The trial without catheter (TWOC) procedure aims to assess an individual’s ability to void effectively without the use of an indwelling urinary catheter. Prolonged catheterisation increases the risk of catheter-associated urinary tract infections (CAUTIs), sepsis, and hospital readmissions. Traditionally, TWOC procedures have been conducted in hospital settings, which can be costly, resourceintensive, and inconvenient for patients, particularly those with mobility issues or chronic conditions. This article evaluates the implementation of a commercial clinical nurse specialist (CNS)-led community-based TWOC service, highlighting its cost-effectiveness, improved patient outcomes, and positive patient experience. It aligns with national healthcare priorities, such as the NHS Long Term Plan, by promoting care closer to home, reducing hospital admissions, and optimising NHS resources. The findings support the case for expanding community-based urology services to enhance patientcentred care and achieve better health outcomes.