Dear Pennine Acute Hospitals NHS Trust,

MY COLLEAGUES AND MYSELF ARE SENDING A DISCRETE AND SEPARATE FOI REQUEST TO EVERY NHS TRUST (BUT ARE ENSURING THAT NO DUPLICATE REQUEST IS MADE TO ANY ONE TRUST).

WE WOULD REQUEST THAT FOI OFFICERS SEND (VIA THE WHATDOTHEYKNOW WEBSITE PORTAL) A SIMILARLY DISCRETE AND SEPARATE RESPONSE FOR EACH INDIVIDUAL TRUST.

I work for the Spinal Injuries Association (SIA), the leading national user-led charity supporting spinal cord injured people and their families. Being a user led organisation SIA understand the challenges of living with a spinal cord injury (SCI). We strive to support all people living with SCI to access the services and support they need to stay healthy and live full, fulfilling and active lives.

Part of my role is to assist the Head of Public Affairs with FOI requests, such as the one that follows. As a request under the Freedom of Information Act, please provide the following information about the recent NHS Improvement (NHSI) Patient Safety Alert “Resources to support safer bowel care for patients at risk of autonomic dysreflexia 25 July 2018”, Alert reference number: NHS/PSA/RE/2018/005

Q1. Does the Trust have a formal written policy for digital rectal examination, digital rectal stimulation and the digital removal of faeces in spinal cord injured and other patients with neurogenic bowel dysfunction?

(a) Yes
(b) No

Q2. Following recommendation of this patient safety alert, did the Trust “review your local clinical policy and guidance relating to bowel assessment and management”?

(a) Yes – produced a new policy
(b) Yes - revised an existing policy
(c) Yes – retained existing policy
(d) No – did not review an existing policy
(e) No – no bowel assessment and management policy in place

Q3. Is your policy based on the policy template that the Spinal Injuries Association circulated to your trust in August 2018?

(a) Yes
(b) No
(c) No bowel assessment and management policy in place

Q4. If admitted to the Trust will a person with neurogenic bowel dysfunction receive the following bowel care intervention – Digital removal faeces?

(a) Yes
(b) No

Q5. If admitted to the Trust will a person with neurogenic bowel dysfunction receive the following bowel care intervention –Digital rectal stimulation?

(a) Yes
(b) No

Q6. If admitted to the Trust will a person with neurogenic bowel dysfunction receive the following bowel care intervention –Trans anal irrigation?

(a) Yes
(b) No

Q7. Are staff available seven days a week to undertake these bowel care interventions?

(a) Yes
(b) No

Q8. Has the Trust “reviewed your local education and training provision for interventional bowel management” as recommended in the Patient Safety Alert?

(a) Yes
(b) No

Q9. As requested by the Patient Safety Alert, has the trust developed “an action plan to ensure patients have adequate and timely access to staff who are trained appropriately to carry out these procedures, including in the evening and at weekends”?

(a) Yes
(b) No

Q10. Has the Trust “shared your reviewed local guidance, advice on how to identify staff who can provide Digital Removal of Faeces, and the key messages in this alert with medical, nursing and other relevant clinical staff”?

(a) Yes
(b) No

Q11. Does the Trust have a policy that allows for the personal care assistants/carers of spinal cord injured patients to assist with this element of the patient's care?

(a) Yes
(b) No

Q12. As recommended in the Patient Safety Alert, have you identified “an appropriate clinical leader to co-ordinate implementation of this alert”?

(a) Yes (please answer Q13, but ignore Q14)
(b) No (please answer Q14, but ignore Q13)

Q13. What are the contact details for the “appropriate clinical leader”(ie name, position, telephone and email)?

Q14. Why has your Trust not appointed an “appropriate clinical leader”?

(a) Alert implemented without appointment of a clinical leader
(b) Took no action following Patient Safety Alert, as policy already in place
(c) Took no action. No existing policy in place
(d) Other

Q15. Are your newly registered nurses able to demonstrate the nursing procedures as required in Annexe B, section 6.5 of the Nursing and Midwifery Council’s document ‘Future Nurse: Standards of Proficiency for Registered Nurses’?

(a) Yes
(b) No

Technical Note – Relevant annexe reads:-

“Annexe B
6: Use evidenced based, best practice approaches for meeting needs for care and support with bladder and bowel health
6.5: Administer enema, suppositories and undertake manual evacuation when appropriate.”

If you have any queries or require clarification on any of these questions, please contact the Spinal Injuries Association at [email address]

Yours faithfully,

Andrew Smart

PennineFOI atSalford,

Thank you for your email.

 

Please note that this mailbox is not monitored on Wednesdays and Fridays.
All Freedom of Information Requests will be processed as usual. However,
if your query is urgent, please contact the switchboard on 0161 624 0420,
who will redirect you to the appropriate service.

 

Kind regards,

 

The Freedom of Information Team

PennineFOI atSalford,

RE: Freedom of Information Acknowledgement Ref code FOI/9155 AB

Thank you for your recent Freedom of Information requests made in relation to information held by Pennine Acute Trust and Salford Royal Foundation Trust. You have made two identical or very similar FOI requests and the responses will both be dealt with in the same administrative process. You will receive one set of correspondence dealing with both requests.

Requests for information from one of the Care Organisations making up Pennine Acute Trust (Fairfield General Hospital, Rochdale Infirmary and Community Service, The Royal Oldham Hospital and North Manchester General Hospital and Community Services) are now processed from the Salford Royal NHS Foundation Trust base of the Northern Care Alliance.

To ease processing please ensure ALL FOI related emails, including new requests, are sent to [email address] quoting the FOI reference numbers shown in the subject line of this acknowledgement

In accordance with Trust policy and the requirements of the Freedom of Information Act 2000, a period of 20 working days is assigned for processing your request. [Working days within the NHS refers to Mon-Fri.] We will provide you with an explanation if we find that there is any reason why this period may extend beyond the period prescribed by the Act.

Please contact us if you have any queries regarding the procedure.

Kind regards

Freedom of Information Office
Northern Care Alliance
Salford/North Manchester/Oldham/Rochdale/Fairfield
Tel: 0161 206 6610

(NB all PAT & combined related responses should be addressed to the PAT dedicated FOI email address)
[email address]

dangos adrannau a ddyfynnir

PennineFOI atSalford,

Freedom of Information Ref code FOI/9155/AB

With reference to your request made under the Freedom of Information Act, Pennine Trust acknowledges receipt of your request for information and informs you that the process has been instigated. Our Reference number should be used in all future correspondence.

In accordance with Trust policy and the requirements of the Freedom of Information Act 2000, a period of 20 working days is assigned for processing your request. [Working days within the NHS refers to Mon-Fri.] We will provide you with an explanation if we find that there is any reason why this period may extend beyond the period prescribed by the Act.

Please contact us if you have any queries regarding the procedure.

Kind regards

Freedom of Information Office
Northern Care Alliance
Salford/Oldham/Bury/Rochdale/North Manchester
Tel: 0161 206 6610

dangos adrannau a ddyfynnir

PennineFOI atSalford,

1 Atodiad

The Trust has now completed collation of data to support a response to
your recent Freedom of Information requests for Pennine Acute NHS Trust.

 

Details requested have been attached to this email.

 

 

Please click on the corresponding Trusts tab to view the information.

 

We trust these details will assist with your enquiries.  If we can be of
any further assistance in the future please do not hesitate to contact us
again.

 

 

Questionnaire

 

As a Trust we are keen to monitor and improve the services we offer. We’d
be grateful if you could take the time to answer the following questions
and provide us with any other feedback that may assist us with this
process:

 

           

Were you satisfied with the handling of your request?     YES/NO
Was your request handled in a timely manner?               YES/NO
Were you provided with sufficient information to assist you with YES/NO
your request?

            
                                                                                  

 

Yours Sincerely

 

Freedom of Information Office

Northern Care Alliance

Salford/North Manchester/Oldham/Rochdale/Fairfield

Tel: 0161 206 6610

 

(NB all PAT & combined related responses should be addressed to the PAT
dedicated FOI email address)

[1][email address]

 

 

 

 

 

dangos adrannau a ddyfynnir