Job summary
An exciting opportunity has arisen for a highly motivated, caring and enthusiastic practitioner with a significant experience at band 6 as an adult nurse, occupational therapist or a mental health nurse to join our dedicated Dementia and Delirium (DAD) Team. The post holder will have previous hands on experience of caring for patients with dementia and/ or delirium and supporting their carers. In addition to supporting staff on the wards to care for people with dementia and delirium you will take the lead to develop and deliver DAD training across the site to all members of staff.
Main duties of the job
- The overall job purpose of the Dementia and Delirium Clinical Nurse Specialist / AHP Specialist is to act as an expert resource for ward teams / departments in order to support them in the delivery of effective care for patients with dementia and delirium.
- As a leader s/he will be responsible for ensuring a good understanding of dementia and delirium throughout the organisation, to ensure patients and carers receive a high standard of care.
- The post holder will lead on the delivery of dementia and delirium teaching and development to nursing and medical, care support staff and AHPs at the Denmark Hill site of Kings College Hospital. The post holder will take primary responsibility (with the support of the DAD team) for providing a progressive learning environment for all grades of nursing / care staff and support the development of staff members who wish to develop specialist skills in caring
About us
King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c£1 billion, 1.5 million patient contacts a year and around 14,000 staff based across 5 main sites in South East London. The Trust provides a full range of local hospital services across its different sites, and specialist services from King's College Hospital (KCH) sites at Denmark Hill in Camberwell and at the Princess Royal University Hospital (PRUH) site in Bromley.
King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.
The trust-wide strategy Strong Roots, Global Reachis our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we can take Team King's to another level.
Job description
Job responsibilities
Clinical Practice
- Advise on the care of people with dementia +/- delirium and their carers/families with complex care needs from peri diagnosis to bereavement support.
- Improve identification and management of co morbidities and frailty for people with dementia +/- delirium.
- To accept responsibility for own patient caseload, make and receive referrals and help staff to ensure patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made ensuring clear documentation in the patients records and hand held records
- To support staff in delivering person-centred care plans for people with dementia including positive risk management (e.g. falls, delirium, depression, incontinence)
- To provide staff with knowledge and training related to 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.
- 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.
- Work collaboratively with health, social and voluntary sector services to contribute to coordinated care, both within the hospital setting and across the acute-community pathway.
- Manage care transitions and support effective discharge for 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 Trust policies.
- Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required.
EDUCATION
- To provide information for clients, carers and heath professional about all aspects of specialist care
- To ensure appropriate information and educational literature is available to help patients make informed choices as to their treatment plan and continuing management developing and regularly updating literature
- To lead and develop programmes of education to enhance the awareness, understanding and management of patients with dementia and delirium for all staff groups across the Trust.
- To work with and support ward managers and other clinical staff to identify areas where changes to practice are required. Also where opportunities exist to improve treatment and support for patients
- To actively participate in educational events provided by the Trust and Integrated Care System
- To attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within the specialist services locally and nationally
RESEARCH
- Lead on and support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within the acute sector of the Trust.
- To take part in nursing research initiatives and support research activity within the ASM and other care groups and collaboration with other agencies
- To co-ordinate clinical audit, in particular ensuring patient experience surveys are completed and action plans developed
- Be actively involved in the completion of the National Audit for Dementia (NAD)
- Undertake analysis and evaluation of the dementia services within the Trust and make any recommendations to the relevant committees
- Be responsible for ensuring that a variety of learning opportunities are available to support trust staff to enhance their knowledge and skills in relation to dementia and delirium.
- Work alongside teams, acting as a role model, supervisor and support resource to ensure all staff members are facilitated in their learning and care delivery with regards to dementia and delirium
- To publish and present relevant clinical practice and service developments.
- MANAGEMENT
- To play an integral role in the operational and strategic development of the DAD service
- To work with the team to develop policies and protocols to improve patient care
- To liaise effectively with all other disciplines within in the Trust and at local level
- To participate in the management of change to improve standards and communication links from Kings College Hospital through to Primary Care
- To actively contribute to any relevant initiatives within the Division and provide support to senior colleagues and Heads of Nursing
- To act as an effective role model across the Trust
- To work with and support managers and clinical staff to identify areas where changes in practice are required
- To introduce measures to actively manage and reduce risk to patients. Ensure the formal reporting and recording of adverse incidents in line with Trust policy.
- To utilise and maintain information systems to aid audit and to provide regular active analysis reports
- To maintain records and send reports set by various bodies pertaining to the specific speciality
- To maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested
- To evaluate the service in terms of clinical effectiveness, clinical excellence and value for money.
PERSONAL PROFESSIONAL DEVELOPMENT
- To achieve a range of clinical competencies as required within the Trust and Care group
- To keep up-to-date with current literature and research in the field of dementia and delirium
- To maintain your own personal and professional development
- To undergo and actively participate in your own performance appraisals
- To keep up to date with Nursing and Midwifery Council (NMC) /Health and Care Professions Council (HCPC) relevant specialist Faculty & Trust guidelines and protocols
- To adhere to the NMC/HCPC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence.
Job description
Job responsibilities
Clinical Practice
- Advise on the care of people with dementia +/- delirium and their carers/families with complex care needs from peri diagnosis to bereavement support.
- Improve identification and management of co morbidities and frailty for people with dementia +/- delirium.
- To accept responsibility for own patient caseload, make and receive referrals and help staff to ensure patients have an accurate plan of care, which reflects the assessment undertaken and incorporates the issues and recommendations made ensuring clear documentation in the patients records and hand held records
- To support staff in delivering person-centred care plans for people with dementia including positive risk management (e.g. falls, delirium, depression, incontinence)
- To provide staff with knowledge and training related to 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.
- 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.
- Work collaboratively with health, social and voluntary sector services to contribute to coordinated care, both within the hospital setting and across the acute-community pathway.
- Manage care transitions and support effective discharge for 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 Trust policies.
- Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required.
EDUCATION
- To provide information for clients, carers and heath professional about all aspects of specialist care
- To ensure appropriate information and educational literature is available to help patients make informed choices as to their treatment plan and continuing management developing and regularly updating literature
- To lead and develop programmes of education to enhance the awareness, understanding and management of patients with dementia and delirium for all staff groups across the Trust.
- To work with and support ward managers and other clinical staff to identify areas where changes to practice are required. Also where opportunities exist to improve treatment and support for patients
- To actively participate in educational events provided by the Trust and Integrated Care System
- To attend meetings and conferences as appropriate ensuring that you are fully conversant with current issues both within the Trust and within the specialist services locally and nationally
RESEARCH
- Lead on and support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within the acute sector of the Trust.
- To take part in nursing research initiatives and support research activity within the ASM and other care groups and collaboration with other agencies
- To co-ordinate clinical audit, in particular ensuring patient experience surveys are completed and action plans developed
- Be actively involved in the completion of the National Audit for Dementia (NAD)
- Undertake analysis and evaluation of the dementia services within the Trust and make any recommendations to the relevant committees
- Be responsible for ensuring that a variety of learning opportunities are available to support trust staff to enhance their knowledge and skills in relation to dementia and delirium.
- Work alongside teams, acting as a role model, supervisor and support resource to ensure all staff members are facilitated in their learning and care delivery with regards to dementia and delirium
- To publish and present relevant clinical practice and service developments.
- MANAGEMENT
- To play an integral role in the operational and strategic development of the DAD service
- To work with the team to develop policies and protocols to improve patient care
- To liaise effectively with all other disciplines within in the Trust and at local level
- To participate in the management of change to improve standards and communication links from Kings College Hospital through to Primary Care
- To actively contribute to any relevant initiatives within the Division and provide support to senior colleagues and Heads of Nursing
- To act as an effective role model across the Trust
- To work with and support managers and clinical staff to identify areas where changes in practice are required
- To introduce measures to actively manage and reduce risk to patients. Ensure the formal reporting and recording of adverse incidents in line with Trust policy.
- To utilise and maintain information systems to aid audit and to provide regular active analysis reports
- To maintain records and send reports set by various bodies pertaining to the specific speciality
- To maintain contemporaneous and accurate treatment records, submitting relevant statistics, reports and activity data as requested
- To evaluate the service in terms of clinical effectiveness, clinical excellence and value for money.
PERSONAL PROFESSIONAL DEVELOPMENT
- To achieve a range of clinical competencies as required within the Trust and Care group
- To keep up-to-date with current literature and research in the field of dementia and delirium
- To maintain your own personal and professional development
- To undergo and actively participate in your own performance appraisals
- To keep up to date with Nursing and Midwifery Council (NMC) /Health and Care Professions Council (HCPC) relevant specialist Faculty & Trust guidelines and protocols
- To adhere to the NMC/HCPC Code of Professional conduct working within and accepting responsibility for maintaining agreed levels of competence.
Person Specification
Experience
Essential
- First Level Registered Nurse in Adult/Mental Nursing, Chartered Health Practitioner, Occupational Therapist
- Recent clinical experience in Healthcare for Older People.
- Graduate level qualification
- Post graduate qualifications in relevant speciality
- Leadership experience or relevant qualification
- Significant relevant post-registration clinical practice experience - Specialist nursing knowledge of caring for people with dementia
- Understanding of models of management of dementia and delirium in practice
- Able to demonstrate continuing professional development
Desirable
- Experience in developing specialist study days
- Experience in quality improvement initiatives
Person Specification
Experience
Essential
- First Level Registered Nurse in Adult/Mental Nursing, Chartered Health Practitioner, Occupational Therapist
- Recent clinical experience in Healthcare for Older People.
- Graduate level qualification
- Post graduate qualifications in relevant speciality
- Leadership experience or relevant qualification
- Significant relevant post-registration clinical practice experience - Specialist nursing knowledge of caring for people with dementia
- Understanding of models of management of dementia and delirium in practice
- Able to demonstrate continuing professional development
Desirable
- Experience in developing specialist study days
- Experience in quality improvement initiatives
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).
