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Bowel Management Patient Safety Alert (SPINE 01/19)

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Dear Portsmouth Hospitals NHS 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,

Andrew Smart

Portsmouth FOIRequests, Portsmouth Hospitals NHS Trust



Acknowledgement of Request for information under the Freedom of
Information Act 2000

 

Thank you for your request for information, made under the Freedom of
Information Act 2000 (the Act) which was received today by Portsmouth
Hospitals NHS Trust (the Trust).

 

Under the terms of the Act the Trust will endeavour to respond to your
request within 20 working days. The clock commences on the next working
day following receipt of your request. The Trust will investigate the
nature of your information request;  if clarification is required to
assist the Trust to locate & compile the information you requested,  then
the clock will be suspended until such time as the Trust receives your
clarification.

 

Please note that in accordance with section 12(4) of the Act where
multiple requests for information are received from one person or by
different persons who appear to be acting together, the estimated cost of
complying with any of the requests is to be taken to be the estimated
total cost of complying with all of them. Where applicable, we may deal
with multiple requests for information under a single reference.

 

There are also a number of exemptions which the Act permits with respect
to disclosure of information. The information will be assessed for these
exemptions prior to us releasing it to you. You will be advised if the
Trust is unable to provide the information requested due to exemption(s).

 

Re-use of Public Sector Information Regulations 2005

 

The supply of information under Freedom of Information is intended to be
for personal use only and does not automatically give the recipient the
right to commercially re-use it, for example, the right to publish it or
make it available to a wider audience [SI 2005 No: 1515 4(1)].  Therefore,
if this information is not for your personal use, you must apply in
writing to this Trust. A licence may be issued if the information is under
copyright and the issue of a licence may constitute a charge depending
upon the information released and proposed re-use.

 

Failure to comply with the Regulations may result in legal proceedings
being taken against you.

 

The Trust will only release staff personal information of those who are
grade Band 8 and above.

 

If you have any queries, please do not hesitate to contact this office.

 

Yours sincerely

 

Freedom of Information Team

Room 2.03

De La Court House

Queen Alexandra Hospital

Southwick Hill Road

Portsmouth

Hampshire

PO6 3LY

 

Tel: 023 9228 6000

Ext. 3708

Email:  [1][email address] (Please do not use this
email for further FOI requests)

 

 

 

References

Visible links
1. mailto:[email address]

Portsmouth FOIRequests, Portsmouth Hospitals NHS Trust

2 Attachments

Dear Mr Smart

 

Please find attached Portsmouth Hospitals NHS Trust's letter of completion
for your request made under the Freedom of Information Act 2000.

 

If you require any further assistance, please do not hesitate to contact
the Team.

 

Yours sincerely,  

 

Freedom of Information Team 

Portsmouth Hospitals NHS Trust

Room 2.03 Top Floor

De La Court House

Queen Alexandra Hospital

Southwick Hill Road

Cosham, Portsmouth

Hampshire PO3 6LY

02392 286000 Ext. 3708

 

[1][Portsmouth Hospitals NHS Trust request email] (For further requests only)

[2][email address] (For general enquiries)

[3]www.porthosp.nhs.uk

 

[4]cid:image001.png@01D4D8D2.2850C220

 

"The information contained within this message is intended for the
addressee only and may contain confidential and/or privileged information.
If you are not the intended recipient, you may not peruse, use,
disseminate, distribute or copy this message. If you have received this
message in error, please notify the sender immediately by email, facsimile
or telephone and either return or destroy the original message. The sender
accepts no responsibility for any changes made to this message after it
has been sent by the original author. The views or opinions contained
herein do not necessarily represent the views of Portsmouth Hospitals NHS
Trust. This email or any of its attachments may contain data that falls
within the scope of the Data Protection Acts. You must ensure that any
handling or processing of such data by you is fully compliant with the
terms and provisions of the Data Protection Act 1984 and 1998".

P .......Save a tree..........do you  really need to print this email?

 

 

 

References

Visible links
1. mailto:[Portsmouth Hospitals NHS Trust request email]
2. mailto:[email address]
3. http://www.porthosp.nhs.uk/

We don't know whether the most recent response to this request contains information or not – if you are Andrew Smart please sign in and let everyone know.