Bowel management with spinal cord injured patients

derry felton made this Freedom of Information request to Brighton and Sussex University Hospitals NHS 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 Brighton and Sussex University Hospitals NHS Trust,

Bowel management for spinal cord injured people

Hello my name is Derry Felton and I work for the Spinal Injuries Association (SIA). I just have a few questions that need answering for our Public Affairs department.

As a request under the Freedom of Information Act, please provide the following information on bowel management for spinal cord injured people and others with neurogenic bowel dysfunction
1. Does the Trust have a formal written policy for digital rectal examination/check, digital rectal stimulation and the digital removal of faeces (manual bowel evacuation) in spinal cord injured and other patients with neurogenic bowel dysfunction ?
2. If the Trust does, please supply a copy of this document.
3. If the Trust does not, how is bowel care managed in the above patient groups who present with this care need?
4. Does the Trust employ a specialist continence nurse(s)?
5. If the Trust employs a specialist continence nurse(s) can they (a) undertake digital rectal checks, digital rectal stimulation and digital removal of faeces (manual bowel evacuation), otherwise known as 'intimate digital bowel care procedures' (b) provide instruction to other nurses to enable them to perform intimate digital bowel care procedures'?
6. If the Trust does not employ a specialist continence nurse, is there another health care professional who undertakes intimate digital bowel care procedures including manual bowel evacuation? If yes, who does this?
7. Does your Trust have a policy in place that will allow your staff to do trans-anal irrigation (TAI) of the bowel as a method of bowel care management for spinal cord injured patients? Do you train your staff to do TAI/ bowel irrigation?
8. Do you run bowel care courses for your staff that allows them to deliver the full range of bowel care required by spinal cord injured patients or others with a neurogenic bowel?
9. If yes, please provide details. If no, does the Trust have a policy which allows for the personal care assistants (PAs) of spinal cord injured patients to assist with this element of the patient's care?

Yours faithfully,

derry felton

FOI, Brighton and Sussex University Hospitals NHS Trust

Dear Derry Felton,

 

We are writing to acknowledge your request for information under the
Freedom of Information (FOI) Act.  Your request was received in our office
on: 06/01/2017

 

We are considering your request and will reply more fully in due course. 
Under the Freedom of Information Act, we have 20 working days in which to
respond.

Some information, however, might be withheld due to exemptions which are
allowed for by the Act.  If this is the case, we will tell you that we
have withheld information and why.

If we can be of any further assistance to you in the meantime, please do
not hesitate to contact the Trust at: [1][BSUH request email].  Please quote
your reference number in any communication with us.

Yours sincerely,

 

Freedom of Information Office

Brighton and Sussex University Hospitals NHS Trust

 

References

Visible links
1. mailto:[BSUH request email]

FOI, Brighton and Sussex University Hospitals NHS Trust

Dear Derry Felton,

 

Thank you for your recent request for information under the Freedom of
Information (FOI) Act 2000.

 

We are now in a position to respond to your request.

 

Your request:

 

As a request under the Freedom of Information Act, please provide the
following information on bowel management for spinal cord injured people
and others with neurogenic bowel dysfunction

 

1.     Does the Trust have a formal written policy for digital rectal
examination/check, digital rectal stimulation and the digital removal of
faeces (manual bowel evacuation) in spinal cord injured and other patients
with neurogenic bowel dysfunction ?

2.     If the Trust does, please supply a copy of this document.

3.     If the Trust does not, how is bowel care managed in the above
patient groups who present with this care need?

4.     Does the Trust employ a specialist continence nurse(s)?

5.     If the Trust employs a specialist continence nurse(s) can they (a)
undertake digital rectal checks, digital rectal stimulation and digital
removal of faeces (manual bowel evacuation), otherwise known as 'intimate
digital bowel care procedures' (b) provide instruction to other nurses to
enable them to perform intimate digital bowel care procedures'?

6.     If the Trust does not employ a specialist continence nurse, is
there another health care professional who undertakes intimate digital
bowel care procedures including manual bowel evacuation? If yes, who does
this?

7.     Does your Trust have a policy in place that will allow your staff
to do trans-anal irrigation (TAI) of the bowel as a method of bowel care
management for spinal cord injured patients? Do you train your staff to do
TAI/ bowel irrigation?

8.     Do you run bowel care courses for your staff that allows them to
deliver the full range of bowel care required by spinal cord injured
patients or others with a neurogenic bowel?

9.     If yes, please provide details. If no, does the Trust have a policy
which allows for the personal care assistants (PAs) of spinal cord injured
patients to assist with this element of the patient's care?

 

Our response:

 

Under Section 1(1)(a) of the Freedom of Information Act, the Trust can
confirm that it holds information relevant to your request and this has
been provided where possible below. 

 

1.  No, not at this time.  The Trust has a policy covering digital rectal
examination for the purpose of lower urinary tract symptoms and prostate
assessment, but not for bowel management.

 

2.  Not applicable

 

3.  The Trust has a number of senior nurses who have been trained to carry
out these procedures as required.

 

4.  Yes, for urinary incontinence but not for the bowel.

 

5.  Not applicable

 

6.  See question 3

 

7.  No, not at this time; no.

 

8.  No, staff attend external training courses (se question 3).

 

9.  Not applicable; no.  The Trust follows the core care plan based on RCN
Guidance for Nurses 2012.

 

 

If you require clarification or if we can be of any further assistance to
you, please do not hesitate to contact us at: [1][BSUH request email]

 

Re-use of Public Sector Information Regulations 2005

 

The supply of information under the Freedom of Information Act 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)].

 

The Trust provides information under the Freedom of Information Act in
line with the template [2]Open Government Licence for public sector
information.  Should you wish to re-use any information in line with this
Licence then you are not required to take any further action.

 

The Open Government Licence allows you to re-use information freely and
flexibly, with only a few conditions.  If you wish to re-use information
outside of the Licence terms then please inform the Trust as unauthorised
re-use may be in breach of copyright law.

 

If you are dissatisfied with the outcome of your enquiry, you have the
right to appeal.  Please email us or write to:

 

Brighton and Sussex University Hospitals NHS Trust
Freedom of Information Office

Headquarters, First Floor

St Mary’s Hall, Eastern Road

Brighton BN2 5JJ

 

If you are still not satisfied with the outcome of your appeal, you can
write to:

 

The Information Commissioner
Wycliffe House
Water Lane
Wilmslow
Cheshire SK9 5AF
Telephone: 01625 545700

 

We hope that you find the information provided helpful.

 

Yours sincerely

 

Freedom of Information Office

Brighton and Sussex University Hospitals NHS Trust

 

References

Visible links
1. mailto:[BSUH request email]
2. http://www.nationalarchives.gov.uk/doc/o...

Looking for an EU Authority?

You can request documents directly from EU Institutions at our sister site AskTheEU.org . Find out more .

AskTheEU.org