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Bowel Management Patient Safety Alert (SPINE 01/19)

Dan Burden made this Freedom of Information request to Birmingham and Solihull Mental Health NHS Foundation Trust

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Dear Birmingham and Solihull Mental Health NHS Foundation 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,

Dan Burden

FOIOffice (BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST), Birmingham and Solihull Mental Health NHS Foundation Trust

 

Dear Dan,

 

Thank you for your request for information regarding Bowel Management
Patient Safety Alert (SPINE 01/19)  which was received on 19/02/19.

 

We have considered your request and our response is as follows:

 

Please note that Birmingham and Solihull Mental Health NHS Foundation
Trust (BSMHFT) is a specialist mental health trust not an acute hospital
trust, and does not provide physical health services. We do not therefore
feel this question is relevant to our Trust.

 

Please let us know if there is anything more that we can help you with and
we will provide a response under the provisions of the FOI Act.

 

If you are unhappy with the service you have received in relation to your
request and wish to request a review of our decision, you should write to
the Freedom of Information Officer, BSMHFT, 50 Summer Hill Road,
Birmingham, B1 3RB, or e-mail [1][Birmingham and Solihull Mental Health NHS Foundation Trust request email]

 

If you are not content with the outcome of your review, you may apply
directly to the Information Commissioner for a decision. Generally, the
ICO cannot make a decision unless you have exhausted the complaints
procedure provided by our trust. The Information Commissioner can be
contacted at:

 

Information Commissioner's Office Wycliffe House Water Lane Wilmslow
Cheshire SK9 5AF Telephone: 08456 30 60 60 or 01625 54 57 45 or
[2]www.ico.gov.uk

 

We are always interested in improving our services. To give us feedback
regarding your experience with the Freedom of information office, please
visit:
[3]http://www.bsmhft.nhs.uk/about-us/inform...

 

Yours sincerely

 

Trust FOI Officer

e-mail: [4][Birmingham and Solihull Mental Health NHS Foundation Trust request email]

Direct Dial: 0121 301 1370

 

 

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Dear FOIOffice (BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST),

Spinal cord injured people may need in-patient or community care at any time in their lives.
Indeed, such care may be required many, many years after their original injury (and rehabilitation). Also, the primary reason why care is required might well be unrelated directly to the spinal cord injury.
For example, a spinal cord injured person may: have serious mental health issues which require in-patient treatment; be admitted to hospital following an accident or severe infection; or require ongoing care in the community.
Despite the above, you have advised that our bowel management freedom of information request is not applicable to your trust.
Please explain precisely why you believe that a spinal cord injured person could never require services from your trust in their lifetime.
It would be greatly appreciated if you could copy your WhatDoTheyKnow response to [email address]

Yours sincerely,

Dan Burden

FOIOffice (BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST), Birmingham and Solihull Mental Health NHS Foundation Trust

Dear Dan,

 

Thank you for your request querying the Trust’s response to your previous
request FOI907. Your request was received on 02/05/2019 and I am dealing
with it under the terms of the Freedom of Information Act 2000.

 

You will receive the information requested within 20 working days unless
the Trust does not hold the information or there is a reason for it to be
withheld. I will write to you in any event.

 

Accessibility requirements: If you have any requirements regarding the
format any information should be supplied in, e.g. the language to be
used, audio, large print, verbal explanation and so on, then please let me
know.

 

If you have any queries or concerns then please do not hesitate to contact
me. Please remember to quote the reference number above in any future
communications.

 

Further information about your rights is also available from the
Information Commissioner at: Information Commissioner's Office Wycliffe
House Water Lane Wilmslow Cheshire SK9 5AF Telephone: 08456 30 60 60 or
01625 54 57 45 or [1]www.ico.gov.uk

 

Yours sincerely,

 

Trust FOI Officer

Birmingham & Solihull Mental Health Foundation Trust

50 Summer Hill Road

Birmingham

B1 3RB

Tel: 0121 301 1370

e-mail: [2][Birmingham and Solihull Mental Health NHS Foundation Trust request email]

website: [3]www.bsmhft.nhs.uk

 

 

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FOIOffice (BIRMINGHAM AND SOLIHULL MENTAL HEALTH NHS FOUNDATION TRUST), Birmingham and Solihull Mental Health NHS Foundation Trust

1 Attachment

Dear Dan,

 

Thank you for your request for information received on the 02/05/19.

 

We have considered your request and can provide the following information
in the document attached.

 

If you are unhappy with the service you have received in relation to your
request and wish to request a review of our decision, you should write to
the Freedom of Information Officer, BSMHFT, 50 Summer Hill Road,
Birmingham, B1 3RB, or e-mail [1][Birmingham and Solihull Mental Health NHS Foundation Trust request email]

 

If you are not content with the outcome of your review, you may apply
directly to the Information Commissioner for a decision. Generally, the
ICO cannot make a decision unless you have exhausted the complaints
procedure provided by our trust. The Information Commissioner can be
contacted at:

 

Information Commissioner's Office Wycliffe House Water Lane Wilmslow
Cheshire SK9 5AF Telephone: 08456 30 60 60 or 01625 54 57 45 or
[2]www.ico.gov.uk

 

We are always interested in improving our services. To give us feedback
regarding your experience with the Freedom of information office, please
visit:
[3]http://www.bsmhft.nhs.uk/about-us/inform...

 

Yours sincerely

 

Trust FOI Officer

e-mail: [4][Birmingham and Solihull Mental Health NHS Foundation Trust request email]

Direct Dial: 0121 301 1370

 

show quoted sections

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