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Advanced Clinical Practitioner - Dementia and Delirium Lead (Annex 21)

Mersey and West Lancashire Teaching Hospitals NHS Trust

Prescot, L35 5DR £57,528 – £64,750 a year Permanent Posted 21 August 2026 Apply by 20 September 2026

Home Office register entry: Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot

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Role description

Job summary

Please note, Job Description and Person Specification are pending AfC approval.

Are you an experienced, skilled and passionate leader looking to make a profound impact on care?

We are seeking an exceptional Advanced Clinical Practitioner to join our specialised team, focusing on assessment, management and care of patients experiencing dementia and delirium.

This is a fantastic opportunity to lead and shape the future of dementia and delirium, whilst working with a dynamic and committed team of clinicians, AHP's and operational teams across the Department of Medicine for Older people.

As an Advanced Clinical Practitioner, you will operate as a clinical expert, providing high - quality person centred care for patients with complex cognitive needs. You will work autonomously and collaboratively across multi-disciplinary teams to improve patient outcomes, reduce lengths of stay and prevent avoidable admissions.

This post may be offered under Annex 21 AfC Terms & Conditions, subject to experience, competency and suitability.

Main duties of the job

The post holder will be an integral part of the clinical management team, demonstrating advanced autonomous clinical practice skills across MWL, the post holder will act as the lead for the Dementia and Delirium team across MWL

Acting within their professional boundaries, they will demonstrate safe, clinical decision-making skills and will manage their own caseload including the treatment and care of patients from initial history taking, assessment, diagnosis, treatment, and evaluation of care for people presenting with Dementia and / or Delirium.

key responsibilities:

Expert Clinical Practice - Conduct comprehensive advanced assessments for older patients presenting with cognitive impairment, formulate evidence-based management plans for complex dementia patients.
Leadership and Innovation - Act as a clinical role model, driving quality improvement initiatives and implementing best practice guidelines across the service & provide line management for the D&D team across MWL.
Education & Mentorship - Provide Specialist training, education and mentorship to nursing staff, allied health professionals and medical teams to enhance organisation wide understanding of cognitive impairment.
Collaborative Care - Partner closely with families, carers psychiatric liaison teams and community services to ensure seamless, holistic patient care.

About us

Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 10,500 dedicated and skilled staff across 21 sites.

Our services:

Acute Care

Providing emergency and maternity services at Whiston, Southport and Ormskirk hospitals, and medical and surgical specialties across all our sites.

Primary Care

Providing primary care services at Marshalls Cross Medical Centre situated in St Helens Hospital.

Community Services

Providing adult community services for St Helens and a wheelchair service in Chorley, South Ribble, and West Lancashire. Our inpatient unit at Newton Community Hospital is where patients needing acute hospital beds can continue rehabilitation. We also provide urgent care at our Urgent Treatment Centre located in St Helens town centre.

Specialist Regional Services

We provide the Mersey Regional Burns & Plastic Surgery Unit at Whiston Hospital and the Spinal Injuries Unit at Southport Hospital to more than 4 million people across the whole of Merseyside, West Lancashire, Cheshire, Isle of Man and North Wales.

Achievements:

Rated Outstanding by CQC Inspection August 2018
Top 100 places to work in the NHS (NHS Employers & Health Service Journal)
National Preceptorship Accreditation (2023) for Nursing & AHP Preceptorship Programme.

Date posted

21 August 2026

Pay scheme

Agenda for change

Band

Band 8a

Salary

£57,528 to £64,750 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

409-S8183160

Job locations

Whiston Hospital

Warrington Road

Prescot

L35 5DR

United Kingdom

Job description

Job responsibilities

Please find attached Job Description and Person Specification for main responsibilities and requirements.

Person Specification

Our Values

Essential

We are Kind
We are Open
We are Inclusive

Qualifications

Essential

Registered senior clinician with current NMC / HPC registration
MSc Advanced Practice / actively working towards
Independent / supplementary nursing prescribing - V300
Clinical Assessment & Diagnostics Qualification
Portfolio of evidence demonstrating up to date achievement of required competencies for advanced practitioner practice
Evidence of on-going professional study and personal development
ALS provider or willing to work towards

Desirable

Leadership qualification
NMC Specialist Community Practitioner Qualification
Teaching/assessing/NMC Mentorship Qualification
ALS Instructor

Knowledge and Experience

Essential

Awareness of local and national targets and policies/guidelines
IT competent
Ability to manage and prioritise own workload and assist junior clinical staff in managing theirs
Demonstrates experience in elderly Medicine & in-depth Dementia and Delirium pathology
Change management experience
Ability to performance advanced clinical procedures
Advanced clinical assessment and diagnostic skills
Significant advanced clinical diagnostic skills (e.g. ABG's, CXRs, laboratory investigations)
Ability to formulate differential diagnosis, initiate appropriate treatment and evaluate effectiveness.
Experience and evidence of working collaboratively in a multidisciplinary environment.
Evidence of effective leadership, practice development, expertise and innovation in clinical practice
Experience of clinical practice benchmarking
Highly motivated and experienced practitioner
Ability to work as an independent practitioner
Manage complex and competing issues remaining calm under pressure
Experience of nurse triage including telephone triage

Desirable

Clinical risk management and governance experience
Audit and research experience
Extensive experience in related older people's specialty & in Dementia and Delirium management
Experience of working within the NHS

Skills

Essential

Ability to influence and work across professional boundaries
Advanced ability to disseminate sensitive information
Demonstrate an ability to lead and motivate individuals and teams
Ability to present all work in a clear and concise manner appropriate to the target audience
Ability to manage conflict, effective negotiation skills

Desirable

Advanced Procedural skills

Other

Essential

Commitment to own professional development acknowledging own limitations

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.

Certificate of Sponsorship

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.

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.