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Non-Medical Prescriber (OA-CMHT)

Hywel Dda University Health Board
£44,398 to £50,807 per annum
Closing date
26 Nov 2023
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. There are 3 posts available to cover Carmarthenshire, Pembrokeshire and Ceredigion.

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.

We would be willing to offer this post as an Annex 21 development .

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.

The post holder will be involved with key areas of practice and service development, and strengthen links with partner agencies in mental health and general care settings.

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 is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 11,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:o Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest o Seven community hospitals: Amman Valley and Llandovery in Carmarthenshire Tregaron, Aberaeron and Cardigan in Ceredigion and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire o 48 general practices (four of which are managed practices), 47 dental practices (including three orthodontic), 99 community pharmacies, 44 general ophthalmic practices (43 providing Eye Health Examination Wales and 34 low vision services) and 17 domiciliary only providers and 11 health centres o Numerous locations providing mental health and learning disabilities services o Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.

Job description

Job responsibilities

The ability to speak Welsh is desirable for this post English and/or Welsh speakers are equally welcome to apply.

This post is advertised as a Band 7, however applicants who do not currently hold all the necessary competencies to a Band 7 level are encouraged to apply and, if successful, will be appointed under Annex 21 rules whereby 75% of the top of Band 7 will be payable during the 12 months. Applicants would be supported to develop their competencies required to fulfil the role within 12 months. Following successful completion and successful attainment of skills and competences for the role, the post holder will then be paid at band 7 (minimum point on the scale). Failure to achieve the competencies in the designated timeframe could result in re-deployment.

Please outline your preferred area within your application.

Interviews to be held on 15-12-2023.

You will be able to find a full job description and person specification attached within the supporting documents.

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.

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Person Specification

Qualifications and Knowledge


  • 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).
  • Second Registered Nurse qualification.
  • Full masters qualification
  • Skills in co-ordinating complex care.



  • 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)

Employer details

Employer name

Hywel Dda University Health Board


Ceredigion Community


SY23 1ER

Any attachments will be accessible after you click to apply.


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