To work autonomously as a specialist practitioner within a locality to assess, diagnose, including differential diagnosis, to manage and agree a care plan in partnership with the patient through clinical reasoning, taking into account the risks that are associated with working in a community setting. The role focuses on patients in the community and in Nursing and Residential homes requiring continence advice and advice for correct products according to their needs Undertake specialist continence assessments and re-assessments of patients affected by bladder and/or bowel conditions in line with national and local guidelines, policies, procedures and pathways. Interpret bladder and bowel charts accurately to identify patient problems and implement effective treatment. Undertake diagnostics tests such as bladder volume, ultrasonic residual urine evaluation and urinalysis Undertake nursing procedures such as digital rectal examination, vaginal examination and catheterisation. Specialist Nurses have advisory, clinical caseload and teaching responsibilities on an equal basis in order to fulfil the role. This includes: Provision of expert advisory and consultative services to health care professionals across the community and primary and secondary care settings.