In this article, the author explores the role of the stoma nurse in the community, and how this can support recent initiatives such as The Enhanced Recovery Programme and the High Impact Actions for Nurses by providing ongoing care in the secondary care setting. This can lead to an improvement in quality of care and patient outcomes, which is imperative in the current NHS environment where anecdotal evidence suggests that the financial goals managers are required to meet are leading to constraints on the number of home visits that the stoma nurse can carry out ( Breckman, 2005 ). The case study presented within the article shows how the stoma nurse worked with the community team to manage a young woman following a traumatic bowel perforation experience.