Admiral Nurse

Job responsibilities

Clinical

Deliver regular clinical 1:1 sessions for families affected by dementia who meet the referral criteria within the registered to the five PCN practices

Provide clinical leadership on the care of people with dementia and their families from peri-diagnosis to post bereavement, to support reduced reliance on GP appointments

Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework or appropriate tools, for 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 affected by dementia and their families

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

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

Support people with dementia, 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

Ensure the safeguarding of vulnerable adults and that all legal requirements relating to Mental Capacity Act 2005, Mental Health Act 1983 (amended 2007), and Liberty Protection Safeguards (2020) are considered and adhered to in relation to patient care

Act as an advocate for people with dementia and their families to promote their rights and best interests

Participate and lead on case conferences, continuing health care processes 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 and advise on complex care transitions for people with dementia and their families to reduce the frequency of crisis situations

Regularly attend multi-disciplinary team meetings for long-term conditions to inform and receive information regarding patients who have a diagnosis or potential diagnosis of dementia

Refer to 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 Havant and Waterlooville PCNs 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 Leadership

Lead and develop the specialist Havant & Waterlooville PCN Dementia Support team

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 lead 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 Havant and Waterlooville PCN

Advise and support on the development and delivery of work streams as part of Havant and Waterlooville PCNs dementia strategy, where appropriate

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

Contribute to the delivery of local policy, procedures and protocol for Havant and Waterlooville PCN to improve identification, assessment, ongoing support for families facing dementia

Evaluation and Audit

Support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within Havant and Waterlooville PCN where appropriate to 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 the Havant and Waterlooville PCNs Dementia Strategy Group or similar

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

Support evaluation of workforce development in dementia to improve staff knowledge and skills across Havant and Waterlooville PCN

Liaise with Dementia UK Insights and Evaluation team where appropriate, to ensure that the impact and effectiveness of Admiral Nurse interventions are well evaluated

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 Havant and Waterlooville PCN 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 the development of policies, procedures, and protocols relevant to dementia and Admiral Nursing within Havant and Waterlooville PCN including the Standard Operational Policy

Ensure compliance with Havant and Waterlooville PCNs clinical governance requirements, including all mandatory training such as CPR, Safeguarding, Mental Capacity Act and Deprivation of Liberty Safeguards

Participate in clinical supervision/mentoring within Havant and Waterlooville PCN where appropriate

Maintain up-to-date knowledge of research and evidence-based recommendations on supporting people with dementia and their families within the primary care setting

Maintain positive working relationships with the defined key relationships

Participate in an induction programme from both the employing practice and the network

Participate in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development

Communicate effectively with families affected by dementia, team members and other professionals, recognising the diversity of preferred communication methods

Managerial

Effectively manage and prioritise the work and resources of the team on a day-to-day basis

Undertake staff appraisals/managerial supervision for the Havant & Waterlooville PCN Dementia Support team

Ensure the recording and investigation of all accidents, complaints, untoward incidents, and losses in accordance with Havant and Waterlooville PCNs policy

Identify and record risks to the Havant and Waterlooville PCN Dementia Support service, escalating appropriately

Manage team sickness, absence, and performance according to the policies set out locally

Participate in recruitment of other staff where appropriate

Lead on Admiral Nurse/Havant and Waterlooville PCN Dementia Support steering groups with Dementia UK and Havant and Waterlooville PCN

Lead, manage and develop the Admiral Nurse service, continuously seeking improvement opportunities in collaboration with the Admiral Nurse Steering Group

Confidentiality

The post-holder may have access to confidential information relating to families affected by dementia, surgery and network staff and other healthcare workers. They may also have access to information relating to the surgery or the network as a business organisation

All such information from any source is to be regarded as strictly confidential and may only be divulged to authorised persons in accordance with policies and procedures relating to confidentiality and the protection of personal and sensitive data

Qualifications

Essential

• Registered Nurse (RMN/RNMH/RGN/RNLD)
• Post-registration qualification / training in dementia
• Post-graduate training/ education in dementia/older people
• Willingness to work towards continued professional and practice development through Dementia UKs Admiral Nurse Academy, including the level 6 or 7 Admiral Nurse Competency Framework Module.
• Willingness to complete a health coaching qualification as outlined in the NHS England NHS Improvement Implementation and Quality Summary Guide for Health & Wellbeing Coaching

Desirable

• Additional nursing qualification
• Masters level qualification in dementia / older peoples care
• Mentorship qualification or equivalent
• Relevant teaching qualification

Experience

Essential

• Significant post-registration clinical experience of working with people with dementia and their carers/supporters in different settings, including community/primary care
• Experience of completing holistic nursing assessments
• Experience of providing bio-psychosocial interventions
• Experience of recent involvement in practice/ network 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 professional supervision of staff
• 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 working within or alongside primary care teams
• Experience of supporting systematic service development/ quality improvement

Other Requirements

Essential

• Car driver/clean UK driving license or access to transport for mobility between network surgeries and for home visits

Skills and 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, including MS office software and clinical systems, to enable efficient service delivery
• 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

Aptitudes and Attributes

Essential

• Enhanced communication skills
• Flexibility and creativity
• Ability to operate effectively in a setting where relationships with key stakeholders and associated agencies are evolving
• 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
• Demonstrate commitment to quality of care
• Demonstrate integrity, compassion, and a caring nature

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).