Bowel management for spinal cord injured people

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Dear Alder Hey Children’s 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

Whittaker Alex, Alder Hey Children’s NHS Foundation Trust

Dear Mr Felton,

Thank you for your request for information received on 22 December 2016.
It has been allocated the reference number FOI-2016-3297 and is being
dealt with under the terms of the Freedom of Information Act 2000.

Our aim is to provide the information at the earliest opportunity but
within the statutory 20 working days of receiving your request. Should
there be any difficulty or delay in providing the information to you
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If you have any further information as to the process or have any queries
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Kind Regards

Information Governance Team
Alder Hey Children's NHS Foundation Trust
[1][email address]

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Whittaker Alex, Alder Hey Children’s NHS Foundation Trust

1 Attachment

Dear Mr Felton,

Further to your request for information made under the terms of the
Freedom of Information Act 2000, received on 22 December 2016 and
allocated the reference FOI-2016-3297 please find attached our response.

Kind Regards

Information Governance Team
Alder Hey Children's NHS Foundation Trust
Ext: 2158
Direct Dial: 0151 252 5158
[1][email address]

References

Visible links
1. mailto:%[email address]

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