CRGPA Admiral Nurse

Coventry And Rugby GP Alliance

The closing date is 03 July 2022

Job summary

The primary focus of the Admiral Nurse role is to deliver person–centred and relationship-centred dementia care within Coventry & Rugby to improve the experience of carers/families affected by dementia*.

This may include:

  • Delivering evidence-based dementia care and support improvements in the experience for families affected by dementia*.
  • Providing support/education to colleagues, other health and social care professionals/providers in dementia care.
  • Supporting the delivery of key quality and performance indicators relating to dementia care, including the experience of families.
  • Applying the Admiral Nurse Competency framework at a specialist level, including person-centred care, therapeutic skills, and triadic relationships, sharing knowledge, best practice and critical reflective practice

*Dementia UK defines this as the person living with dementia and others who may be carers or family members Admiral Nurses work together with families to provide support, expert guidance & practical solutions.

Main duties of the job

Clinical

  • Advise other professionals 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 (within service spec)
  • Support identification and management of co morbidities and frailty for people with dementia and their carers/families.
  • Develop and/or support, in partnership with other professionals, person-centred care plans for people with dementia including positive risk management
  • Deliver relationship and family-centred approaches to care, which meet the needs of people with dementia, carers/families and staff
  • Provide a range of evidence based psychosocial interventions and emotional support to promote mental/physical 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

This is not an exhaustive list and please see attached Job description for full list of duties

About us

The Coventry and Rugby GP Alliance is a private company limited by shares, wholly owned by local Coventry and Rugby GP practices. As a GP led organisation, we represent 50 GP practice shareholders and cover nearly 420,000 patients.

We describe our work in terms of Supporting, Innovating, Developing and Educating - we are on the S.I.D.E. of general practice and we have developed our Operational Plans to describe what we are going to do over this year to ensure that we continue to high quality, accessible and responsive services for both practices and patients.

We have identified key areas that we will focus on to build upon and improve our existing services.

These are our Strategic Priorities:

  • Clinical Service Improvement & Delivery
  • Clinical Innovation
  • Primary Care Development Practice and Network Support
  • Training and Education
  • Integrated Care
  • Good Governance

Job description

Job responsibilities

Clinical

§ Advise other professionals 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 (within service spec)

§ Support identification and management of co morbidities and frailty for people with dementia and their carers/families.

§ Develop and/or support, in partnership with other professionals, person-centred care plans for people with dementia including positive risk management

§ Deliver relationship and family-centred approaches to care, which meet the needs of people with dementia, carers/families and staff.

§ Provide a range of evidence based psychosocial interventions and emotional support to promote mental/physical 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.

§ Ensure that all legal requirements are considered and adhered to where appropriate to patients and carer’s, including Mental Capacity Act 2005, Deprivation of Liberty Safeguards (DoLS) 2007 & Safeguarding Adults 2011

§ 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 when required.

§ Work collaboratively with health, social and voluntary sector services to achieve coordinated care.

§ Manage care transitions and support 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 Coventry & Rugby GP Alliance 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 guidance

Education & Support

§ Support innovative dementia training and education to staff within the host organisation at all levels, to improve staff attitudes, knowledge, skills 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 advice on the delivery of evidence based best practice in dementia care

§ Act as a 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 host organisation’s Dementia Strategy.

§ Work in partnership with colleagues to provide support and information to families, including advance care planning, best interest decisions and end of life care.

§ Work with key local and national stakeholders to develop more integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge.

Evaluation and Audit

§ Support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within Coventry & Rugby GP Alliance

§ Actively participate in the collection of quantitative and qualitative data to support the evaluation and audit of the Admiral Nurse Service.

§ Maintain clinical records using the chosen data recording system and provide verbal and written feedback appropriately and as required

§ Ensure recorded information and data recorded is relevant, accurate, and complete and captured in a timely manner.

§ Be fully aware of and comply with the Data Protection Act (1998) and Caldicott principles in relation to protecting the confidentiality of patient and service-user information and enabling appropriate information-sharing.

Professional

To attend and actively participate in monthly practice development days, clinical supervision, and continuing professional development, including the Admiral Nurse Competency module and the Admiral Nurse Forum, as supported by Dementia UK.

§ To develop own competence through use of the Admiral Nurse Competency Framework, portfolio development, and ‘PebblePad’ (e-portfolio)

§ To 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 Coventry & Rugby GP Alliance.

§ Ensure compliance with Trust clinical governance requirements.

§ Participate in clinical supervision / mentoring within Coventry & Rugby GP Alliance where required.

§ Maintain up-to-date knowledge of evidence-based recommendations on supporting people with dementia and their carers/families.

§ Be aware of current research related to dementia treatments/interventions and support people with dementia/carers/families to get involved in research where appropriate.

Person Specification

Other

Essential

  • Full valid driving license

Qualifications

Essential

  • Registered Nurse (RNMH/RGN/RNLD)
  • Formal knowledge of dementia/ older people acquired through clinical post-graduate training/ education

Desirable

  • Additional nursing qualification.
  • Diploma / Degree/ level qualification in dementia / older peoples care
  • Mentorship Qualification
  • Relevant teaching qualification

Experience

Essential

  • Post-registration clinical experience of working with people with dementia and their carers/supporters in different settings
  • Experience of recent involvement in practice/ service development.
  • Experience of working with groups and individuals in a variety of roles and settings
  • Demonstrated experience of working as an autonomous practitioner

Desirable

  • Experience of professional supervision/ mentoring of staff
  • Experience of working with patients/ clients to develop practice
  • Experience of audit/ evaluating clinical practice
  • Experience of working in the community
  • Experience of palliative care and long-term conditions

Aptitudes and Attributes

Essential

  • Good communication skills.
  • Ability to provide supervision, critical companionship and support to team members.
  • Ability to operate effectively with a constantly developing relationship with key stakeholders and associated agencies.
  • Demonstrate professional flexibility and creativity such as being able to work on own initiative, in groups/one to one - with the 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

Skills and attributes

Essential

  • Ability to demonstrate all of the 6 Admiral Nurse competencies: person-centred care, therapeutic skills, triadic relationship, sharing knowledge, best practice, and critical reflective practice at specialist level.
  • Ability to use a range of therapeutic skills
  • Effective role-modelling
  • Collaborative and multi-agency working
  • Hold a sound knowledge of dementia and therapeutic working with families and organisations
  • Understand sources of research and critically apply them within practice

Desirable

  • Knowledge of research methods and methodologies.
  • Understanding of competency frameworks
  • Experience of supporting systematic practice development/ quality improvement
  • Understand sources of research and critically apply them within practice

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).

Employer details

Employer name

Coventry And Rugby GP Alliance

Address

1 The Boiler House, Electric Wharf

Sandy Lane

Coventry

CV1 4JU


Employer's website

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

For questions about the job, contact:

Date posted

22 June 2022

Pay scheme

Other

Salary

£32,306 to £39,027 a year dependent on experience

Contract

Permanent

Working pattern

Full-time

Reference number

E0046-22-6561

Job locations

1 The Boiler House, Electric Wharf

Sandy Lane

Coventry

CV1 4JU


Supporting documents

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