Continence Nurse

Livewell Southwest CIC
£28,407 to £34,581 a year pa, pro-rata
Closing date
3 Dec 2023

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Band 5
Contract Type
Full Time
37.5 hours per week.

The continence service provides specialist care and advice to patients, their relatives/carers across Plymouth, South Hams and West Devon.

An exciting opportunity has arisen to recruit a B5 nurse into a position within the community continence service.

The post holder will have responsibility for patients receiving care within the service. This will encompass assessments, and treatment applicable to need, with ongoing evaluation of nursing care.

The post holder will have a passion and enthusiasm to work within continence and support them to achieve the best possible outcome. This can be a demanding role and the ability to perform under pressure, work as a member of a multidisciplinary team as well as working autonomously is essential.

The post holder, in collaboration with the patient/relative and/or carer, will support them in an individualised ongoing patient management plan, that will be reviewed regularly and might require periodic adjustments. This will include a specialist and holistic assessment, and may include physical examinations for individuals with incontinence, utilising clinical skills and knowledge to identify symptoms and concerns and signpost accordingly to the most appropriate MDT individual or team.

Main duties of the job

To provide a specialist continence service to patients and carers within a community and home setting in Plymouth, South Hams and West Devon.

The post holder will help to provide and support with education within a variety of care settings for both qualified and unqualified staff.

To have responsibility for patients receiving care within the continence service. This will encompass assessments, product prescriptions, and evaluation of nursing care to a defined group of patients/clients. The post holder will be expected, in collaboration with the patient and/or carer, to produce an individualised ongoing patient management plan that will be reviewed regularly and might require periodic adjustments

The post holder will be required to undertake, develop, and maintain nursing skills and competencies which required or their role.

The post holder will act as advisor/professional leader in health care issues and clinical practice.

About us

Livewell Southwest is an independent, award-winning social enterprise providing integrated health & social care services for people across Plymouth, South Hams & West Devon, as well as some specialist services for people living in parts of Devon & Cornwall. With teams in community hospitals, GP practices, sports centres, health & wellbeing hubs.

As an organisation with a strong social conscience, we always value being kind, respectful, inclusive, ambitious, responsible and collaborative. Transforming services to make them sustainable, ensuring that we value, support & empower each other.

We are committed to involving the people we care for, families & carers in everything that we do, working towards co-production where we can. Helping us to deliver the right care for people, in the right place & at the right time. By putting people at the centre of what we do, we ensure to support people to lead, healthy independent lives & be the very best at helping people to live well.

Valuing our employees making an investment in their development a priority. We offer:

Protected CPD time for registered staff

Various development pathways and ongoing regular training packages for all staff

Leadership & mentoring programmes

Access & funding for training including Care Certificate, Assistant Practitioners Course & Scholarship Into Nurse Training

A Robust Preceptorship

A bespoke induction programme

Existing members of the NHS Pension Scheme can continue their membership when they join the organisation.

Job description

Job responsibilities

The post holder will act as a resource in providing advice and support for patients, relatives, carers, and other agencies.

The post holder will support in the DRSS triage process accepting appropriate referrals directly from other disciplines, patients, carers and members of the public and/or refer to other agencies where appropriate.

The post holder will provide holistic evidence based/best practice care to patients in accordance with National and Trust approved policies and procedures

The post holder will report and records all incidents and near misses relating to health,

safety, security, fire, physical violence, aggression, and verbal abuse.

The post holder will support in overseeing and monitoring equipment within the service, ensuring maintenance and repairs.

The post holder will maintain accurate records, which are confidential, up to date,

Legible, and that all care given has been documented and maintained as specified in the Livewell Southwests Policies, NMC guidelines and Government directives.

The post holder is required to comply with all infection control policies and guidance,

Attending relevant updates and report issues of concern to their immediate line


The post holder will be responsible for managing own time management on a daily

basis in line with caseload demands balancing patient needs with the non-clinical aspect

of the role.

The post holder will act as a role model for other staff and students demonstrating high standards of practice and professional conduct.

The post holder will develop links with other professional and voluntary bodies to

ensure maximum effectiveness of the service and patient care.

Management & Leadership:

To maintain and manage information relating to both continence and the delivery service.

To participate in policy development through professional forums and implement practice ensuring the clinical practice reflects national and local drivers.

To have a flexible approach to the working day in order to meet the needs of the

patients and the service.

Co-ordinates annual leave and study leave for self

Support the service lead in monitoring of sickness, line management, appraisals,

mandatory training, standards and staff performance.

To support in reviewing and developing continence management practices and policies to ensure that services are delivered efficiently and effectively providing best value to patients and organisations.


Work autonomously and unsupervised in the community setting, recognising the risks associated with lone working, e.g., aggressive behaviour, and work proactively to reduce those risks.

Work as an autonomous practitioner, managing and prioritising own workload according to local guidelines and identified need. Working in a variety of community settings, exercising a high level of judgement, discretion and decision making in clinical care

To perform a comprehensive, specialist holistic assessment and physical examination for individuals with incontinence, using advanced clinical skills and knowledge to identify problems or symptoms. To be able to determine if symptoms warrant further investigation and/or treatment and initiate this as appropriate.

To work with patients and carers to learn about and act on the early warning signs of incontinence complications so that inappropriate use of services and unnecessary hospital admissions or crisis events/periods of crisis may be avoided.

Work with the multi-disciplinary team across health and social care to co-ordinate the

development, implementation and evaluation of programmes for patients and



Provide an audit of the practice placement for Student Nurses.

Education & Training:

Assume responsibility for own professional development and personal knowledge.

Monitor own performance against agreed objectives through personal development plans, NMC regulations and maintain professional expertise by arranging and attending meetings, study days and in service training to support their own role and that of others.

Integrate theory into practice by bringing new knowledge around continence management from training into the practice environment.

Evaluate the impact of these training programmes, for patients and carers, to ensure that they provide the necessary knowledge and skills to gain independence, safely manage changing circumstances and plan for unavoidable progression of conditions

To facilitate and develop team members, participating in reflective practice, clinical supervision and appraisals as per organisational policies

Identify areas of practice/role development and enable and support staff to initiate change.


Use a high level of communication/negotiation skills on a daily basis with other health and social care professionals. To inform each, as appropriate, of the highly complex and sensitive information related to the patients incontinence required to achieve the best outcomes and care pathways

Provide and receive complex, sensitive or contentious information where persuasive, motivational, negating, empathetic and reassurance skills are required verbal and non- verbal, as well as written and electronic to communicate effectively with patients, carers and GPs. This will include patients who may have complex care needs, difficulty understanding or communicating e.g. patients may be dysphasic, suffering with depression, deaf, and blind or may have difficulty accepting diagnoses.

Demonstrate highly developed communication skills required to take a lead role in case discussions/case conferences concerning service users in their caseload.

To maintain and foster good relationships with professionals and non-professional colleagues concerned with the provision or development of healthcare services.

To lead and participate in team activities so as to develop and consolidate a cohesive and supportive team ensuring openness within the team.

Ability to use a computer, being responsible for timely recording of patient activities for

IT, data collection, dealing with e-mail queries, stock and equipment ordering.

Preserve confidentiality and be aware of GDPR, Access to Health Records and consent

to treatment.

Reporting and recording of all incidents and near misses relating to health,

safety, security, fire, physical violence, aggression and verbal abuse.

Maintain accurate and up to date patient records and inform other professionals about

changes in patients condition.

Act as a patient advocate as required ensuring individual needs, preferences and

choices are delivered by the Service.

The Post Holder to be supplied with a mobile phone and lone working advice for

work purposes and be expected to abide by the organisations policy.


To works within the NMC Code

To remain updated and competent and ensure that clinical practice is evidence based.

To have an up-to-date personal development plan and professional portfolio

Person Specification



  • Evidence of recent training and PDP
  • Awareness of National and Local Policies that underpin continence knowledge, healthcare and promotion
  • Ability to translate best practice evidence and national policies into practice.



  • Ability to use own initiative and work autonomously
  • Strong analytical and judgement skills, with the ability to interpret complex situations and make appropriate decisions.
  • Excellent interpersonal skills and ability to build and maintain relationships with other health and social care professionals, patients, carers and the public.
  • Excellent written and verbal communication skills.
  • Ability to meet deadlines and work under pressure.
  • Ability to adapt to the demands of a constantly changing environment.
  • Ability to use IMT support systems, good computer literacy.


  • Good presentation skills and public speaking.
  • Ability to deliver training internal and external to the organisation



  • Registered General Nurse with a degree (or working towards)
  • Car Driver


  • Recognised teaching or mentorship qualification at degree level or equivalent
  • Leadership/Management qualification or attendance at core management study days



  • Able to demonstrate clinical management skills appropriate to the role
  • Leadership skills
  • Experience in managing sensitive issues and overcoming
    Any attachments will be accessible after you click to apply.


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