Bowel Management Patient Safety Alert (SPINE 01/19)

Dan Burden made this Freedom of Information request to Bradford District Care NHS Foundation Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Dear Bradford District Care 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

Bradford District Care NHS Foundation Trust

1 Attachment

Thank you for your recent request for information under the Freedom of Information Act.

Please find attached correspondence in relation to your request.

Kind Regards
Information Governance and Records Management
Bradford District Care NHS Foundation Trust, New Mill, Victoria Road, Shipley, BD18 3LD
Telephone: 01274 363629

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Although this e-mail and any attachments are believed to be free of virus, or any other defect which might affect any computer or IT system into which they are received and opened, it is the responsibility of the recipient to ensure that they are virus free. No responsibility is accepted by Bradford District Care Foundation Trust for any loss or damage arising in any way from receipt and does not accept responsibility for changes made to this message after it was sent.

The e-mail accompanying this transmission contains information from Bradford District Care NHS Foundation Trust, which is confidential and privileged for the use of the named recipient. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this e-mail is strictly prohibited. If you receive this transmission in error, would you please notify us by telephone immediately on 01274 251 251. Please destroy and delete the message from your computer or IT system. Although this e-mail and any attachments are believed to be free of virus, or any other defect which might affect any computer or IT system into which they are received and opened, it is the responsibility of the recipient to ensure that they are virus free. No responsibility is accepted by Bradford District Care NHS Foundation Trust for any loss or damage arising in any way from receipt and does not accept responsibility for changes made to this message after it was sent. Any opinions expressed in this email are those of the author and do not necessarily reflect the opinions of Bradford District Care NHS Foundation Trust.

Bradford District Care NHS Foundation Trust

1 Attachment

Thank you for your recent request for information under the Freedom of Information Act.

Please find attached correspondence in relation to your request.

Kind Regards
Information Governance and Records Management
Bradford District Care NHS Foundation Trust, New Mill, Victoria Road, Shipley, BD18 3LD
Telephone: 01274 363629

Wait! Do you need to print this email? Please consider the environment before you print this out.

The e-mail accompanying this transmission contains information from Bradford District Care Foundation Trust, which is confidential and privileged for the use of the named recipient. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this e-mail is strictly prohibited. If you receive this transmission in error, would you please notify us by telephone immediately on 01274 363636. Please destroy and delete the message from your computer or IT system.
Although this e-mail and any attachments are believed to be free of virus, or any other defect which might affect any computer or IT system into which they are received and opened, it is the responsibility of the recipient to ensure that they are virus free. No responsibility is accepted by Bradford District Care Foundation Trust for any loss or damage arising in any way from receipt and does not accept responsibility for changes made to this message after it was sent.

The e-mail accompanying this transmission contains information from Bradford District Care NHS Foundation Trust, which is confidential and privileged for the use of the named recipient. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this e-mail is strictly prohibited. If you receive this transmission in error, would you please notify us by telephone immediately on 01274 251 251. Please destroy and delete the message from your computer or IT system. Although this e-mail and any attachments are believed to be free of virus, or any other defect which might affect any computer or IT system into which they are received and opened, it is the responsibility of the recipient to ensure that they are virus free. No responsibility is accepted by Bradford District Care NHS Foundation Trust for any loss or damage arising in any way from receipt and does not accept responsibility for changes made to this message after it was sent. Any opinions expressed in this email are those of the author and do not necessarily reflect the opinions of Bradford District Care NHS Foundation Trust.