Job summary
Applications are invited from highly motivated and experienced nurses with a demonstrable track record of practical application and theoretical knowledge of the care and treatment of people with complex mixtures of psychological, cognitive, functional, behavioural, physical and social risk usually related to mental disorder and frailty experienced in later life.
The post holder will be expected to represent and lead on the OACMHT development of alternative pathways (holistic multi-agency and multidisciplinary) for people living with diagnosed/undiagnosed dementia in care homes within the locality, experiencing acute-frailty distress.
The post holder will be responsible for the coordination and delivery of rapid response for urgent face to face assessment of those patients registered to the OA-CMHT.
The post holder will lead on the provision of Dementia diagnostic and treatment clinics for complex older people living in care settings, to seek out and assess their mental health conditions, in order to inform the diagnostic process and to support subsequent interventions and treatment regimens and evaluation of that planned care.
Main duties of the job
The post holder will work to agreed job plan, which will include holding a small caseload of clients subject to CTP, undertake caseload management and running clinics primarily within the county care home sector or across the service area as the need arises.
The post holder will undertake a full holistic assessment including the review of medicines, specifically Acetylcholinesterase Inhibitors and Anti-Psychotics for those diagnosed with Dementia within the locality care home sector; promote patient choice and effective outcomes.
The post holder will be able to provide senior knowledge and experience within the team and take a senior position in the Multi-Disciplinary Team (MDT) to formulate & implement care plans and consider prescribing options.
To accept clinical responsibility for a designated workload of specialised patients, and to organise this effectively. They will offer expert assessment of psychological, social problems and as an independent prescriber have an in-depth expert knowledge of the physical problems related to the medicines used in treatment.
To undertake non-medical prescribing in line with legislation. To titrate medication dosage, order and interpret physical investigations such as blood tests and ECG, administer injections and to perform Phlebotomy tests on a daily basis.
About us
Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties.
We have over 13,000 staff and together we provide primary, community, in-hospital, mental health and learning disabilities services.
We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.
Our services are provided in:
- Four main hospitals: Bronglais Hospital in Aberystwyth; Glangwili Hospital in Carmarthen; Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
- Five community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
- Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings
- 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
- Numerous mental health and learning disabilities services
Job description
Job responsibilities
This post is advertised as a Band 7 and ideally candidates for this role must have achieved the Non-Medical Prescribing qualification (V300). However applicants who do not currently hold the qualification for the Band 7 role are encouraged to apply and, if successful, will need to attain the qualification within 12 months and will be appointed until the All Wales Annex 21 rules.
This means they will be supported by a development plan. During the first year payment will be 75% of the top of Band 7 pay and following successful completion of the Non-Medical Prescribingqualification (V300) the post holder will then be paid at band 7 (minimum point on the scale).
Failure to achieve the qualification in the designated timeframe could result in re-deployment.
As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.
You will be able to find a full job description and person specification attached within the supporting documents.
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews to be held on 04/11/2025.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.
The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.
Job description
Job responsibilities
This post is advertised as a Band 7 and ideally candidates for this role must have achieved the Non-Medical Prescribing qualification (V300). However applicants who do not currently hold the qualification for the Band 7 role are encouraged to apply and, if successful, will need to attain the qualification within 12 months and will be appointed until the All Wales Annex 21 rules.
This means they will be supported by a development plan. During the first year payment will be 75% of the top of Band 7 pay and following successful completion of the Non-Medical Prescribingqualification (V300) the post holder will then be paid at band 7 (minimum point on the scale).
Failure to achieve the qualification in the designated timeframe could result in re-deployment.
As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.
You will be able to find a full job description and person specification attached within the supporting documents.
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews to be held on 04/11/2025.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.
The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.
Person Specification
Qualifications and Knowledge
Essential
- Registered Nurse (Mental Health)
- Masters level degree or equivalent relevant experience
- Evidence of ongoing professional development in the delivery services to people with living with Dementia
- Skills in interacting therapeutically with service users who have a range of presenting problems including BPSD
- Knowledge of relevant DoH, clinical and NICE guidelines
- Skills in collaboratively assessing, planning, providing and evaluating programmes of care
- Knowledge/awareness of relevant legislation and guidance including the Mental Health Act (1983), Community Care Act (1990), Human Rights Act (1998), Mental Health Measure 2010. National Service Framework and Clinical Governance
- Knowledge of multidisciplinary team and partnership working
- Ability to work independently and within a team
- Non-Medical Prescribing qualification (V300)
Desirable
- Second Registered Nurse qualification
- Full masters qualification
- Skills in co-ordinating complex care
Experience
Essential
- Experience of working with a range of statutory, non-statutory agencies
- Experience of staff supervision
- Comprehensive experience of working with older adults within the community setting
- Ability to meet agreed/specified service targets
- Ability to manage own caseload and time
- Demonstrates high standards in written communication
Desirable
- Experience of delivering clinical interventions in a hospital / community setting
Language Skills
Desirable
Person Specification
Qualifications and Knowledge
Essential
- Registered Nurse (Mental Health)
- Masters level degree or equivalent relevant experience
- Evidence of ongoing professional development in the delivery services to people with living with Dementia
- Skills in interacting therapeutically with service users who have a range of presenting problems including BPSD
- Knowledge of relevant DoH, clinical and NICE guidelines
- Skills in collaboratively assessing, planning, providing and evaluating programmes of care
- Knowledge/awareness of relevant legislation and guidance including the Mental Health Act (1983), Community Care Act (1990), Human Rights Act (1998), Mental Health Measure 2010. National Service Framework and Clinical Governance
- Knowledge of multidisciplinary team and partnership working
- Ability to work independently and within a team
- Non-Medical Prescribing qualification (V300)
Desirable
- Second Registered Nurse qualification
- Full masters qualification
- Skills in co-ordinating complex care
Experience
Essential
- Experience of working with a range of statutory, non-statutory agencies
- Experience of staff supervision
- Comprehensive experience of working with older adults within the community setting
- Ability to meet agreed/specified service targets
- Ability to manage own caseload and time
- Demonstrates high standards in written communication
Desirable
- Experience of delivering clinical interventions in a hospital / community setting
Language Skills
Desirable
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).
