Job summary
Employer heading
Lead Nurse/Practitioner for the Elderly and Dementia
NHS AfC: Band 8a
Job overview
The successful candidate will work as part of multidisciplinary teams at ward and department level, to demonstrate expertise and leadership in the delivery of high-level care to patients with dementia and work collaboratively ensuring the delivery of high quality and safe patient centred care. Whilst leading the ongoing development of multi-disciplinary trust wide dementia services, through leadership of the Dementia Steering Group and managing the Trust Dementia Improvement plan.
The post holder will also lead on the ongoing development of trust wide frailty services through engagement within Frailty steering group alongside other key Frailty and Healthcare for the Elderly team members.
The successful candidate will also lead on the education, training and staff development towards dementia and older people knowledge and skills, working with the Learning & Development team and Service Line Clinical Educators, to ensure that staff acquire and maintain professional standards and competencies.
***Preference will be given to internal Trust staff, as well as ‘Priority’ and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.***
Main duties of the job
To be the lead specialist nurse/practitioner for dementia, frailty and falls pathways in the acute hospital, responsible for leadership towards the developments and improvements to services and care pathways, promoting person-centred care for patients with dementia, frailty and falls in hospital.
Working as an autonomous practitioner, provide specialist clinical assessments, multifactorial interventions, recommendations and advice for the care and management of people with dementia, frailty and falls in hospital
Work as part of multidisciplinary teams at ward and department level, to demonstrate expertise and leadership in the delivery of high-level care to patients with dementia and work collaboratively ensuring the delivery of high quality and safe patient centred care.
The post holder will lead the ongoing development of multi-disciplinary trust wide dementia services, through leadership of the Dementia Steering Group and managing the Trust Dementia Improvement plan
The post holder will also lead on the ongoing development of trust wide frailty services through engagement within Frailty steering group alongside other key Frailty and Healthcare for the Elderly team members.
Lead on the education, training and staff development towards dementia and older people knowledge and skills, working with the Learning & Development team and Service Line Clinical Educators, to ensure that staff acquire and maintain professional standards and competencies.
Working for our organisation
We are a people business – where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure. PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY. If you have any issues with applying online and need additional support including reasonable adjustments with the application process please contact the recruitment team on 01752 432100. We recognise that work life balance is important for our colleagues and so we invite requests from applicants around less than full time/flexible working for our advertised roles. Please contact the recruiting manager to discuss this prior to your application submission. We commit to giving this full consideration in each case. We encourage people from diverse backgrounds to apply for our roles, as diversity strengthens our teams. It is sometimes necessary to close vacancies before the closing date. If you have not heard from us within 4 weeks of the closing date, please assume that you have not been shortlisted.
Detailed job description and main responsibilities
CLINICAL
· Work with clinical autonomy, deliver and prescribe individualised patient care for people living with dementia, and(or) frailty, across the Trust, involving other members of the multidisciplinary team and other agencies, to ensure robust specialist input and support.
· Support clinical teams across the Trust, to provide clinical advice on the assessment and care planning to meet the needs of people with frailty and dementia in hospital – this will include specialist advise on aspects of care such as falls risks, behaviour management, nutrition & hydration needs, emotional & psychological care
· Work with the Acute Frailty Team, Front Door Frailty liaison team and promoting the speciality Trust wide
· Work with HCE Frailty Short Stay ward to promote frailty and speciality assessment for elderly frail patients
· Provide specialist Healthcare of the Elderly input to the Frailty Trauma Liaison team and undertaking the specialist MDT ward rounds to provide specialist advice and support to the nursing teams.
· Provide advice and clinical education for the care plan/management plan for people with BPSD relating to their dementia in hospital, working with Mental Health Liaison team. Offering advice on the care plan and management of patient- specific needs and behaviours, communicating changes with other health care professionals in the multi-disciplinary team with ongoing responsibility for patient care as they occur.
· Provide specialist advice relating to use of Mental Capacity Act for people with dementia – including advising on use of Restraining care plans, Enhanced supervision and DOLS applications.
· Engage and interact with carers and family, encouraging them to be actively involved in patients care planning as outlined in ward / unit philosophy.
· Work with the Mental Health Liaison Team to ensure timely assessment and appropriate care planning for patients with those patients with Dementia who have complex needs or mental health related symptoms.
· Work with clinical teams and other specialist nurses to raise awareness and competence in use of Mental Capacity Act in decision-making for people with Dementia - this includes Mental Capacity Assessments, Best Interest decisions, reasonable adjustments to care plans and use of Deprivation of Liberty Safeguards
· Provide clinical advice on care for people with dementia for specific clinical decision-making, case conferences and/or discharge planning meetings; also to complaints, incidents or safeguarding alerts relating to people with dementia.
· Work with the Discharge Case managers and Integrated Hospital Discharge teams, assist in the assessment of onward care needs for people with Dementia – particularly advising on discharge plans for people with dementia needing End of Life care or support with BPSD.
For further details please see the attached JD & PS
Person specification
Knowledge & Experience
Essential criteria
- Demonstrable experience working in clinical setting with people who have dementia and frailty
- Demonstrable experience of clinical working in acute hospital settings Demonstrable knowledge / experience of nursing people with dementia and frailty
- Proven knowledge of a wide range of conditions in older people especially those relating to dementia and frailty
- Proven knowledge and demonstrable experience of providing clinical supervision and being clinical role model
- Good working proven knowledge of Mental Capacity Act and experience in use for clinical decision-making, Best Interest decisions, DOLS etc
Desirable criteria
- Demonstrable clinical experience of working in specialist Dementia services, Acute Frailty Unit (Frailty SDEC)
Qualifications
Essential criteria
- Registered General Nurse/Healthcare Professional , holding a first degree or equivalent experience.
- Current NMC/HPC Registration
- Proven evidence of on-going professional development and post-registration education at post-graduate level
Desirable criteria
- Sign-off mentor qualification
- Relevant teaching qualification/certificate
- Non-medical prescriber qualification or willing to work towards
Aptitude & Abilities
Essential criteria
- Good communication skills, with effectiveness in written and verbal communications
- Ability to lead, supervising and develop clinical practice – with resilience and flexibility to work alongside different teams
- Organisational skills - Ability to prioritise workload; Attention to detail; Time management skills.
- Demonstrate ability to access and critically appraise research evidence
- Ability to present written and verbal reports – presenting complex data and holding complex discussions
- Ability to develop professional and colleague networks across the health and social care community, showing clear leadership skills.
- Numerate and IT literate
Applicant requirements
You must have appropriate UK professional registration.
This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.
Documents to download
Further details / informal visits contact
- Name
- Zoe Grigson
- Job title
- Support Manager, Healthcare of the Elderly
- Email address
- [email protected]
- Telephone number
- 01752433420
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