Admiral Nurse

Job description

Job responsibilities

Clinical

Advise on the care of people with dementia and their carers/families with complex care needs from peri diagnosis to post bereavement support, as part of the dementia pathway in Cornwall

Provide holistic and specialist nursing assessment, using the Admiral Nurse Assessment Framework, for carers/families affected by dementia

Responsibility for, and management of, a clinical caseload of families with complex needs as identified within triage assessment and supported by the Admiral Nurse Clinical Lead

Provide a range of relationship-centred, bio-psychosocial interventions across the integrated care area, and delivered via tele-support, home visits, clinics, and in the acute setting, as required

Work collaboratively with health, social and voluntary sector services to achieve coordinated care and promote health and wellbeing for people with dementia and their families

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

Manage care transitions and support effective discharge for people with dementia and their carers/families to reduce frequency of attendance, admissions, and length of stay

Support families through the discharge planning process and transitions from acute to care home and home settings

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

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

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

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 in case conferences and best interest meetings where required

Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Royal Cornwall Hospitals NHS Trust policies

Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services, and the Admiral Nurse Clinical Lead, where required.

Education & Support

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

Work alongside the Band 4 Assistant Practitioner in the Admiral Nurse Team to provide an appropriate handover of cases and on-going support and supervision, as appropriate

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 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 across the integrated care area

Support the development and delivery of work streams as part of Royal Cornwall Hospitals Trusts, dementia strategy, where appropriate

Support delivery of local policy and procedures for Royal Cornwall Hospitals NHS Trust 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 across the integrated care areas, where appropriate to the role and as supported by the Admiral Nurse Clinical Lead

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

Person Specification

Knowledge

Essential

• The Admiral Nurse will support, deliver, and coordinate relationship-centred dementia care across the Integrated Care Area in order to improve the experience of carers/families affected by dementia with complex needs. In line with the Admiral Nurse Competency framework at a specialist level, the post holder will provide: oSpecialist bio-psychosocial assessment and support for people with dementia and families with complex needs in both acute and community settings oCaseload management for families with complex needs, providing a range of evidence-based dementia-specific and therapeutic interventions oCoordinated care for families affected by dementia by working collaboratively with professionals across health and social care and physical and mental health services oFacilitation of education and training for staff in the delivery of evidence-based dementia care oSupport with service development, innovative project work and quality improvements in relation to dementia care oConsultancy to other health and social care professionals regarding dementia care

Experience

Essential

• Significant clinical practice experience, including experience of working with people living with dementia and their families in different settings. ?Clinical leadership experience. ?Audit or research experience. ?Teaching and education experience. ?Experience of developing and leading a service/team. ?Demonstrated experience of working as an autonomous practitioner. ?Experience of professional supervision of staff. ?Ability to treat families affected by dementia with respect and dignity, adopting a culturally sensitive approach that considers the needs of the whole person. ?Senior professional role in dementia care.

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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

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

Employer details

Employer name

Royal Cornwall Hospitals Trust

Address

truro

impact

truro

TR1 3JL

Employer's website

https://www.royalcornwall.nhs.uk/ (Opens in a new tab)