Bowel management with spinal cord injured people

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Dear Northamptonshire Healthcare NHS Foundation Trust,

By way of introduction, I work for the Spinal Injuries Association. 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 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,

Lauren Theodosi

Freedom of Information NHFT, Northamptonshire Healthcare NHS Foundation Trust

Hi Lauren,

Thank you for your request for information made under the Freedom of Information Act (2000). We anticipate that we will be able to provide you with a response within 20 working days. This request has been logged under reference FOI0117024.

Yours sincerely,

The Freedom of Information Team
Information Governance Team
Information Governance Department
Bevan House
Kettering Parkway South
Kettering
Northants
NN15 6XR

Email: [Northamptonshire Healthcare NHS Foundation Trust request email] | Web: http://www.nht.nhs.uk

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Freedom of Information NHFT, Northamptonshire Healthcare NHS Foundation Trust

1 Attachment

Good Evening,

 

Our Ref: FOI0117024

 

Please find the attached response to your recent request for information.

Your feedback is important to us, we would be grateful if you could please
complete, to enable us to continue to improve our services.

 

[1]https://www.surveymonkey.com/s/NC87QPD   

 

Yours sincerely,

 

The Freedom of Information Team

 

Information Governance Team Office

Bevan House

Kettering Parkway South

Kettering

Northants

NN15 6XR

 

Email: [2][Northamptonshire Healthcare NHS Foundation Trust request email] | Web: [3]http://www.nht.nhs.uk

 

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1. https://www.surveymonkey.com/s/NC87QPD
2. mailto:[Northamptonshire Healthcare NHS Foundation Trust request email]
3. http://www.nht.nhs.uk/