This post sits in the Gastrointestinal (GI) Physiology service at Bristol NHS Foundation Trust, a service integrated with the urodynamics department. The core of the work is diagnostic testing and conservative treatment for adults with functional bowel conditions, alongside clinical scientists. Structured training leads to anorectal physiology, biofeedback and transanal irrigation, with case presentation at multidisciplinary meetings. NMC adult registration and post-registration experience in a related specialty are essential.
What the job involves
- Complete holistic clinical assessments of patients with bladder and bowel problems, including pelvic floor assessment and digital rectal examination
- Develop and review individualised bowel and bladder management plans
- Perform anorectal physiology tests and, once competent, run anorectal physiology clinics
- Deliver biofeedback-assisted pelvic floor and anorectal retraining once competent
- Assess suitability for transanal irrigation, initiate it, and train patients and carers to use it
- Learn and perform urodynamic studies once competent, and teach intermittent self-catheterisation
- Manage the daily caseload and appointments, and provide telephone assessment and advice
- Keep prompt, accurate patient records and write reports, assessments and clinic letters
- Observe and act on changes in patient condition, escalating complex cases to senior colleagues
- Present cases and contribute to multidisciplinary team meetings
- Contribute to audit, service development, guidelines and patient information
- Support and supervise less experienced staff and students, with regular clinical supervision and a portfolio of evidence
What’s required
Registration & licences
- NMC registration as an adult nurse
Experience
- Post-registration experience in colorectal, gastroenterology, continence, surgical or a related specialty
Nice to have
- Experience in specialist bladder and bowel assessment, such as pelvic floor assessment and digital rectal examination
What’s offered
- Full training and supervision with a structured competency programme
- Clinical supervision and reflective practice
- Support for ongoing professional development and further study
- Exposure to urodynamics and pelvic floor procedures