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Bowel Management Patient Safety Alert (SPINE 01/19)

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Dear Humber Teaching 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,

Carol Macmillan

Hftfoi (HUMBER TEACHING NHS FOUNDATION TRUST), Humber Teaching NHS Foundation Trust

1 Attachment

Dear Carol

 

We have received notification that a Freedom of Information request has
been sent to a staff member within our Trust.  Your request for
information has been passed to the FOI Team however, should you wish to
request information under the Act from this Trust in the future, you will
need to complete the web form on our website, the link for which is set
out below.

 

[1]https://www.humber.nhs.uk/about-our-trus...

 

Your request will be dealt with under the terms of the Freedom of
Information Act 2000.  In some circumstances a fee may be payable and if
that is the case, we will let you know. A fees notice will be issued,
which you will be required to pay before we proceed with your request.

 

We will respond to your request within 20 working days of it being
received.

 

All information provided under Freedom of Information is deemed to be in
the public domain. The Information Commissioner requires as good practice
that organisations make public, information provided from Freedom of
Information requests.

 

Any information we provide following your request under the Freedom of
Information Act will not confer an automatic right for you to re-use that
information, for example to publish it. If you wish to re-use the
information we provide and you do not specify this in your initial
application for information then you must make a further request for its
re-use as per the Re-Use of Public Sector Information Regulations 2005
[2]www.opsi.gov.uk. This will not affect your initial information request.

 

Kind Regards

 

Freedom Of Information Team

Humber Teaching NHS Foundation Trust

Mary Seacole Building | Willerby Hill | Beverley Road | Willerby | East
Riding of Yorkshire | HU10 6ED

[3]cid:image002.jpg@01D48722.2DA62CD0

 

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Hftfoi (HUMBER TEACHING NHS FOUNDATION TRUST), Humber Teaching NHS Foundation Trust

4 Attachments

Kindly note that any future requests for information under the Freedom of
Information Act should be submitted via our web form on the following
link:

 

[1]https://www.humber.nhs.uk/about-our-trus...

 

 

Dear Requestor,

 

Please find attached the response to your Freedom of Information Request. 
We trust the response has covered all the information which you requested.

 

To help us measure our performance in responding to Freedom of Information
requests, please complete the attached form and return it to us by email.

 

The information we have provided to you is copyrighted to the Humber
Teaching NHS Foundation Trust and provided to you free of charge for your
personal use or for other specific uses permitted in the Copyright Act. If
however you wish to use the information we have provided for any
commercial purposes including the sale of the information to a third party
then, under the Regulations on the Re-use of Public Sector Information
Regulations 2005, you must ask us for permission to do so in respect of
each specific piece of such information. If we do grant such permission
this may involve a licensing arrangement which may attract a fee.

 

All information provided under Freedom of Information is deemed to be in
the public domain. 

 

If you have any other queries about the response, please feel free to
contact us.

 

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of our decision
you should write to:

 

PALS and Complaints Manager

Trust Headquarters

Willerby Hill

Beverley Road

Willerby

HU10 6ED

[2][email address]

 

If you are not content with the outcome of your complaint, 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 the Humber Teaching NHS Foundation Trust. The
Information Commissioner can be contacted at:

 

The Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Kind regards,

 

Freedom Of Information Team

Humber NHS Foundation Trust

Mary Seacole Building, Willerby Hill,Willerby, HU10 6ED
Fax: 01482 477857

 

Visit: [3]www.humber.nhs.uk

Follow us on Twitter [4]@HumberNHSFT

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use, disclosure, copying or distribution of the information is prohibited.
In such cases you should destroy this message and kindly notify the sender
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All emails will be scanned by the Trust for viruses, spam and malicious
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