Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywDave Bracher mewngofnodwch a gadael i bawb wybod.

Bowel Management Patient Safety Alert (SPINE 01/19)

Dave Bracher made this Rhyddid Gwybodaeth request to Chelsea and Westminster Hospital NHS Foundation Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

We're waiting for Dave Bracher to read a recent response and update the status.

Dear Chelsea and Westminster Hospital 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,

Dave Bracher

Our ref: FOI 2019 136

Dear Sir/madam,

Thank you for your Freedom of Information request.

This request is being handled under the Freedom of Information Act 2000. We are permitted up to 20 working days (commencing the first working day after receipt of a request) in which to either answer your request or explain why we are unable to answer it.

For more information on Freedom of Information, please see our website at:

http://www.chelwest.nhs.uk/about-us/orga...

We will answer your request as quickly as we can.

If you have any questions about your request please ensure you include our ref number above and send to [email address]

Regards

Paolino

Paolino Buttaci
Information Governance Office

Chelsea and Westminster Hospital NHS Foundation Trust
Unit 111, 1st Floor
Harbour Yard
Chelsea Harbour
London
SW10 0XD

Tel: 020 3315 5051 (x 55051)
Email: [email address]

Working together to protect you, our patients and our Trust

dangos adrannau a ddyfynnir

1 Atodiad

Our Ref: FOI 2019-136
Dear Requester
Thank you for your information request received by us on 19/02/19. Please accept my apologies for this late response.
This request has been handled under the Freedom of Information Act 2000.
Please note that Chelsea and Westminster Hospital NHS Foundation Trust merged with West Middlesex University Hospital in September 2015, for this reason our response covers both sites.
Your request and our response:
“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

Please note that although our Trust accepts spinal injuries, we do not have a specialist Spinal Surgeon therefore any complex spinal injuries are referred to Imperial for management. We are not aware of a Patient Safety Alert (PSA) raised in relation “Resources to support safer bowel care for patients at risk of autonomic dysreflexia 25 July 2018”nor any formal written policies in place to support its management.

Currently, the Trust uses the Management of Spinal Cord Injury Guideline by North West London Trauma Network, available on intranet.
Regarding bowel care after spinal cord injury we refer to MASCIP (see attachment).

I hope this helps but the Trust cannot therefore complete your attached questionnaire until it knows more about the PSA referred to.

If you are not satisfied with how your request has been handled then please either
1. Respond to this email and we will review our answers and get back to you or
2. Write directly to:
The Chief Executive
Chelsea and Westminster Hospital NHS Foundation Trust
369 Fulham Road
London
SW10 9NH
If, after we have addressed your complaint, you remain dissatisfied with how we have responded, you are entitled to appeal to the Information Commissioner at:
The Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF.
Telephone: 08456 306060 or 01625 545745
Website: www.ico.org.uk
There is no charge for making an appeal.
Re-use of information and copyright
You are free to re-use the information contained in our response under the terms of the Open Government Licence http://www.nationalarchives.gov.uk/doc/o...
You must take into account the exemptions and any other conditions such as the non-endorsement condition below
This licence does not grant you any right to use the Information in a way that suggests any official status or that Chelsea and Westminster Hospital NHS Foundation Trust, the Information Provider and/or Licensor endorse you or your use of the Information
Further information can be found at:
http://www.opsi.gov.uk/advice/psi-regula...
Yours sincerely
The Information Governance team
Chelsea and Westminster Hospital NHS Foundation Trust
Email: [email address]

dangos adrannau a ddyfynnir

Nid ydym yn gwybod a yw'r ymateb mwyaf diweddar i'r cais hwn yn cynnwys gwybodaeth neuai peidio - os chi ywDave Bracher mewngofnodwch a gadael i bawb wybod.