The objective of this study was to evaluate patient experience of a newly established nurse‐led urodynamics clinic, in comparison to the established consultant‐led urodynamics clinic. The secondary aim was to analyse the impact upon waiting times, cost reduction and creating more consultant time, to enable a greater capacity for more complex patients to be seen. A retrospective cross‐sectional mixed method postal survey was utilized and sent to all patients who attended a urodynamics outpatient appointment between July 2013 and July 2014. The survey was posted to all patients who attended either the nurse‐led clinic or the consultant clinic. This totalled of 97 patients. A text reminder was sent 3 weeks later, with a final repeat postal survey sent 6 weeks later inviting patients to participate, and thanking those who had already. The response rate was 57·7%. The median age was 69 years. Whilst the sample demographics for ethnicity were equal across both groups, the nurse‐led clinic saw more females. Overall, 87·5% of patients who responded were male. The secondary aim regarding the impact upon waiting time revealed a median reduction in waiting time of 50 d, resulting in improved access to the procedure. Survey measurable outcomes included communication, patient experience, involvement in care and patient safety and quality of life. The development of the nurse‐led urodynamics clinic has proven to be as effective as a consultant clinic measured by patient experience, whilst also reducing waiting times significantly and remaining cost‐effective. This evaluation has enabled the identification of areas in the service delivery that can benefit from further refinement. In summary, collaborative practice and supported development of nursing practice is essential not only for the future of nursing but also as a way to address the growing demand for service provision in a financially intelligent way.

Nurse‐led clinics in primary and secondary care settings have been widely acclaimed as a positive step towards improving access to investigation and specialist advice, and offering a solution towards limited clinician resource. Many nurse‐led clinics have been traditionally heavily protocoled, but with the evolution of advanced senior nursing roles corresponding role expansion within the multidisciplinary team has occurred. The development of procedural nurse‐led clinics such as urodynamics is not well published. The interpretation and application of published clinical guidelines into practice can present challenges, particularly if consensus has not been found. The proposal of a new clinic requires a vision and commitment from stakeholders to develop and support the implementation of nurse‐led clinics, which have traditionally sat within the realm of medicine. The decision was made to develop this clinic, so a tailored training package that included formal theoretical training, clinical mentorship and supervision and reflective practice was devised. This approach has been documented as central to good urodynamic practice and is based upon published recommended best practice. The successful implementation has provided our patient population faster access to urodynamics procedures, reducing time to treatment based upon the findings and has freed up over 50 appointment slots per annum, for Urologists to see other patients. With a robust training package and clinical support nurse‐led clinics can have a positive impact not only upon health care delivery but also provide the opportunity for professional development and increased job satisfaction.

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Introduction:The question is addressed of whether antibiotics should be given prophylactically to all patients undergoing urodynamic testing or targeted only to those considered at higher risk for urinary tract infection after the procedure. A PICOT (Population, Intervention, Comparison, Outcome, Time) question was formulated to ensure a successful search strategy. The clinical question aimed to address the issue of widespread use of antibiotic prophylaxis as this remains unclear in the literature.