Job summary
The Bladder and Bowel Nurse 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.
Main duties of the job
The Bladder and Bowel specialist Clinician will be responsible and accountable for the direct delivery of a clinical caseload in either Residential homes, 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.
Work flexibly with other team members to provide co-ordinated holistic 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
About us
Birmingham Community Healthcare NHS Foundation Trust (BCHC) is committed to providing dignity in care for all our patients and service users across the Trust.
All staff, workers, volunteers, students and individuals undertaking work experience/shadowing, irrespective of the role they specifically undertake, are required to adhere to BCHC's vision, values and professional standards. This also involves working with and alongside colleagues and partners, demonstrating a duty of candour (i.e. honesty and straightforwardness), openness and accountability in order to achieve high quality and the best possible care outcomes for our patients, service users and the local community.
Details Date posted
05 June 2025
Pay scheme
Agenda for change
Band
Band 5
Salary
£29,970 to £36,483 a year pro rata
Contract
Permanent
Working pattern
Part-time
Reference number
820-7108163-COM
Job locations
BLADDER & BOWEL SERVICE
St Stephens Ninevah Road
BIRMINGHAM
B21 0SY
Job description Job responsibilities
The Bladder and Bowel Nurse 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 patients 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.
Job description Job responsibilities
The Bladder and Bowel Nurse 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 patients 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.
Person Specification Qualifications / training Essential
* Registered General Nurse 1st Level
* BSc Adult Nursing
Experience Essential
* Relevant clinical experience of working with patients experiencing bladder and or bowel issues
Skills/knowledge Essential
* Demonstrate an ability to plan, deliver and evaluate training sessions to staff
* Knowledge of up to date clinical trends and practices across all aspects of community nursing
* Knowledge of up to date clinical trends and practices in Bladder and Bowel dysfunction.
* Knowledge of current legislative changes effecting the NHS and Social Services
* Knowledge and application of NMC Code of Conduct and scope of Professional Practice
* Knowledge and ability to undertake clinical audit and the setting of standards
* Have an understanding of varying health needs within an ethnically diverse demographic
Person Specification Qualifications / training Essential
* Registered General Nurse 1st Level
* BSc Adult Nursing
Experience Essential
* Relevant clinical experience of working with patients experiencing bladder and or bowel issues
Skills/knowledge Essential
* Demonstrate an ability to plan, deliver and evaluate training sessions to staff
* Knowledge of up to date clinical trends and practices across all aspects of community nursing
* Knowledge of up to date clinical trends and practices in Bladder and Bowel dysfunction.
* Knowledge of current legislative changes effecting the NHS and Social Services
* Knowledge and application of NMC Code of Conduct and scope of Professional Practice
* Knowledge and ability to undertake clinical audit and the setting of standards
* Have an understanding of varying health needs within an ethnically diverse demographic
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.
Certificate of Sponsorship
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 (Opens in a new tab).
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. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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.
Certificate of Sponsorship
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 (Opens in a new tab).
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. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
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
Birmingham Community Healthcare NHS FT
Address
BLADDER & BOWEL SERVICE
St Stephens Ninevah Road
BIRMINGHAM
B21 0SY
Employer's website
https://www.bhamcommunity.nhs.uk/ (Opens in a new tab)
Employer details Employer name
Birmingham Community Healthcare NHS FT
Address
BLADDER & BOWEL SERVICE
St Stephens Ninevah Road
BIRMINGHAM
B21 0SY
Employer's website
https://www.bhamcommunity.nhs.uk/ (Opens in a new tab)
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