The author describes the role of health-care assistant (HCA) at Hillingdon Hospital National Health Service (NHS) Trust in Great Britain. She cites that the hospital's colorectal department developed a unique HCA role, the HCA colorectal support worker (HCACSW), designed to allow HCA to engage in ward-based work with stoma patients across the hospital. She considers the establishment of HCACSW a novel development within the NHS.