Bowel Care - spinal cord injured patients

Jennifer Sims made this Freedom of Information request to University Hospitals Dorset NHS Foundation Trust Automatic anti-spam measures are in place for this older request. Please let us know if a further response is expected or if you are having trouble responding.

The request was successful.

Dear University Hospitals Dorset NHS Foundation Trust,

I am sending a separate Freedom of Information request to every NHS Trust, and would request that Freedom of Information Coordinators send (via the WhatDoTheyKnow website) a discrete and separate response for either their own Trust, or for each of the individual Trusts they are responsible for.

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 immense challenges of living with a spinal cord injury (SCI). We strive to support all SCI people to access the services and support they need to stay healthy and live fulfilled and active lives.

As a request under the Freedom of Information Act 2000, I’d be grateful if you could provide the following information about the provision of bowel care for adults.

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. 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

Q3. If admitted to the Trust, will a person with neurogenic bowel dysfunction receive the following bowel care intervention – Digital removal of faeces?
(a) Yes
(b) No

Q4. 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

Q5. 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

Q6. Do you have ward-based staff skilled in supporting patients with neurogenic bowel care interventions, including the digital removal of faeces?
(a) Yes
(b) No

Q7. Are staff available seven days a week to undertake these bowel care interventions?
(a) Yes
(b) No

Q8. Does the Trust have a policy that allows for the personal care assistants/carers of spinal cord injured patients to assist with the bowel care element of the patient's care?
(a) Yes
(b) No

Q9. Does the Trust have an appropriate clinical lead in place (such as a Continence Manager) to manage the overall delivery of bowel care interventions to patients?
(a) Yes
(b) No

Q10. What are the contact details for this clinical lead (i.e. name, job title, telephone number and email address)?

Thank you for your help with this request; if you have any queries then please let me know as soon as possible.

Yours faithfully,

Jennifer Sims

University Hospitals Dorset NHS Foundation Trust

Dear Jennifer Sims,

Thank you for your request for information made under the Freedom of
Information Act 2000.

Your request was received by us on 05/01/2023 and has been logged in our
system with the reference number FOI/IG/8607. The Trust has 20 working
days from the date of receipt to respond to your request, however we will
endeavour to provide our response as soon as possible. Should we require
an extension to this deadline or any clarification regarding the context
of the request, we will contact you.

On 01 October 2020, University Hospitals Dorset NHS Foundation Trust was
created through the merger of Poole Hospital NHS Foundation Trust and The
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust. Please
note that unless your request is specifically directed to one hospital
only, we will respond to your request with information relating to all
hospitals within the Trust.

Should you have any queries about this acknowledgement or the status of
your request, please contact us using the details provided below quoting
your FOI reference number. You may also wish to explore the information
that we have published on our website under our FOI Publication Scheme:
https://www.uhd.nhs.uk/

Yours sincerely,

Information Governance Officer
The Information Governance Department
University Hospitals Dorset NHS Foundation Trust
Tel: 0300 019 4932/2866/2542

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University Hospitals Dorset NHS Foundation Trust

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Dear Jennifer Sims,

Please see the attached information in response to your request received
by us on 05/01/2023. Any exemptions applied to this request are indicated
as appropriate/applicable.

We trust that this satisfactorily responds to your request however, if you
feel it necessary, you do have the right of appeal against the response
that we have provided. In the first instance, you should direct your
complaint to our Information Governance Manager using the contact details
provided below. If our internal complaints process does not resolve your
concerns, you may also then submit a complaint to the Information
Commissioner's Office either by post to Wycliffe House, Water Lane,
Wilmslow, Cheshire, SK9 5AF or by telephone on 0303 123 1113. You can also
find further information regarding your rights under the Freedom of
Information Act 2000 on the ICO website:
https://ico.org.uk/for-the-public/offici...

Yours sincerely,

Information Governance Officer
The Information Governance Department
University Hospitals Dorset NHS Foundation Trust
Tel: 0300 019 4932/2866/2542
Email: [email address]

All UHD emails are accredited against the NHS DCB1596 Secure Email
Standard – giving UHD emails a level of security equivalent to NHSMail
DISCLAIMER: This email and any files transmitted with it are intended
solely for the use of the individuals or entity to whom they are
addressed. This email may contain confidential and/or privileged
materials. Any review, retransmission, dissemination or other use of such
materials by individuals or entities other than the intended recipient may
be the subject of legal action. If you receive an email in error from
University Hospitals Dorset NHS Foundation Trust, please contact the
sender and delete the material from your computer.