Job summary
Clinical Nurse Specialist - TWOC (Trial without Catheter) TriageAre you ready to take your nursing career to the next level in a role that combines autonomy, clinical expertise, and meaningful patient impact?Following the success of the TWOC Improvement Project, we are delighted to offer a substantive Band 6 Clinical Nurse Specialist post within our ambulatory clinic services.
As the TWOC Triage CNS, you will play a primary role in assessing, triaging and coordinating care for patients undergoing TWOC, ensuring timely, safe, and effective decision-making.
We are looking for a proactive, experienced triage nurse with strong clinical judgement, excellent communication skills, and a collaborative approach. If you're passionate about improving patient experience and want to be part of a service that's making a real difference, we'd love to hear from you.
In this role, you will:Use advanced clinical evaluation skills to assess and triage patientsCommunicate effectively with waiting list coordinators, ambulatory clinic teams, and urology services across the Health BoardProvide timely, safe, and efficient triage decisions to support patient flow and service deliveryTake responsibility for collating and reporting TWOC triage data on a monthly basisContribute to the ongoing development of this evolving and impactful service
Work base to be confirmed in agreement with the successful candidate.
Main duties of the job
- Accept and triage referrals for patients requiring a Trial Without Catheter (TWOC), ensuring they meet clinical criteria and are prioritised appropriately.
- Review referral documentation and liaise with referring clinicians to clarify clinical information where necessary.
- Coordinate and manage the TWOC triage pathway, ensuring timely scheduling and follow-up of patients.
- Conduct pre-assessment of patients, including reviewing medical history, current catheter use, and suitability for TWOC.
- Provide expert clinical assessment and decision-making regarding patient readiness for TWOC.
- Possess a high standard of knowledge regarding catheter management and Trial without Catheter procedures.
- Deliver training to departments regarding TWOC process.
- Deliver patient-centred care and education, including information on the TWOC process, potential outcomes, and self-care.
- Maintain accurate and timely documentation of all triage decisions, assessments, and patient outcomes.
- Communicate effectively with multidisciplinary teams to ensure continuity of care and appropriate escalation where needed.
- Participate in service audits, data collection, and quality improvement initiatives related to continence and urology services.
- Support the development and implementation of clinical guidelines and pathways for TWOC management.
- Provide mentorship and support to junior staff.
About us
Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties.
We have over 13,000 staff and together we provide primary, community, in-hospital, mental health and learning disabilities services.
We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.
Our services are provided in:
- Four main hospitals: Bronglais Hospital in Aberystwyth; Glangwili Hospital in Carmarthen; Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
- Five community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
- Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings
- 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
- Numerous mental health and learning disabilities services
Job description
Job responsibilities
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews to be held on 27/8/25
You will be able to find a full job description and person specification attached within the supporting documents.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.
The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.
Job description
Job responsibilities
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews to be held on 27/8/25
You will be able to find a full job description and person specification attached within the supporting documents.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.
The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.
Person Specification
Qualifications and Knowledge
Essential
- Registered Nurse (Part 1)
- Current NMC Registration
- Bachelors Degree
- Specialist post graduate qualification or equivalent experience
- Proficient level of knowledge in clinical speciality
- Knowledge of service improvement
- Able to undertake a literature search and critically appraise research papers
Desirable
- Teaching qualification (or equivalent experience)
- Advanced clinical skills
- Non-medical Prescribing (v300)
Experience
Essential
- Relevant experience at Band 5
- Experience in the relevant specialty
- Experience of working in a multi-professional environment
- Experience of working with preregistration nursing/midwifery students in a mentorship role
- Experience of undertaking audit
Desirable
- Band 5 experience
- Experience of participating in research
- Experience of participating in practice change
Language Skills
Desirable
Person Specification
Qualifications and Knowledge
Essential
- Registered Nurse (Part 1)
- Current NMC Registration
- Bachelors Degree
- Specialist post graduate qualification or equivalent experience
- Proficient level of knowledge in clinical speciality
- Knowledge of service improvement
- Able to undertake a literature search and critically appraise research papers
Desirable
- Teaching qualification (or equivalent experience)
- Advanced clinical skills
- Non-medical Prescribing (v300)
Experience
Essential
- Relevant experience at Band 5
- Experience in the relevant specialty
- Experience of working in a multi-professional environment
- Experience of working with preregistration nursing/midwifery students in a mentorship role
- Experience of undertaking audit
Desirable
- Band 5 experience
- Experience of participating in research
- Experience of participating in practice change
Language Skills
Desirable
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.
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.
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).
