Main Duties & Responsibilities: Clinical Advise on the care of people with dementia and their carers/families with complex care needs from peri diagnosis to post bereavement support Provide specialist nursing assessment, using the Admiral Nurse Assessment Framework for carers/families affected by dementia Provide a range of bio-psychosocial interventions to promote health and wellbeing for people with dementia and their carers/families Work collaboratively with other professionals to improve the identification and management of co morbidities and frailty for people with dementia and their carers/families Develop and support care plans for people with dementia and families including positive risk management Support people with dementia, carers/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 in clinics or via home visit if required Ensure the safeguarding of vulnerable adults and that all legal requirements relating to Mental Capacity Act 2005, Mental Health Act 1983 (amended 2007), and Deprivation of Liberty Safeguards (2009)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 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 care transitions and support people with dementia and their carers/families to reduce the frequency of crisis situations Ensure that care is delivered in accordance with relevant local and national guidelines and all relevant Dovercourt Surgery (as host employer) and the 6 PCNs involved in the project policies. Recognise the limits of own competency and professional boundaries and make appropriate and timely referrals to other services where required. Education & Support 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 support formal training events promoting best practice in end of life dementia care and disseminating Admiral Nursing work Provide mentorship, offer clinical expertise and act a role model on the delivery of evidence-based practice in dementia care within Dovercourt Surgery and the 6 PCNs involved in the project. Support the development and delivery of work streams as part of Dovercourt Surgerys (as the host employer) and the 6 PCNs involved in the project dementia strategy, where appropriate Work proactively with key local and national stakeholders to support integrated care pathways and holistic models of care, through dissemination of specialist skills and knowledge Support delivery of local policy and procedures for Dovercourt Surgery (host employer) and the 6 PCNs involved in the project to improve identification, assessment, ongoing support for people with dementia and their family carers.
Evaluation and Audit Support the audit and evaluation of quality improvements and initiatives aimed at improving the delivery of dementia care within Dovercourt Surgery and the 6 PCNs involved in the project, where appropriate to the role Collect quantitative and qualitative data to support the evaluation and audit of the Admiral Nurse Service Ensure information and data recorded is relevant, accurate, complete and captured in a contemporaneous manner Professional Ensure all nursing practice is carried out in accordance with the agreed policies and procedures of Dovercourt Surgery (the host employer) and the NMC Code Attend and actively participate in practice development, clinical supervision, and continuing professional development supported by Dementia UK and underpinned by the Admiral Nurse Competency framework 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 the development of policies, procedures and protocols relevant to dementia and Admiral Nursing within Dovercourt Surgery (the host employer and the 6 PCNs involved in the project. Ensure compliance with the clinical governance requirements of Dovercourt Surgery (host employer) and the 6 PCNs involved in the project. Maintain up-to-date knowledge of evidence-based recommendations on supporting people with dementia and their carers/families Maintain positive working relationships with Dementia UK