Bowel Management Patient Safety Alert (SPINE 01/19)

The request was successful.

Dear Cumbria Partnership 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,

Andrew Smart

FOI Requests (RNN) Cumbria Partnership NHS FT, Cumbria Partnership NHS Foundation Trust

2 Attachments

Hello,

 

Thank you for your request for information regarding Bowel Management
Patient Safety Alert

 

I am dealing with this under the terms of the Freedom of Information Act
2000 and aim to respond within 20 working days.

 

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

 

Kind regards

 

 

Kind regards,

Information Rights Assistant

eHealth

Maglona House, Kingstown Broadway, Carlisle, CA3 0HA
Cumbria Partnership NHS Foundation Trust

Tel: 01228 608843

[1]www.cumbriapartnership.nhs.uk

Follow us @eHealthCumbria

[2]cid:image001.png@01D3E222.8907EDC0

Under [3]GDPR Subject Access Requests now have to be responded to within a
month!

If you receive one, don’t delay, send to [4][email address]
today!

For more information please click on the icon.

 

 

 

 

 

 

This email and any files transmitted with it are confidential and intended
solely for the use of the individual or entity to whom they are addressed.
Any views or opinions expressed are those of the author and do not
represent the views of Cumbria Partnership NHS Foundation Trust unless
otherwise explicitly stated. The information contained in this email may
be subject to public disclosure under the Freedom of Information Act 2000.
Unless the information is legally exempt from disclosure, the
confidentiality of this email and your reply cannot be guaranteed. The
Trust accepts no liability for any damage caused by any virus transmitted
with this email, so although virus checked before transmission, the
recipient should also check for the presence of viruses.

 

 

 

References

Visible links
1. http://www.cumbriapartnership.nhs.uk/
3. http://cptportal.cumbria.nhs.uk/SiteDire...
4. mailto:[email address]

FOI Requests (RNN) Cumbria Partnership NHS FT, Cumbria Partnership NHS Foundation Trust

3 Attachments

Good Morning,

 

Please find attached our response to your recent request for information
under the Freedom of Information Act.

 

Please may I draw your attention to our electronic satisfaction survey. 
We would appreciate your time in answering a few questions relating to
your experience with us by using the link below so that we can improve the
service we provide:

 

N.B. This survey has a secure site, is completely confidential and there
are only 8 multiple choice questions (generally yes or no)

 

[1]https://www.surveymonkey.com/s/LX5PK6H  

 

Thank you

 

 

Kind regards,

Information Rights Assistant

eHealth

Maglona House, Kingstown Broadway, Carlisle, CA3 0HA
Cumbria Partnership NHS Foundation Trust

Tel: 01228 608843

[2]www.cumbriapartnership.nhs.uk

Follow us @eHealthCumbria

[3]cid:image001.png@01D3E222.8907EDC0

Under [4]GDPR Subject Access Requests now have to be responded to within a
month!

If you receive one, don’t delay, send to [5][email address]
today!

For more information please click on the icon.

 

 

 

 

 

 

This email and any files transmitted with it are confidential and intended
solely for the use of the individual or entity to whom they are addressed.
Any views or opinions expressed are those of the author and do not
represent the views of Cumbria Partnership NHS Foundation Trust unless
otherwise explicitly stated. The information contained in this email may
be subject to public disclosure under the Freedom of Information Act 2000.
Unless the information is legally exempt from disclosure, the
confidentiality of this email and your reply cannot be guaranteed. The
Trust accepts no liability for any damage caused by any virus transmitted
with this email, so although virus checked before transmission, the
recipient should also check for the presence of viruses.

 

 

 

References

Visible links
1. https://www.surveymonkey.com/s/LX5PK6H
2. http://www.cumbriapartnership.nhs.uk/
4. http://cptportal.cumbria.nhs.uk/SiteDire...
5. mailto:[email address]