Bowel management with spinal cord injured people

Lauren Theodosi made this Freedom of Information request to Northern Devon Healthcare 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 Northern Devon Healthcare NHS 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

FOI (NORTHERN DEVON HEALTHCARE NHS TRUST), Northern Devon Healthcare NHS Trust

Dear Mr Theodosi,

Thank you for your correspondence dated 18th January.

Your request is being dealt with in accordance with the Freedom of Information Act 2000. We will respond promptly and no later than 15th February, which is 20 working days from the day after we received your request.

Please quote the ND FOI reference number in the subject box in future messages.

We would like to take this opportunity to thank you for your interest in Northern Devon Healthcare NHS Trust.

Yours sincerely,
FOI - Northern Devon Healthcare NHS Trust.

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FOI (NORTHERN DEVON HEALTHCARE NHS TRUST), Northern Devon Healthcare NHS Trust

4 Attachments

Dear Ms Theodosi,

Kindly find attached our Trust response to your Freedom of Information request of 18th January.

If you are happy with the response you have received, or if you think we could improve our service, have any recommendations or comments please click here to give us feedback or use the link below:
https://www.surveymonkey.com/s/ndht-foi

Again thank you for your interest in Northern Devon Healthcare NHS Trust.

Yours sincerely,
FOI - Northern Devon Healthcare NHS Trust.

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