Dear South Tees Hospitals NHS Foundation 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

foi.admin (SOUTH TEES HOSPITALS NHS FOUNDATION TRUST), South Tees Hospitals NHS Foundation Trust

Dear Mr Smart

 

Thank you for your request for information under the Freedom of
Information Act 2000 which was dated the 25 February 2019 and received by
the Trust on the 25 February 2019.

 

Your request will be processed within a maximum of twenty working days
from when we received your request unless otherwise informed.

 

In the event that some or all of the information you have requested is
exempt from disclosure, we will notify you of this. We will also contact
you if during the process to locate and supply the information it emerges
that we do not have sufficient detail to locate the information or we are
unclear exactly what it is you have requested.

 

If you need to contact me further regarding this request it would be
helpful if the reference number above could be quoted in any future
communications. 

 

Yours sincerely

 

 

 

 

Elisha Blair

Information Governance Officer

Corporate Directorate

 

Freedom of Information

Information Governance Department

 

South Tees Hospitals NHS Foundation Trust

Tel:  01642 854291

 

dangos adrannau a ddyfynnir

foi.admin (SOUTH TEES HOSPITALS NHS FOUNDATION TRUST), South Tees Hospitals NHS Foundation Trust

1 Atodiad

Dear Mr Smart

 

Request for Information – Ref 5745

With reference to your request for information made under the Freedom of
Information Act 2000 please find attached a response on behalf of South
Tees Hospitals NHS Foundation Trust. 

 

If for any reason you are not satisfied with the information that we have
provided or you feel we have dealt with your request unfairly, you have a
right to complain or request an internal review.  Please send your
complaint or request for internal review by email to
[1][South Tees Hospitals NHS Foundation Trust request email] by post to: The Head of Information Governance
& Data Protection Officer, South Tees Hospitals NHS Foundation Trust, The
James Cook University Hospital, Marton Road, Middlesbrough, TS4 3BW 

 

Internal reviews will be accepted within 40 working days from the date of
the Trusts initial response to you. 

 

If you are still not satisfied, further information about your right to
complain under Section 50  of the Freedom of Information Act is available
from the Information Commissioner’s Office, Wycliffe House, Water Lane,
Wilmslow, Cheshire, SK9 5AFand on The Information Commissioner’s website
[2]www.ico.gov.uk.

 

 

 

Any information we provide following your request under the Freedom of
Information Act will not confer an automatic right for you to re-use that
information, for example to publish it. You are free to use any
information supplied for your own non-commercial research or private study
purposes. The information may also be used for any other purpose allowed
by a limitation or exception in copyright law, such as news reporting.
However, if you wish to re-use the information that we provide, for
example by publishing it in analogue or digital form, then you must make a
further request for its re-use as per the Re-Use of Public Sector
Information Regulations 2005 by contacting the Head of Information
Governance using the email address above .

 

Yours sincerely

 

 

 

Elisha Blair

Information Governance Officer

Corporate Directorate

 

Freedom of Information

Information Governance Department

 

South Tees Hospitals NHS Foundation Trust

Tel:  01642 854291

 

dangos adrannau a ddyfynnir