Band 6 Bladder & Bowel Clinical Specialist

The Specialist Clinician will work with the Bladder and Bowel Service and will assist in shaping the future delivery of Bladder and Bowel care and treatment across Birmingham Community Health Care NHS Foundation Trust.
They will undertake the clinical assessment, supervised diagnosis, planning, implementation and treatment of patients with bladder and bowel dysfunction and evaluate individualized programmes of care for patients with mild to moderate bladder and bowel care needs They will be clinically supported in the management of patients with complex benign and neurological bladder and bowel dysfunction.
They will support and guide patients, carer's, relatives and fellow health care professionals with fundamental components of bladder and bowel dysfunction treatment and management and will be confident and competent in providing information, advice and psychological support.
They will be required to take responsibility for prioritizing their own workload and caseload along with identifying and reporting areas of risk management concern.
The post holder will support the Clinical Team Leaders and Team in all aspects of service delivery, development and training and play an active role in the implementation of standards and associated national and trust guidelines., + Make a differential diagnoses
+ Assess, treat and evaluate a variety of Bladder and Bowel dysfunctions
+ Assimilate and interpret with support clinical findings to make appropriate decisions in relationship to diagnosis and treatment of dysfunction
+ Set appropriate treatment goals in collaboration with the patient
+ Set appropriate treatment goals with due regard to NICE guidelines
+ Assess the condition of skin and refer to tissues viability team as appropriate
+ Perform vaginal examination and teaching of pelvic floor exercises including use of biofeedback and electrostimulation.
+ Perform bladder sonography were required to establish presence of retention / manage side effects of drug therapy.
+ Teach self catheterisation to patients and carers if required
+ Teach and support patients and carers with rectal irrigation and bowel management regimes.
+ Prescribe appropriate medication to patients requiring treatment with anticholinergic therapies, antibiotic treatment.
+ Implement skin care measures to prevent infection and maintain integrity of the patient's skin
+ Implement and monitor agreed protocols developed for rapid and effective treatment of acute and recurrent urinary tract infections.
+ Carry out female, male and suprapubic catheterisation when patient condition requires this., · Please ensure you check your TRAC account regularly as this is how we will communicate with you during the shortlisting and selection process.
· Please ensure all sections of the application form are completed fully. Please particularly ensure that you provide full details of all referees including BUSINESS EMAIL ADDRESS, telephone contact details and postal address
Be Part of Our Team...
Birmingham Community Healthcare NHS Foundation Trust (BCHC) has more than 5000 staff working across Birmingham and the West Midlands in a wide range of community nursing and specialist healthcare roles. BCHC delivers over 100 clinical services, in people's homes, health centres, clinics and inpatient facilities. We deliver a wide range of services for children, young people, parents and families as well as adults and community services, two community hospitals, services for people with learning disabilities, the internationally recognised West Midlands Rehabilitation Centre and one of Europe's leading Dental Hospitals and School of Dentistry. We deliver all of this with a commitment to integrated, personalised care that is rooted in our local communities. We have an ambition to deliver outstanding, integrated care as one of the key NHS providers in the West Midlands.
If you want to 'Be Part of Our Team' and work with a Foundation Trust which is continuously striving for better care and healthier communities, we want to hear from you., They will undertake the clinical assessment, supervised diagnosis, planning, implementation and treatment of patients with bladder and bowel dysfunction and evaluate individualized programmes of care for patients with mild to moderate bladder and bowel care needs They will be clinically supported in the management of patients with complex benign and neurological bladder and bowel dysfunction.
They will be required to take responsibility for prioritizing their own workload and caseload along with identifying and reporting areas of risk management concerns.
Work in accordance with the NMC code of professional conduct or similar professional body.
The Bladder and Bowel specialist Clinician will be responsible and accountable for the direct delivery of a clinical caseload in either a clinic setting or the community.
Undertake holistic assessments of patients with Bladder and Bowel dysfunction using up to date knowledge and skills- including physical examination and bladder ultrasonography and interpretation of results in planning care.
Plan, implement and evaluate care ensuring patient safety at all times.
Ensure patient/carers are provided with relevant written information regarding their plan of care.
Provide clinical care that is evidence-based and appropriate to the needs of the patient
Refer to other professionals for any specialist support that the patient may require as appropriate
Be able to promote patient autonomy through education and support so that an individual can make informed decisions about their care
Act as the support and contact for individual patient care management between other agencies
Communicate effectively and support clients and their carers when dealing with embarrassing and distressing situations caused by their bladder and / or Bowel dysfunction. Demonstrating sound empathic interpersonal and communication skills in dealing with patients and carers through the patient pathway
Adhere to trusts medicines management guidelines when independently prescribing medication and appliance.
The Specialist Bladder and Bowel dysfunction Clinician with the support of the Advanced Bladder and Bowel Clinical Lead and team will work towards developing skills in order to:
+ Triage patients with undiagnosed cause for their bladder or bowel dysfunction onto the caseload
+ Make a differential diagnoses
+ Assess, treat and evaluate a variety of Bladder and Bowel dysfunctions
+ Assess the impact of dysfunction on patients and or carers
+ Assimilate and interpret with support clinical findings to make appropriate decisions in relationship to diagnosis and treatment of dysfunction
+ Set appropriate treatment goals in collaboration with the patient
+ Assess the condition of skin and identify need for onward referral
+ Assimilate and interpret clinical findings to make appropriate decisions in relationship to bladder and or bowel dysfunction
+ Set appropriate treatment goals with due regard to NICE guidelines
+ Assess the condition of skin and refer to tissues viability team as appropriate
+ Accurately measure bladder volume and nature of dysfunction using recognised bladder diaries
+ Assess the degree and extent of bowel dysfunction using recognised tools.
+ Assess the symptom profile to accurately identify the type of bladder dysfunction as described by International Society for Incontinence.
+ Assess the degree and extent of bladder and bowel dysfunction and plan appropriate care in line with NICE approved pathways.
+ Identify any complex factors which may predispose the patient to the bladder and bowel problems or affect treatment outcomes
+ Assess the level of patient quality of life and symptom severity score using recognised tools i.e. global outcomes, ICIQ symptom specific scores.
+ Provide specialist intervention for patients requiring condition guided treatment.
+ Perform vaginal examination and teaching of pelvic floor exercises including use of biofeedback and electrostimulation.
+ Perform bladder sonography were required to establish presence of retention / manage side effects of drug therapy.
+ Teach self catheterisation to patients and carers if required
+ Teach and support patients and carers with rectal irrigation and bowel management regimes.
+ Prescribe appropriate medication to patients requiring treatment with anticholinergic therapies, antibiotic treatment.
+ Implement skin care measures to prevent infection and maintain integrity of the patient's skin
+ Implement and monitor agreed protocols developed for rapid and effective treatment of acute and recurrent urinary tract infections.
+ Carry out female, male and suprapubic catheterisation when patient condition requires this.
+ Assess patients for continence aids working alongside occupation health and physiotherapy services.
+ Where treatment is not appropriate assess patients for containment products to ensure patients dignity and quality of life. Identify timely review and reassessment.
+ The above skills will be clinically accountable to the Team Manager and Clinical Lead
Contribute to research as requested.
Be confident and competent to actively participate with and fulfil all data collection requirements
Maintain own CPD in relation to knowledge of Bladder and Bowel research and developments
Act as a role model and provide mentorship to Junior Staff and those undergoing training
Be proactive in teaching service users techniques to self-manage their Bladder and Bowel dysfunction
Participate in the induction of new trust staff
Provide advice, guidance to other professionals within the scope of your knowledge, skill and experience
Support the Bladder and Bowel Clinical Lead and team in the delivery of a trust wide teaching programs
Meet competencies as identified in the PDR/KSF as discussed with Lead Bladder and Bowel Clinician Specialist for your team.
Be prepared to undertake a disease specific course; further training if necessary in relevant areas related to Bladder and Bowel dysfunction and keep up to date qualification review requirements., To undertake other duties commensurate with this grade of post in agreement with the relevant line manager.
To establish effective working relation with the following work collaboratively with community and acute trust multi-disciplinary teams, General Practitioners, Community Nurses, AHP's particularly physiotherapy and occupation health, residential care home staff.

The Bladder and Bowel dysfunction specialist nurse must possess a prescribing qualification, have completed the Trust Continence care course and be working towards recognised Bladder and Bowel dysfunction qualifications.

Birmingham is a fantastic place to live and we serve a wide range of people and communities. BCHC are an advocate of diversity and strive to mirror the community we serve as much possible.

We are committed to and actively promote equality of opportunity for all staff and applications from individuals from all areas of the community who meet the specific criteria are encouraged regardless of age, disability, sex, gender reassignment, sexual orientation, pregnancy and maternity, race, religion or belief and marriage/civil partnerships.
Promoting Workforce Equality
In response to data held by BCHC which demonstrates that individuals from particular protected characteristics are under-represented, BCHC are striving to redress these imbalances. In order to do this, the Trust is committed to the employment and career development of individuals with these protected characteristics. As part of this commitment and given this under-representation, the Trust guarantees an interview to any applicants from under-represented groups for positions at Band 8a and above whose application meets the essential criteria for the post as detailed on the Person Specification.
The Trust is currently under-represented in terms of people who identify as Black, Minority Ethnic (BME) and welcomes applicants from these communities. Selection will be on the basis of merit. In order to ensure the diversity of our workforce and understand the differing needs of our communities, the Trust is committed to the principles of Positive Action.
Flexible Working
Birmingham Community Healthcare NHS Foundation Trust (BCHC) supports a variety of flexible working practices and, where possible (given our range of services and community settings) dependent upon the requirements associated with the role, will actively consider requests made and support these where practically possible. This may include hybrid patterns of working to enable colleagues to request the flexibility of a mixture of home/base working.
In accordance with the NHS People Promise, the Trust is committed to facilitating a healthy work/life balance that is essential to health and wellbeing and to making BCHC a 'Great Place to Work'. We will be happy to discuss and consider all requests relating to working patterns and hours at your interview so please do ask!
Benefits of working for us:
+ Full NHS terms and conditions including extensive holidays, Agenda for Change pay with enhancements
+ Attractive relocation payment if you relocate to the local area.
+ Discounts for local and national retailers
+ Dedicated well-being services for all employees
+ Flexible working where possible