Job summary Job Purpose Contribute to the control of incontinence products and prescribing expenditure by providing evidence-based continence promotion and effective communication within and outside the team. Support and promote continence education to carers and nursing staff in care homes and monitor and authorise continence products. Contribute to continence product budget, monitoring of spend and authorisation of continence products Contribute to staff and patients' education and a culture focused on continence promotion and self-care. Demonstrate highly developed clinical nursing skills and act as clinical advisor and educator to junior staff and have overall responsibility for clinical care in a designated area. Accept complex referrals from community nursing team leaders in the designated area which are outside the competency of the team, or which may impact on the capacity of the team to deliver care to other patients. Main duties of the job To be responsible for providing practical teaching support across the caseloads to improve staff's clinical competency and support community nursing team leaders to ensure team members, pre and post registration students are knowledgeable about continence promotion Conduct regular caseload profiling and contribute to community health needs assessment, agreeing health improvement priorities and the specific contribution of the community nursing service in collaboration with GP practices, caseload nursing and AHP managers. Set and monitor objectives and targets for team activities with team members. Responsible for the day-to-day management, quality and risk and performance of the continence service delivery. To support the CTL, Head of Nursing in delivering high quality care that delivers best value, and to monitor and evaluate the quality-of-care provision, identify and promote areas for service development in accordance with trust, service and team requirements. To work within and across professional and organisational boundaries, liaising with GP's other professionals and statutory and voluntary agencies to deliver integrated, individualised and expert nursing care to a high standard to client, and leading communication with all stakeholders to avoid admission to hospital and to facilitate safe early discharge from hospital. About us We providecommunity health services to more than two million people across eleven London boroughs and Hertfordshire. Every day, our professionals provide high-quality healthcare in people's homes and local clinics, helping them to: stay well manage their own health with the right support avoid unnecessary trips to, or long stays in, hospital. We support our patients at every stage of their lives, providing health visiting for new-born babies through to community nursing, stroke rehabilitation and palliative care for people towards the end of their lives. Our vision: deliver great care closer to home. Our mission : working together to give children a better start and adults greater independence Date posted 25 February 2025 Pay scheme Agenda for change Band Band 7 Salary £26.30 an hour Weekly pay will include: Basic pay HCAS 12.07% Holiday pay Contract Bank Working pattern Full-time, Part-time, Flexible working Reference number 824-BANK-LIT1389 Job locations Merton Civic Centre, London Rd Morden SM4 5DX Job description Job responsibilities 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. Job description Job responsibilities 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. Person Specification Education/Qualification Essential RGN Diploma/degree in Nursing Mentorship qualification Post graduate diploma/degree in specialist nursing area relevant to the post. Non-medical Prescriber (V100/150/200 minimum) Desirable Extended or Independent non-medical Prescriber (V300) Physical assessment course or similar. Experience Essential 1 years' experience in specialist area Knowledge of, and ability to interpret and apply all relevant trust and professional policies, procedures and guidelines Knowledge of processes involved in health and social policy development and of current policies and their impact on community nursing services. Knowledge of the physical, social, emotional, psychological, mental, cultural and societal effects of ageing, disability, and chronic ill health, and ability to assess an individual's needs and behaviours and plan care within this broad context. Autonomous practitioner Desirable Facilitating meetings and groups research projects or involvement within research/audit Experience in community/primary care setting Skills and Knowledge Essential Able to demonstrate highly developed clinical practice using fine motor dexterity and mental accuracy to undertake and adjust treatments. Teaching and assessing junior staff and post graduate students Communication skills e.g. - Liaison, complex negotiation, counselling skills. Health Promotion and Health Education IT skills - e-mail, basic word processing, ability to search inter and intranet. Rio data systems Person Specification Education/Qualification Essential RGN Diploma/degree in Nursing Mentorship qualification Post graduate diploma/degree in specialist nursing area relevant to the post. Non-medical Prescriber (V100/150/200 minimum) Desirable Extended or Independent non-medical Prescriber (V300) Physical assessment course or similar. Experience Essential 1 years' experience in specialist area Knowledge of, and ability to interpret and apply all relevant trust and professional policies, procedures and guidelines Knowledge of processes involved in health and social policy development and of current policies and their impact on community nursing services. Knowledge of the physical, social, emotional, psychological, mental, cultural and societal effects of ageing, disability, and chronic ill health, and ability to assess an individual's needs and behaviours and plan care within this broad context. Autonomous practitioner Desirable Facilitating meetings and groups research projects or involvement within research/audit Experience in community/primary care setting Skills and Knowledge Essential Able to demonstrate highly developed clinical practice using fine motor dexterity and mental accuracy to undertake and adjust treatments. Teaching and assessing junior staff and post graduate students Communication skills e.g. - Liaison, complex negotiation, counselling skills. Health Promotion and Health Education IT skills - e-mail, basic word processing, ability to search inter and intranet. Rio data systems 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 Central London Community Health Trust Address Merton Civic Centre, London Rd Morden SM4 5DX Employer's website https://clch.nhs.uk/ (Opens in a new tab)