Continence Clinical Specialist Nurse

Job summary
Internal applicants only LWSW employees only

This post is available to LWSW employees only. Please do not share these details outside of the organisation.

Interview date: 27.08.2026

30 hours per week.

Are you passionate about making a real difference in peoples daily lives? Join our dedicated Continence Service as a Clinical Nurse Specialist and play a vital role in supporting individuals across Plymouth, South Hams and West Devon to manage their bladder and bowel health with dignity, confidence and compassion.

In this rewarding community-based role, you'll bring your advance level of specialist continence management, competencies, to provide comprehensive assessment skills, to patients and carers in their own homes, residential and nursing settings, and local clinics.

You will lead multidisciplinary and strategic meetings, actioning referrals from DDRS, Primary Care and a wide range of professionals making every day varied and meaningful.

This role offers exciting opportunities to lead education and empower both colleagues and patients, through formal education sessions and informal coaching. Promoting and encouraging independence, and support the use of digital technology to enhance continence management.

Working Monday to Friday, 08:30-17:00, you'll help improve quality of life for people experiencing bladder or bowel incontinence providing sensitive, expert support that truly transforms daily living.

Main duties of the job
Leading a team of staff and operationally managing the Continence Service; project management skills and competence will be key to the role and future service development.

Likewise, your advanced level of skill will be required supporting with triage and leading on complex patient assessments. Acting as a care manager and coordinator. Role modelling and promoting the highest standard of continence care and management.

Responsibilities include collaborations with our strategic partners, monitoring of spend and budgets, Reviewing efficiencies from a whole service perspective.

The service works across a defined geographical area and you will holistically review the continence of patients in their own homes, care homes, clinics & other community settings.

The specialist practitioner will utilise their health promotion and behaviour change skills and knowledge to optimise the health of patients with life limiting illness including frailty, by encouraging and promoting maximum independence and maintaining a good quality of life.

Provide professional clinical support to the nursing team and advise on practice. Identify training needs of staff working in partnership with the clinical operational managers and encourage development.

This role may not be eligible for sponsorship under the Skilled Worker route.

Please note that we may close the job advertisement earlier than the specified deadline.

All are expected to be able and willing to work across a 7 day service.

About us
Livewell Southwest is an independent, award-winning social enterprise delivering integrated health and social care services across Plymouth, South Hams, and West Devon, with specialist services in parts of Devon and Cornwall. Our teams work in community hospitals, GP practices, sports centres, and health hubs.

As an organisation with a strong social conscience we are guided by our values, kindness, respect, inclusivity, ambition, responsibility, and collaboration. We focus on transforming services to ensure sustainability, while empowering staff and those we serve.

We involve the people we care for, along with their families and carers, in shaping the care they receive, striving to deliver the right care at the right time and place. Centering our work on individual needs helps people lead healthy, independent lives.

We prioritise employees' development, offering protected CPD time, training pathways, leadership programs, and funding for qualifications like the Care Certificate and Nurse Training Scholarships. Our induction and preceptorship programs ensure a smooth transition into our organisation.

Livewell Southwest values diversity and encourages applications from all sections of the community, including those with armed forces experience, lived experience of mental health, neuro-diverse conditions and learning disabilities. If you need assistance or reasonable adjustments during the application process, contact the Recruiting Manager listed in the job advert.

Details
Date posted: 19 August 2026
Pay scheme: Agenda for change
Band: Band 7
Salary: £49,387 to £56,515 a year pa, pro-rata
Contract: Permanent
Working pattern: Part-time, Job share, Flexible working
Reference number: B9832-2026-NM-10445
Job locations: 200 Mount Gould Road, Mount Gould, Plymouth, Devon, PL4 7PY, United Kingdom; Cumberland Centre, Devonport, Plymouth, Devon, PL14JZ, United Kingdom; U H P Nhs Trust, 70 Plymouth Road, Tavistock, Devon, PL198BX, United Kingdom; Southway Clinic, 50 Inchkeith Road, Plymouth, PL66EJ, United Kingdom

Job responsibilities
To deliver specialist nursing care in defined area of nursing in accordance with national and local policy and guidance in accordance with the Nursing and Midwifery council.

Manage and co-ordinate a complex nursing caseload within Livewell SW

Act as a Care Manager/Care Co-ordinator as appropriate for patients/carers and commission care packages and care planning to use specialist skills to promote a positive approach to risk management.

Be responsible for assessing, diagnosing, implementing, planning, and reviewing complex packages of care in partnership with patients, carers and multi-professional agencies including case conferences. Providing specialist advise.

The specialist practitioner will utilise their health promotion and behaviour change skills and knowledge to optimise the health of patients with life limiting illness including frailty, by encouraging and promoting maximum independence and maintaining a good quality of life.

The specialist practitioner will provide expert advice and clinical support whilst promoting the effective and efficient delivery of high-quality service within the local community.

Provide professional clinical support to the nursing team and advise on practice. Identify training needs of staff working in partnership with the clinical operational managers and encourage practitioners to develop

Skills in critical thinking and reflective practice

Excellence in practice

Specialist knowledge

Research based practice

The Advanced nurse will use Health Needs Assessments and change management tools to develop initiatives in health promotion and disease management, which includes monitoring and improving the standards of health in the community.

1. MAIN DUTIES/RESPONSIBILITIES
1.1 Responsibility for People Management
Act as a Care Manager Care Co-ordinator as appropriate for patients/carers and commission care packages and care planning to use specialist skills to promote a positive approach to risk management.

The Specialist nurse will understand the theory behind and value of therapeutic relationships and be a role model for widespread personalised care and shared decision making between clinicians and patients.

As part of your role there may be a requirement / opportunity to undertake Treatment Escalation Plan TEP discussion, to achieve this you will be required to be competent in advanced communication, care planning and attended appropriate training to support competence.

To develop strategies for continued professional development as Non-Medical Prescriber if relevant for role.

To maintain effective verbal and written communication with the clinical team and to keep staff informed of changes to prescribing intervention or treatment provided to service-users.

To work in partnership with medical staff and service-users in the development and implementation of clinical management plans related to an individuals treatment and prescribing needs.

To establish and maintain good liaison with key stakeholders in the individuals care e.g. GP practices and other services in the area, including sharing prescribing information and rationale.

Manage and prioritise a defined complex caseload of patients and delegate where appropriate.

Co-ordinates annual leave, study leave and duty rotas if required in absence of the Operational Team manager or as part of role if dual specialist / operational team manager.

Undertake the full range of people management tasks and responsibilities including recruitment, induction, retention, orientation communication, staff engagement, workforce planning, appraisal, training and development and performance management including disciplinary grievance sickness with support from operational leads, services managers and or team leads.

Work with other team leads / advanced specialists to ensure clinical and operational management cover across services is maintained especially at times of service pressure.

Be aware of pressures facing your work colleagues and offer support to ensure they are aware of the organisation support services available to them.

Act as a role model for all team members demonstrating and maintaining high standards of practice and professional leadership. Addressing issues of poor practice with senior line management and HR.

To support with student placement and training in line with Livewell Southwest policies.

Plan and participate in the supervision, teaching and provision of community experience for all nurses' learners and other personnel as appropriate.

1.2 Responsibility for financial and or physical resources
To demonstrate awareness of resources, providing cost effective and quality-controlled usage of products.

To have a working knowledge of statutory and non-statutory funding and the legislation/guidance that underpins these funding streams, ensuring service users meet the eligibility criteria when advocating for utilising services on the service users behalf e.g. Care Act eligibility, Housing legislation etc

Be authorised signatory and signing off the supplies and expenses. These include off duty, staff overtime, annual leave, bank nurses and the procurement of supplies for the team.

Exercise a duty of care in relation to the use of the organisations equipment and resources in a cost-effective manner.

To be responsible for overseeing and monitoring and authorising of equipment and ensuring maintenance and repair.

Maintain effective working relationships with multidisciplinary team and deliver a cost effective quality service to patient/carers within a defined geographical area.

To contribute to resource governance through knowledge and appropriate prescribing decisions.

1.3 Responsibility for administration
To work collaboratively with wider team to ensure effective day to day running of service

To report and record all incidents and near misses relating to health, safeguarding, safety, security, fire, physical violence, aggression, and verbal abuse.

The post holder will be required to use a computer, being responsible for timely recording patient activities for IT data collection, dealing with e-mail queries, stock and equipment ordering.

Review and sign-off clinical incident reports alongside supporting caseload management.

Maintain accurate records, which are confidential, up to date, legible and must ensure care given is documented at the earliest possible time.

Documentation records may be paper, or IT system based and must be maintained as specified in the Trust Policies, NMC guidelines, and Government directives.

Ensure effective and timely information exchange is maintained, verbally, written or electronically.

Ensure accurate records of FP10 prescription use maintained in accordance with organisational Medicines Policy if NMP.

To monitor and maintain the health, safety and security of self and others.

Be responsible for organising own time management daily in line with caseload demands, balancing patient needs with the non-clinical aspects of the role, working in a variety of settings i.e., patient-facing home, clinic, care home or clinics, office base, including hot desks and home working where appropriate. List not exhaustive.

Work within challenging and unpredictable environments e.g., patients homes, which may have constraints that require adaptability.

Act as a clinical advisor on health care issues within their area of expertise to provide best practice evidence-based care to the community.

Undertake health promotion whenever possible to adults above the age of 18 and contribute to planned health promotion activities.

Participate / lead in policy development through professional forums and implement practice ensuring the clinical practice reflects national and local drivers.

To develop and promote services that meet the needs of the local population, monitoring services priorities and ensuring the service is effective, equitable and patient focused.

To provide leadership with service development and redesign, to scope and profile local health needs within their locality and to identify available resources required or deficits to action to meet that need.

To implement continuous service improvement practices and changes in work structure and/or work patterns using effective communication, leadership and change management skills.

Carry out caseload profiling to identify health needs and dependency of the caseload as requested, to influence future developments of the service. Use of risk stratification tool to identify patients at risk

Person Specification
Knowledge & Experience:
Essential

• Holistic, patient centred assessment skills, ability to develop therapeutic relationships.
• Advanced Health Assessment Skills including History taking.
• Ability to assess acute/chronic patient conditions and implement appropriate care as an Autonomous Practitioner
• Caseload/Team Management Skills.
• Highly motivated with ability to influence and inspire others.
• Background and development knowledge of Government Policies and changes in Primary Care.
• Understanding of Clinical Governance.
• Evidence of appropriate clinical competence and ongoing professional development including all clinical aspects of community skills for the role.

Experience
Essential

• Clinical and Management skills
• Leadership skills. Innovative and Assertive.
• Current experience and knowledge in all relevant areas of clinical practice.
• Experience in managing sensitive issues and overcoming obstacles in communication.
• Coaching and mentoring experience

Desirable

• Management/Leadership qualification
• Management/Leadership study days

Qualifications
Essential

• Registered Nurse who has completed a relevant Specialist Practitioner / Modules Qualification at Level 7 or above
• NMC Registration
• Teaching skills.
• V150 / V300 nonmedical prescribing qualification.
• Experience in supervising students staff
• Evidence of mentoring
• Sign off clinical competency for all registered and unregistered staff.

Specific skills and Additional Requirements
Essential

• Evidence of relevant specialist training relating to role.
• To be able to respond to urgent calls in various parts of the locality.
• Evidence of Good multiagency liaison skills
• Good time management
• Delegation skills
• Ability to assess and treat patients using evidence-based practice
• IT literate
• Ability to work with difficult and complex situations
• Flexible/Adaptable
• Team player
• Ability to act as a role model
• Ability to motivate others.
• Non-judgemental
• Ability to frequently travel independently and in a timely manner between Livewell Southwest sites and community locations including areas not served by public transport.
• Familiar with and committed to the principles and values of the NHS.
• Demonstrate commitment to and focus on quality, promotes high standards to consistently improve patient outcomes.
• Consistently put clinicians at the heart of decision making. Creates and fosters a culture of openness, honesty, integrity and inclusiveness.
• Values diversity and difference.
• Uses evidence to make improvements and seeks out innovation.
• Demonstrates commitment to partnership working.

Desirable

• If appropriate to role such as DNSPQ, if completed V150, there is an expectation that the V300 will be undertaken)
• Evidence of using initiative to put innovation into practice. Management of change

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: Livewell Southwest
Address: 200 Mount Gould Road, Mount Gould, Plymouth, Devon, PL4 7PY, United Kingdom
Employer's website: (Opens in a new tab)

Employer contact details
For questions about the job, contact: Operational Lead, Nicky Stidever, View email address on meeveem.com, View phone number on meeveem.com

Livewell Southwest is an equal opportunities employer and welcomes applications from all sections of the community.