ACP Continence, Intermittent Self-Catheterisation

Job overview

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). ***

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

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.