge
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.
Qualifications
Essential
- Registered Nurse (RMN/RNMH/RGN/RNLD).
- Post registration qualification/training in dementia.
- Post-graduate training/ education in dementia/older people.
- Willingness to complete Dementia UK Pre-Admiral Nursing e-learning course prior to starting in post.
- Willingness to work towards the Level 7 Admiral Nurse Competency Framework Module.
Desirable
- Additional nursing qualification
- Masters level qualification in dementia / older persons care.
- Mentorship Qualification.
- Relevant teaching qualification.
Person Specification
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.
- 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/families in different settings, including acute 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 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 supporting systematic practice development/ quality improvement.
- Experience of professional supervision of staff.
Skills & Knowledge
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.
Qualifications
Essential
- Registered Nurse (RMN/RNMH/RGN/RNLD).
- Post registration qualification/training in dementia.
- Post-graduate training/ education in dementia/older people.
- Willingness to complete Dementia UK Pre-Admiral Nursing e-learning course prior to starting in post.
- Willingness to work towards the Level 7 Admiral Nurse Competency Framework Module.
Desirable
- Additional nursing qualification
- Masters level qualification in dementia / older persons care.
- Mentorship Qualification.
- Relevant teaching qualification.
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).
Additional information
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).
