Job overview
The Lead Nurse will provide expert autonomous clinical practice whilst leading the strategic development, implementation and evaluation of an integrated Continence, Catheter and Intermittent Self-Catheterisation (ISC) Service across outpatient, community and interface services. The post holder will lead the redesign of bladder dysfunction pathways, ensuring equitable access to high-quality continence care for adults with complex lower urinary tract dysfunction, including patients requiring intermittent self-catheterisation following neurological injury, Cauda Equina Syndrome, spinal pathology, chronic urinary retention and other urological conditions. Working at an advanced level of clinical practice across the four pillars of Advanced Clinical Practice (Clinical Practice, Leadership & Management, Education and Research), the ACP will work autonomously to assess, diagnose, investigate, treat and manage patients whilst leading service transformation across the organisation. The role will provide expert leadership for catheter care, continence management, bladder rehabilitation and patient education, ensuring compliance with national guidance, NHS Long Term Plan priorities and GIRFT recommendations.
***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.***
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Key Dimensions:
Practise autonomously within scope of Advanced Clinical Practice by:
- Undertaking comprehensive advanced clinical assessment.
- Requesting and interpreting diagnostic investigations.
- Diagnosing lower urinary tract dysfunction.
- Managing complex bladder disorders.
- Prescribing independently where qualified.
- Developing holistic management plans.
- Performing advanced bladder assessment.
- Managing complex catheter-related complications.
- Managing patients with neurogenic bladder dysfunction.
- Leading independent continence clinics.
- Managing complex patients without direct medical supervision where appropriate
***Please note that applications from temporary workers who have been engaged with the Trust for a minimum of 3 months are welcome.
Available as a fixed term contract or secondment opportunity. (With current line manager's agreement). ***
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 manager for this post who will put you in touch with the recruitment team. 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
PRIMARY DUTIES & AREAS OF RESPONSIBILITY
Develop comprehensive pathways for:
- Continence assessment
- Catheter management
- Trial Without Catheter (TWOC)
- Female ISC
- Male ISC
- Suprapubic catheter management
- Long-term catheter review
- Neurogenic bladder
- Cauda Equina Syndrome
- Community catheter services
- GP referral pathways
- Community rehabilitation
- Pelvic Health Services
Develop:
- Standard Operating Procedures
- Clinical Guidelines
- Care Pathways
- Referral Criteria
- Patient Group Directions (where appropriate)
- Electronic documentation
- Digital referral systems
- Patient education resources
Ensure seamless transition between:
- Acute Care
- Outpatients
- Community Services
- Primary Care
- Rehabilitation Services
Develop competency frameworks for:
- Female ISC
- Male ISC
- Neurogenic bladder
- Learning disability adaptations
- Neurodivergent patients
- Patients with reduced dexterity
- Patients requiring assisted ISC
COMMUNICATIONS & WORKING RELATIONSHIPS
Work collaboratively with:
- Neurosurgery
- Orthopaedics
- Neurology
- Rehabilitation Medicine
- Physiotherapy
- Community Continence Teams
- Specialist Urology Services
*** See JD for full job details
PLEASE NOTE THAT ALL COMMUNICATION WILL BE ELECTRONIC, PLEASE CHECK YOUR EMAIL ACCOUNT REGULARLY INCLUDING YOUR JUNK FOLDER.
If you need support with the online application process or require reasonable adjustments with the application and/or interview process please contact the Recruiting Manager for this post.
We recognise that work life balance is important for our colleagues and so we invite requests from applicants about less than full time/flexible working for our advertised roles. We recommend contacting the manager of the role prior to applying and we commit to giving requests full consideration.
We welcome and encourage applicants who identify with all protected characteristics to apply for our roles. We believe that diversity strengthens our teams and improves our patients' experience. At UHP we aim to create an inclusive workplace and hospital where everyone feels they belong and included.
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.
Providing false information is an offence & could result in the application being rejected or summary dismissal/police action if an applicant is successful.
Please note that if you are successful in your application & accept the position you agree that the Staff Health and Wellbeing Department can access your health records from your current/previous employer in order to check the status of your inoculations & screening tests. This is an automated process & the information will only be used for these purposes prior to your taking up the position with us.
For Doctors Roles:
Unsolicited CVs and Candidate Profiles/Details
University Hospitals Plymouth has a commitment to sourcing candidates directly and as such we do not accept speculative CVs from agencies.
We do, however, work with a defined list of preferred HTE Framework suppliers who may be invited to support us in sourcing candidates for particular roles.
In line with our preferred supplier list, we only pay agency fees where we have a signed agreement in place and an agency has been instructed by a member of the Trust’s Medical Workforce team.
We do not pay agency fees where speculative and unsolicited CVs are submitted to the Trust or Trust employees by any other means than the official route above. Where this is not observed the Trust reserves the right to contact these candidates directly and initiate discussions without payment of any agency fee.
Any candidate details (whether written or spoken) or CVs that are referred directly will not constitute an introduction. The Trust will under no circumstances be responsible for any recruitment fees in relation to these contacts.
Submission of any unsolicited CVs, candidate’s details and/or proposals to the Trust will not be considered further and will be deemed evidence of full and unlimited acceptance of this Agency Protocol.
In order to establish and maintain good working relationships with the Trust’s agency suppliers, we ask that this Protocol is adhered to and thank you for your co-operation.