Dear Airedale NHS Foundation Trust,

Bowel management for spinal cord injured people

Hello my name is Derry Felton and I work for the Spinal Injuries Association (SIA). I just have a few questions that need answering for our Public Affairs department.

As a request under the Freedom of Information Act, please provide the following information on bowel management for spinal cord injured people and others with neurogenic bowel dysfunction
1. Does the Trust have a formal written policy for digital rectal examination/check, digital rectal stimulation and the digital removal of faeces (manual bowel evacuation) in spinal cord injured and other patients with neurogenic bowel dysfunction ?
2. If the Trust does, please supply a copy of this document.
3. If the Trust does not, how is bowel care managed in the above patient groups who present with this care need?
4. Does the Trust employ a specialist continence nurse(s)?
5. If the Trust employs a specialist continence nurse(s) can they (a) undertake digital rectal checks, digital rectal stimulation and digital removal of faeces (manual bowel evacuation), otherwise known as 'intimate digital bowel care procedures' (b) provide instruction to other nurses to enable them to perform intimate digital bowel care procedures'?
6. If the Trust does not employ a specialist continence nurse, is there another health care professional who undertakes intimate digital bowel care procedures including manual bowel evacuation? If yes, who does this?
7. Does your Trust have a policy in place that will allow your staff to do trans-anal irrigation (TAI) of the bowel as a method of bowel care management for spinal cord injured patients? Do you train your staff to do TAI/ bowel irrigation?
8. Do you run bowel care courses for your staff that allows them to deliver the full range of bowel care required by spinal cord injured patients or others with a neurogenic bowel?
9. If yes, please provide details. If no, does the Trust have a policy which allows for the personal care assistants (PAs) of spinal cord injured patients to assist with this element of the patient's care?

Yours faithfully,

derry felton

FOI, Airedale NHS Foundation Trust

1 Attachment

Dear Mr Felton

 

Thank you for your request for information from Airedale NHS Foundation
Trust which was received on 21^st December 2016.  Your request has been
given the Reference Number 2548. 

 

We will now proceed to process the request.  The deadline date for issuing
you with a full response is 21^st January 2016.   We will endeavour to
respond to you in advance of this date and we will contact you if we
envisage delays or if we need more information from you.

 

Please note that under the Freedom of Information Act, some information
can be subject to exemptions, which means that the Trust does not have to
provide the information requested.  Some exemptions are “absolute” such as
personal information and some only apply where the public interest in
maintaining the exemption, outweighs that of providing the information.

 

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We will offer assistance and advise you if, by modifying your request, we
could provide you with some non-exempt or free of charge information.

 

Please contact me, quoting the Reference Number above, with any questions
you might have about your request.

 

With kind regards

 

Tim Rycroft

Head of Information Technology Services & Information Governance

Airedale NHS Foundation Trust | Skipton Road | Steeton | Keighley | BD20
6TD | Location: IT Business Centre | Zone C | Department 48

FOI:  01535 292738

[1]http://www.airedale-trust.nhs.uk / Follow us on Twitter
[2]@AiredaleNHSFT

 

 

Sent on behalf of Tim Rycroft by Deborah Cocker, Information Governance
Asst. (my usual working pattern is Mon-Thurs)

 

 

 

 

 

show quoted sections

FOI, Airedale NHS Foundation Trust

1 Attachment

Dear Mr/Ms Felton

 

Further to your application to access information under the Freedom of
Information Act (Our Ref. 2548) please find our response below.  

 

1.            Does the Trust have a formal written policy for digital
rectal examination/check, digital rectal stimulation and the digital
removal of faeces (manual bowel evacuation) in spinal cord injured and
other patients with neurogenic bowel dysfunction ? -  No

2.            If the Trust does, please supply a copy of this document. -
N/A

3.            If the Trust does not, how is bowel care managed in the
above patient groups who present with this care need? - According to
individual need

4.            Does the Trust employ a specialist continence nurse(s)? - No

5.            If the Trust employs a specialist continence nurse(s) can
they (a) undertake digital rectal checks, digital rectal stimulation and
digital removal of faeces (manual bowel evacuation), otherwise known as
'intimate digital bowel care procedures' (b) provide instruction to other
nurses to enable them to perform intimate digital bowel care procedures'?
– No specialist continence nurse employed

6.            If the Trust does not employ a specialist continence nurse,
is there another health care professional who undertakes intimate digital
bowel care procedures including manual bowel evacuation? If yes, who does
this? -  Community nurses

7.            Does your Trust have a policy in place that will allow your
staff to do trans-anal irrigation (TAI) of the bowel as a method of bowel
care management for spinal cord injured patients? Do you train your staff
to do TAI/ bowel irrigation? -  No

8.            Do you run bowel care courses for your staff that allows
them to deliver the full range of bowel care required by spinal cord
injured patients or others with a neurogenic bowel? - No

9.            If yes, please provide details. If no, does the Trust have a
policy which allows for the personal care assistants (PAs) of spinal cord
injured patients to assist with this element of the patient's care? - Not
held but PAs are allowed to undertake personal cares with individual
patients’ consent

 

We trust you find our response helpful.  If you feel we are not complying
with our publication scheme, you feel your request has not been properly
handled, or you are dissatisfied, you can write to Bridget Fletcher, Chief
Executive at the address below to request a review.  You also have the
right to complain to the Information Commissioner under section 50 of the
Freedom of Information Act 2000 if you are dissatisfied with the outcome
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You may use and re-use the information we have provided (not including
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of charge in any format or medium, under the terms of the Open Government
Licence which can be viewed via the link below.

 [1]http://www.nationalarchives.gov.uk/doc/o...

 

We are continually working to improve our Freedom of Information service
and we will shortly send you a brief, anonymous, on line feedback form. 
We would be very grateful if you could take a few moments to complete and
submit this.

 

Yours sincerely

 

 

Tim Rycroft

Head of Information Technology Services & Information Governance

Airedale NHS Foundation Trust | Skipton Road | Steeton | Keighley | BD20
6TD | Location: IT Business Centre | Zone C | Department 48

FOI:  01535 292738

[2]http://www.airedale-trust.nhs.uk / Follow us on Twitter
[3]@AiredaleNHSFT

[4]cid:image001.jpg@01D270D5.876083C0

 

 

Sent on behalf of Tim Rycroft by Deborah Cocker, Information Governance
Asst. (my usual working pattern is Mon-Thurs)

 

 

 

show quoted sections

Deborah Cocker, Airedale NHS Foundation Trust

2 Attachments

 

We recently responded to your request under the Freedom of Information Act
for some information from Airedale NHS Foundation Trust. 

 

It would help us at the Trust to receive your feedback about the service
you received and to know if there is anything we can do to improve it.   

 

Please take a moment to answer just 10 brief questions by clicking on
this link: [1]https://www.surveymonkey.co.uk/r/8Y9R5T2

 

 

All responses are anonymous - no-one will contact you as a result of giving your
feedback.

 

If you would like to discuss a Freedom of Information issue, or make a
further FOI request, please contact us separately at [2][Airedale NHS Foundation Trust request email] 

 

Thank you very much for your help.

 

With kind regards

Tim Rycroft

Head of IG/IT

 

 

Sent on behalf of Tim Rycroft by Deborah Cocker, Information Governance
Asst.  (My usual work pattern is Mon – Thurs)

 

 

 

 

 

Deborah Cocker

IG Asst, IT Business Centre, Airedale NHS Foundation Trust, KEIGHLEY BD20
6TD

[3]Description: cid:image001.jpg@01D12E87.2B256A30

[4]cid:image003.png@01D17DE1.C86C0110Zone C - Location 48

 

Tel. 01535 292738 (direct) Email [5][email address]

 

My usual working pattern is Mon-Thurs

 

References

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