Job summary
An exciting opportunity has arisen at The Great Western Hospitals NHS Foundation Trust in the Admiral Nursing service, supporting families affected by dementia across the acute-community pathway.
We are looking for an exceptional, registered (adult / mental health) nurse with a passion for, and significant experience of, providing person-centered and relationship-centered dementia care. Combining direct work with patients and families with supporting the best practice of health and social care professionals, you will call upon your impressive knowledge of evidence-based bio-psychosocial interventions to improve the experience of carers / families affected by dementia.
For further information, please contact Marie Mowbray, Matron, Great Western Hospitals NHS Foundation Trust on 01793 607333 or Timothy Allen, Admiral Nurse on 01793 607214
Main duties of the job
The primary focus of the Admiral Nurse role is to integrate and improve dementia care for patients, carers/families affected by dementia across the acute-community pathway by providing clinical leadership on the delivery of person-centered and relationship-centered dementia care within operational areas of The Great Western Hospitals NHS Foundation Trust.
The Admiral Nurse (Acute) will improve the experience of families affected by dementia during an acute stay, work in partnership with the Admiral Nurse (Community Outreach) to manage care transitions for people living with dementia registered with a Swindon GP, and support effective discharge for people living with dementia and their carers/families in order to contribute to a reduction in frequency of admissions and length of stay.
The successful applicant will be employed by the Trust and based within the Department of Older Persons services (DOPS) at The Great Western Hospital. There will be the opportunity to gain experience of working both within the community and Great Western Hospital.
You'll 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.
About us
We are a unique organisation in the sense that we are the only integrated provider in the Bath and North East Somerset, Swindon and Wiltshire system.
We provide acute care for the Great Western Hospital, run adult community services and manage primary care services in Swindon, providing care for 30,000 patients.
Our 5,600 staff have 1.2m patient contacts a year, with 13,000 operations carried out in our Theatres, around 4,000 babies born, and our emergency attendances are now well over 100,000 per year.
Those numbers only tell part of our story about what an exciting time it is to join Great Western Hospitals.
We value the diversity of our colleagues and actively champion an inclusive culture. We are committed to helping our colleagues achieve a work/life balance and proudly offer supportive, inclusive and family friendly employment with an on site nursery available and flexible working policies.
Our STAR values are at the heart of everything we do. You can expect to see them in the way we act and the way we treat each other.
Service - We will put our patients first
Teamwork - We will work together
Ambition - We will aspire to provide the best service
Respect - we will act with integrity
You will be joining a great team in a great place where your commitment will be valued and your ambition rewarded.
Job description
Job responsibilities
The Admiral Nurse (Band 7) will focus on leading and delivering person-centered dementia care and optimising the outcomes for people with dementia and their carers admitted to The Great Western Hospital working alongside the existing Admiral Nurse who is providing Acute care and outreach in to the community. Both Admiral Nurses will work together in an integrated way across the care pathway to ensure that transitions of care are well managed, discharge is supportive and effective and carers/families feel better able to carry on in their caring role.
We are looking for an experienced RMN / RGN to join our Admiral Nurse service. You will need to be dynamic, compassionate and committed to providing exceptional patient care.
Your personal passion for providing outstanding care to our patients living with dementia will inspire the acute teams within The Great Western Hospital NHS Foundation Trust and wider community teams.
Main Duties & 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.
- Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework, for carers/families affected by dementia during hospital admission.
- Improve identification and management of co morbidities and frailty for people living with dementia and their carers/families.
- Work collaboratively with the Admiral Nurse (Community Outreach) and other health and social care professionals, adhering to the principles of continuity and consistency of care, and share relevant information in a timely manner across healthcare boundaries to support high quality, personalised care.
- In partnership with the Admiral Nurse (Community Outreach), manage care transitions and support effective discharge for people with dementia registered with a Swindon GP and their carers/families in order to reduce frequency of admissions and length of stay.
- Develop and support person-centered care plans for people living with dementia including positive risk management (e.g. falls, delirium, depression, incontinence).
- Deliver relationship and family-centered approaches to care, which meet the needs of people with dementia, carers/families and staff.
- Provide a range of psychosocial interventions and emotional support to promote health and wellbeing for people with dementia and their carers/families.
- Support people with dementia, carers/families and staff to understand and respond to changes in behaviour and relationships as a result of dementia. Develop their skills and competencies in coping with the challenges and difficulties they may face (in the present and the future).
- Provide expert assessment and advice relating to enhanced care/close support
- Working with AWP re Mental health/dementia later life service
- Work collaboratively with health, social and voluntary sector services to contribute to coordinated care across the community-acute pathway.
- Ensure that all legal requirements relating to mental capacity, safeguarding, DoLS and mental health 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, discharge planning, continuing healthcare process and best interest meetings where required.
- Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Great Western Hospitals NHS Foundation Trust
- Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required.
Education and Leadership
- In partnership with the Lead for dementia training, provide innovative dementia training and education to staff within the Trust at all levels, to improve staff attitudes, knowledge, skills 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 leadership on the delivery of evidence based best practice in dementia care.
- Act as clinical role model to others, including student nurses, and mentoring other staff as required.
- Support the development and delivery of work streams as part of the Trusts Dementia Strategy.
- Provide professional and clinical leadership, mentorship and clinical expertise to the staff in the departments caring for people with dementia and their carers/families within Great Western Hospitals NHS Foundation Trust.
- Work in partnership with colleagues to provide support and information to families, particularly around personalised care and support planning, advance care planning, care transitions best interest decisions and end of life care.
- Work proactively with key local health and social care organisations and the Admiral Nurse (community outreach) to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge.
- Alongside the Admiral Nurse (community outreach), lead improvements across the Trust in the identification, assessment, on-going support, transfers of care and effective discharge for people living with dementia and their family carers.
Job description
Job responsibilities
The Admiral Nurse (Band 7) will focus on leading and delivering person-centered dementia care and optimising the outcomes for people with dementia and their carers admitted to The Great Western Hospital working alongside the existing Admiral Nurse who is providing Acute care and outreach in to the community. Both Admiral Nurses will work together in an integrated way across the care pathway to ensure that transitions of care are well managed, discharge is supportive and effective and carers/families feel better able to carry on in their caring role.
We are looking for an experienced RMN / RGN to join our Admiral Nurse service. You will need to be dynamic, compassionate and committed to providing exceptional patient care.
Your personal passion for providing outstanding care to our patients living with dementia will inspire the acute teams within The Great Western Hospital NHS Foundation Trust and wider community teams.
Main Duties & 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.
- Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework, for carers/families affected by dementia during hospital admission.
- Improve identification and management of co morbidities and frailty for people living with dementia and their carers/families.
- Work collaboratively with the Admiral Nurse (Community Outreach) and other health and social care professionals, adhering to the principles of continuity and consistency of care, and share relevant information in a timely manner across healthcare boundaries to support high quality, personalised care.
- In partnership with the Admiral Nurse (Community Outreach), manage care transitions and support effective discharge for people with dementia registered with a Swindon GP and their carers/families in order to reduce frequency of admissions and length of stay.
- Develop and support person-centered care plans for people living with dementia including positive risk management (e.g. falls, delirium, depression, incontinence).
- Deliver relationship and family-centered approaches to care, which meet the needs of people with dementia, carers/families and staff.
- Provide a range of psychosocial interventions and emotional support to promote health and wellbeing for people with dementia and their carers/families.
- Support people with dementia, carers/families and staff to understand and respond to changes in behaviour and relationships as a result of dementia. Develop their skills and competencies in coping with the challenges and difficulties they may face (in the present and the future).
- Provide expert assessment and advice relating to enhanced care/close support
- Working with AWP re Mental health/dementia later life service
- Work collaboratively with health, social and voluntary sector services to contribute to coordinated care across the community-acute pathway.
- Ensure that all legal requirements relating to mental capacity, safeguarding, DoLS and mental health 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, discharge planning, continuing healthcare process and best interest meetings where required.
- Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Great Western Hospitals NHS Foundation Trust
- Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required.
Education and Leadership
- In partnership with the Lead for dementia training, provide innovative dementia training and education to staff within the Trust at all levels, to improve staff attitudes, knowledge, skills 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 leadership on the delivery of evidence based best practice in dementia care.
- Act as clinical role model to others, including student nurses, and mentoring other staff as required.
- Support the development and delivery of work streams as part of the Trusts Dementia Strategy.
- Provide professional and clinical leadership, mentorship and clinical expertise to the staff in the departments caring for people with dementia and their carers/families within Great Western Hospitals NHS Foundation Trust.
- Work in partnership with colleagues to provide support and information to families, particularly around personalised care and support planning, advance care planning, care transitions best interest decisions and end of life care.
- Work proactively with key local health and social care organisations and the Admiral Nurse (community outreach) to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge.
- Alongside the Admiral Nurse (community outreach), lead improvements across the Trust in the identification, assessment, on-going support, transfers of care and effective discharge for people living with dementia and their family carers.
Person Specification
Qualifications
Essential
- oRegistered Nurse (RMN/RGN/RNLD) oDegree/ Masters level qualification in dementia / older people's care or relevant experience oPost registration qualification / training in dementia oFormal knowledge of dementia/ older people acquired through clinical post-graduate education
Desirable
- oAdditional nursing qualification. oMentorship Qualification oRelevant teaching qualification
Experience
Essential
- oSignificant post-registration clinical experience of working with people living with dementia and their carers/supporters in different settings oExperience of working within an acute care system oExperience of recent involvement in practice/ service development. oExperience of working with groups and individuals in a variety of roles and settings oDemonstrated experience of working as an autonomous practitioner oDemonstrated ability to lead and manage services oExperience of professional supervision of staff oExperience of audit/ evaluating clinical practice
Desirable
- oExperience of leadership within an integrated care system. oExperience of working with patients/ clients to develop practice
Knowledge
Essential
- oIncorporating and demonstrating all of the 6 Admiral Nurse competencies including person-centred care, therapeutic skills, triadic relationship, sharing knowledge, best practice, and critical reflective practice at enhanced specialist level oAbility to use a range of therapeutic skills oEffective role-modelling oUnderstanding practice and promoting person-centred and relationship-centred care oCollaborative and multi-agency working oCritical reflection oFacilitator and arbitrator oActing as a decision maker and advocate oGood organisational skills oEnhanced knowledge of dementia and therapeutic working with families and organisations oApplication of sources of research and research methods to evaluate and enhance practice oWorking knowledge of the Mental Capacity Act (2005) and how to apply its principles to practice oWorking knowledge of risk management under the Safeguarding adults governance framework
Desirable
- oKnowledge of research methods and methodologies. oUnderstanding of competency frameworks oExperience of supporting systematic practice development/ quality improvement
Person Specification
Qualifications
Essential
- oRegistered Nurse (RMN/RGN/RNLD) oDegree/ Masters level qualification in dementia / older people's care or relevant experience oPost registration qualification / training in dementia oFormal knowledge of dementia/ older people acquired through clinical post-graduate education
Desirable
- oAdditional nursing qualification. oMentorship Qualification oRelevant teaching qualification
Experience
Essential
- oSignificant post-registration clinical experience of working with people living with dementia and their carers/supporters in different settings oExperience of working within an acute care system oExperience of recent involvement in practice/ service development. oExperience of working with groups and individuals in a variety of roles and settings oDemonstrated experience of working as an autonomous practitioner oDemonstrated ability to lead and manage services oExperience of professional supervision of staff oExperience of audit/ evaluating clinical practice
Desirable
- oExperience of leadership within an integrated care system. oExperience of working with patients/ clients to develop practice
Knowledge
Essential
- oIncorporating and demonstrating all of the 6 Admiral Nurse competencies including person-centred care, therapeutic skills, triadic relationship, sharing knowledge, best practice, and critical reflective practice at enhanced specialist level oAbility to use a range of therapeutic skills oEffective role-modelling oUnderstanding practice and promoting person-centred and relationship-centred care oCollaborative and multi-agency working oCritical reflection oFacilitator and arbitrator oActing as a decision maker and advocate oGood organisational skills oEnhanced knowledge of dementia and therapeutic working with families and organisations oApplication of sources of research and research methods to evaluate and enhance practice oWorking knowledge of the Mental Capacity Act (2005) and how to apply its principles to practice oWorking knowledge of risk management under the Safeguarding adults governance framework
Desirable
- oKnowledge of research methods and methodologies. oUnderstanding of competency frameworks oExperience of supporting systematic practice development/ quality improvement
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.
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).
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.
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
Great Western Hospitals NHS Foundation Trust
Address
The Great Western Hospitals NHS Foundation Trust
Marlborough Road
Swindon
SN3 6BB
Employer's website
https://www.gwh.nhs.uk/ (Opens in a new tab)
