Lead NurseNHS

Job summary

The Lead Nursewill 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.***

Main duties of the job

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). ***

Job description

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

About us

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.