Job summary
The Advanced Clinical Practitioner (ACP) (or equivalent) will 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.

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). ***

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.

Job 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

Person Specification
Knowledge and Experience
Essential

• Recent demonstrable experience in Urology
• Demonstrable management ability and leadership experience
• Excellent clinical and practical skills
• Demonstrable experience of education and supervision
• Proven advanced clinical skills

Desirable

• Proven EPIC knowledge
• Proven awareness of functional urological procedures

Qualifications
Essential

• Primary Nurse or AHP qualification
• Prescribing qualification (or working towards)
• Education/Mentorship course or willing to complete
• Proven evidence of relevant, recent study.

Desirable

• Management/Leadership training
• Teaching qualification

APTITUDE & ABILITIES
Essential

• Excellent communication skills
• Proven ability to communicate with patients and their families in an empathetic manner regarding treatment and procedures
• Proven ability to recognise and analyse complex situations
• Independent and autonomous practitioner
• Proven effective communication skills

Desirable

• Willingness to develop new protocols

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.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement.
Applicants must have current UK professional registration.