Job summary An exciting development opportunity has arisen for an Adult Continence Advisor to join our vibrant and hard-working team at Mersey and West Lancashire Teaching Hospital NHS Trust. We are looking for an enthusiastic healthcare professional, with substantial experience in Continence Promotion. The successful candidate is expected to be highly motivated, dedicated with a passion for excellence in patient care, along with excellent communication organisational skills. An Enhanced DBS with barred lists for both Adults & Children is required for this. Main duties of the job The post holder will play a key role in delivering a high quality of nursing through assessing, planning and evaluating care for all clients. To give expert, autonomous advice and implement care in an area that requires highly specialist knowledge and skills. To work alongside a range of clinical colleagues to maximise patient care and experience. To assess, plan, implement and evaluate programmes of evidence-based nursing care to the patients of St Helens. To promote continence and provide specialist assessment and diagnostic intervention enabling treatment and management packages of care for patients with bladder and bowel dysfunction. To provide specialist advice and training on the promotion of continence for individual patients, staff and carers as required. Act as an expert resource to other professionals, patients and carers About us Mersey and West Lancashire Teaching Hospitals NHS Trust serves a population of over 600,000 with a workforce of over 9000 dedicated and skilled staff across 21 sites. We strongly believe that the communities we serve should all have access to Five Star Patient Care. 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, freeing up space for more unwell patients. 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 23 October 2024 Pay scheme Agenda for change Band Band 6 Salary £37,338 to £44,962 a year Per Annum, Pro Rata Contract Permanent Working pattern Part-time Reference number 409-6714894 Job locations Fingerpost Health Centre Atlas Street St Helens WA9 1LN Job description Job responsibilities KEY DUTIES To provide expert advice and act as a specialist resource on bladder and bowel dysfunction to patients, care home staff, primary care staff, GPs, social service staff, nursing staff, voluntary services and the general public. Professionally responsible and accountable for own caseload of patients, prioritising and being aware of service needs. To perform comprehensive continence assessments of patients within Nursing, Residential Homes, Patients Homes and Clinics. As an autonomous practitioner develop and provide specialised care by initiating, interpreting and acting upon information from bladder and bowel diaries, symptom profiles, portable ultrasound, digital rectal examination and urinalysis in the assessment of complex patients. To act as the first point of access for patients with bladder and bowel dysfunction and make onward referrals to specialist professionals as appropriate. To work collaboratively with other professionals and agencies towards developing an integrated continence service across primary and secondary care to ensure that patients needs are met. To contribute to the delivery of objectives identified in the current NICE guidelines. To develop and maintain a body of evidence based/research information on which current practice and advice should be based. To contribute towards the development of policies, guidelines and care pathways for continence care using evidence based practice. To participate and engage in research as required including ongoing clinical audit at local and national level. To actively contribute to the clinical governance agenda for the organisation and implement agreed standards of care, participating in the monitoring of quality and standards through evaluation and clinical audit. Work collaboratively and co-operatively with clinical colleagues to develop services and quality of care delivered Support the Lead Nurse in the development of services within the professional field CLINICAL & PROFESSIONAL RESPONSIBILITIES Perform comprehensive assessment of nursing needs, plan, implement and evaluate care according to changing health care needs Maintain and utilise advanced clinical skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of the patient. Involve patients, carers &/or relatives in the planning and delivery of care and the development of services Work collaboratively with other professionals and agencies to ensure patient needs are met. Establish and maintain effective communication with patients and carers/relatives and professionals across health and social care services Contribute to the health promotion agenda within the local health economy Provide expert clinical knowledge to patients carers Responsible for the development of guidelines and policies relating to own area of practice Promote peoples equality and diversity and rights, acting as the patients advocate Provide evidence of maintenance of their professional registration and revalidation with the NMC (Nursing & Midwifery Council) and work in line with the NMC Code of Conduct ADMINISTRATIVE RESPONSIBILITIES Collect, collate, evaluate and report a range of information, maintaining accurate and contemporaneous clinical records. Monitoring, auditing and reporting the effectiveness of the service against agreed targets and be responsible for supporting the development and implementation of service initiatives. Collect, collate, interpret and report a range of activity to key stakeholders Record contact with patient on computer softwar TEACHING & TRAINING RESPONSIBILITIES Provide expert advice and clinical practice Provide specialist education and training to others Identify learning needs, plan implement and evaluate training programmes Participate in the education of pre and post registration nurses, AHPs and medical staff and participate in curriculum development where appropriate to the post Identify own training needs and take steps to address them LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES Undertake clinical supervision Conduct annual appraisals for junior staf FINANCIAL RESPONSIBILITY Ensure the effective and efficient use of physical and financial resources: make recommendations regarding supplies and equipment RESEARCH & AUDIT Evaluate service delivery against key performance targets and national quality measures. Identify areas for improvement and initiate change Identify the need for and participate in research, audit and clinical trials in order to improve outcomes for patients Disseminate research and audit findings through a range of methods including presentations and publication Job description Job responsibilities KEY DUTIES To provide expert advice and act as a specialist resource on bladder and bowel dysfunction to patients, care home staff, primary care staff, GPs, social service staff, nursing staff, voluntary services and the general public. Professionally responsible and accountable for own caseload of patients, prioritising and being aware of service needs. To perform comprehensive continence assessments of patients within Nursing, Residential Homes, Patients Homes and Clinics. As an autonomous practitioner develop and provide specialised care by initiating, interpreting and acting upon information from bladder and bowel diaries, symptom profiles, portable ultrasound, digital rectal examination and urinalysis in the assessment of complex patients. To act as the first point of access for patients with bladder and bowel dysfunction and make onward referrals to specialist professionals as appropriate. To work collaboratively with other professionals and agencies towards developing an integrated continence service across primary and secondary care to ensure that patients needs are met. To contribute to the delivery of objectives identified in the current NICE guidelines. To develop and maintain a body of evidence based/research information on which current practice and advice should be based. To contribute towards the development of policies, guidelines and care pathways for continence care using evidence based practice. To participate and engage in research as required including ongoing clinical audit at local and national level. To actively contribute to the clinical governance agenda for the organisation and implement agreed standards of care, participating in the monitoring of quality and standards through evaluation and clinical audit. Work collaboratively and co-operatively with clinical colleagues to develop services and quality of care delivered Support the Lead Nurse in the development of services within the professional field CLINICAL & PROFESSIONAL RESPONSIBILITIES Perform comprehensive assessment of nursing needs, plan, implement and evaluate care according to changing health care needs Maintain and utilise advanced clinical skills to analyse and interpret history of illness, presenting symptoms and physical findings to enable diagnosis, planning and treatment of the patient. Involve patients, carers &/or relatives in the planning and delivery of care and the development of services Work collaboratively with other professionals and agencies to ensure patient needs are met. Establish and maintain effective communication with patients and carers/relatives and professionals across health and social care services Contribute to the health promotion agenda within the local health economy Provide expert clinical knowledge to patients carers Responsible for the development of guidelines and policies relating to own area of practice Promote peoples equality and diversity and rights, acting as the patients advocate Provide evidence of maintenance of their professional registration and revalidation with the NMC (Nursing & Midwifery Council) and work in line with the NMC Code of Conduct ADMINISTRATIVE RESPONSIBILITIES Collect, collate, evaluate and report a range of information, maintaining accurate and contemporaneous clinical records. Monitoring, auditing and reporting the effectiveness of the service against agreed targets and be responsible for supporting the development and implementation of service initiatives. Collect, collate, interpret and report a range of activity to key stakeholders Record contact with patient on computer softwar TEACHING & TRAINING RESPONSIBILITIES Provide expert advice and clinical practice Provide specialist education and training to others Identify learning needs, plan implement and evaluate training programmes Participate in the education of pre and post registration nurses, AHPs and medical staff and participate in curriculum development where appropriate to the post Identify own training needs and take steps to address them LINE MANAGEMENT/SUPERVISORY RESPONSIBILITIES Undertake clinical supervision Conduct annual appraisals for junior staf FINANCIAL RESPONSIBILITY Ensure the effective and efficient use of physical and financial resources: make recommendations regarding supplies and equipment RESEARCH & AUDIT Evaluate service delivery against key performance targets and national quality measures. Identify areas for improvement and initiate change Identify the need for and participate in research, audit and clinical trials in order to improve outcomes for patients Disseminate research and audit findings through a range of methods including presentations and publication Person Specification Qualifications Essential RGN Teaching & Assessing qualification Desirable Relevant Degree Non-medical Prescribing qualification Clinical examination qualification Knowledge & Experience Essential Substantial years clinical experience Desirable Participation in service improvement and managing change Experience of teaching and assessing in the clinical area Experience of participation in research and audit Wide variety of nursing experience including experience in the field of continence promotion Skills Essential Competent to undertake male and female urethral catheterisation Able to manage workload autonomously To demonstrate good communication skills in a variety of settings due to sensitivity of the patient group Proficient in the use of computers and applications e.g. WORD, EXCEL, Power point Current knowledge and understanding of NHS national policy and professional issues related to the area of work Good presentation skills Ability to work within team setting supporting lead nurse deputising when necessary Ability to travel independently across St Helens area Desirable Independent skills to undertake clinical examinations eg bladder scanning, pelvic floor assessment, digital rectal examination / willing to work towards Person Specification Qualifications Essential RGN Teaching & Assessing qualification Desirable Relevant Degree Non-medical Prescribing qualification Clinical examination qualification Knowledge & Experience Essential Substantial years clinical experience Desirable Participation in service improvement and managing change Experience of teaching and assessing in the clinical area Experience of participation in research and audit Wide variety of nursing experience including experience in the field of continence promotion Skills Essential Competent to undertake male and female urethral catheterisation Able to manage workload autonomously To demonstrate good communication skills in a variety of settings due to sensitivity of the patient group Proficient in the use of computers and applications e.g. WORD, EXCEL, Power point Current knowledge and understanding of NHS national policy and professional issues related to the area of work Good presentation skills Ability to work within team setting supporting lead nurse deputising when necessary Ability to travel independently across St Helens area Desirable Independent skills to undertake clinical examinations eg bladder scanning, pelvic floor assessment, digital rectal examination / willing to work towards 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information 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. UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name Mersey and West Lancashire Teaching Hospitals NHS Trust Address Fingerpost Health Centre Atlas Street St Helens WA9 1LN Employer's website https://www.merseywestlancs.nhs.uk/ (Opens in a new tab)