Non-Medical Prescriber (OA-CMHT)

NHS; Carmarthen; On-site; GBP 100,000 - 125,000; Full time

Job summary

A UK health service provider is seeking experienced nurses for a specialized role focusing on dementia care in Carmarthen. Applicants should possess a Registered Nurse qualification and have experience working with older adults. The role involves leading care pathway development, conducting urgent patient assessments, and providing holistic evaluations to improve patient outcomes. Candidates interested in a supportive environment to gain further qualifications are encouraged to apply.

Benefits

Support for professional development

Flexible working hours

Qualifications

• Registered Nurse qualification is essential.
• Experience with older adults and dementia care is required.
• Non-Medical Prescribing qualification is desirable.

Responsibilities

• Lead on the development of care pathways for dementia patients.
• Conduct rapid response assessments for registered patients.
• Perform holistic assessments and make medication recommendations.

Skills

Therapeutic interaction skills

Care program evaluation

Complex care coordination

Written communication standards

Education

Registered Nurse (Mental Health)

Job description

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 developmentof 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 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 24 months and will be appointed under the All Wales Annex 21 rules.

This means they will be supported by a development plan. During the first year payment will be 70% of the top of Band 7 payscale and 2nd year will be 75% of the top of Band 7 payscale.

Following successful completion of the Non-Medical Prescribing qualification (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 22/12/2025

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

• Registered Nurse (Mental Health)
• 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
• Skills in co‑ordinating complex care

Experience

• 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
• Experience of delivering clinical interventions in a hospital / community setting

Language Skills

• Welsh Speaker (Level 1)

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.