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Bowel management for spinal cord injured people

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Dear Ashford and St Peter’s Hospitals 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, Ashford and St Peter’s Hospitals NHS Foundation Trust

Dear Derry

Thank you for your recent request to Ashford and St. Peter’s Hospitals NHS Foundation Trust. We are dealing with it in accordance with the Freedom of Information Act 2000.

Please let us know if you have any further queries or information related to this request. Our reference number for the request is FOI 5147; please quote this on all correspondence.

Yours sincerely

Freedom of Information Administrator
Ashford and St Peter's Hospitals NHS Foundation Trust
[Ashford and St Peter’s Hospitals NHS Foundation Trust request email]

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FOI, Ashford and St Peter’s Hospitals NHS Foundation Trust

1 Attachment

Dear Derry

Please find attached the Trust's response to your Freedom of Information request FOI 5147.

Best regards

Freedom of Information Administrator
Ashford and St Peter's Hospitals NHS Foundation Trust
[Ashford and St Peter’s Hospitals NHS Foundation Trust request email]

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