Admiral Nurse
Havant and Waterlooville Primary Care Network
The closing date is 06 June 2024
Job summary
In collaboration with Dementia UK, Havant and Waterlooville Primary Care Network (PCN) is looking to recruit a registered nurse (RGN, RNM, RNMH, RNLD) with a passion for, and experience of, providing relationship-centred dementia care to join the PCN as an Admiral Nurse.
The successful applicantwill be an NMC registered nurse, withsignificant post-registration clinical experience of working with people with dementia andsupportingtheir carers/supporters, along with formal knowledge ofdementia acquired through clinical post-graduate training/education.
Main duties of the job
Admiral Nurses are specialist dementia nurses who work with and support people with dementia and their families who have complex needs. As an Admiral Nurse you will provide specialist one-to-one support, guidance, and practical solutions for families, alongside supporting best practice and providing role modelling across the PCN.You will lead Havant and Waterloovilles Dementia Health & Wellbeing Team (a small established team of dementia-specialist Health & Wellbeing Coaches, who will underpin the work of the Admiral Nurse) across the five GP practices within the PCN and will also influence and lead on the delivery of work streams to improve the experience of care for people living with dementia, and their families.
About us
You will be employed by the Bosmere Medical Practice on behalf of Havant and Waterlooville PCN, working under the management of the Clinical Director for the PCN and will receive ongoing support from Dementia UK to maintain and strengthen your clinical expertise as a specialist nurse within dementia care. You will also become part of the wider network of Admiral Nurses and will have the opportunity to access relevant post graduate courses and develop professionally, as informed by the Admiral Nurse Competency Framework.
Interviews will be held on Thursday 13th June 2024
Date posted
08 May 2024
Pay scheme
Agenda for change
Band
Band 7
Salary
Depending on experience
Contract
Fixed term
Duration
15 months
Working pattern
Full-time, Flexible working
Reference number
A5217-24-0009
Job locations
Bosmere Medical Centre
Solent Road
Havant
Hampshire
PO9 1DQ
Job description
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
Job description
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
Person Specification
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
Person Specification
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).
Additional information
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
Havant and Waterlooville Primary Care Network
Address
Bosmere Medical Centre
Solent Road
Havant
Hampshire
PO9 1DQ
Employer's website
https://www.facebook.com/HavantandWaterloovillePCN (Opens in a new tab)
Employer details
Employer name
Havant and Waterlooville Primary Care Network
Address
Bosmere Medical Centre
Solent Road
Havant
Hampshire
PO9 1DQ
Employer's website
https://www.facebook.com/HavantandWaterloovillePCN (Opens in a new tab)
For questions about the job, contact:
Date posted
08 May 2024
Pay scheme
Agenda for change
Band
Band 7
Salary
Depending on experience
Contract
Fixed term
Duration
15 months
Working pattern
Full-time, Flexible working
Reference number
A5217-24-0009
Job locations
Bosmere Medical Centre
Solent Road
Havant
Hampshire
PO9 1DQ
Supporting documents
Privacy notice
Havant and Waterlooville Primary Care Network's privacy notice (opens in a new tab)