Bowel management with spinal cord injured people

Lauren Theodosi made this Freedom of Information request to North Essex Partnership NHS Foundation Trust

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The request was successful.

Dear North Essex Partnership 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

FOI (NORTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST), North Essex Partnership NHS Foundation Trust

Dear Lauren Theodosi,

 

RE: Freedom of Information Act Request (REF: FOI.LT.17.512)

 

The North Essex Partnership University NHS Foundation Trust Freedom of
Information Service received your request for access to information under
the Freedom of Information Act on 18 January 2017.

 

You requested information, as outlined below.

 

The Act allows 20 working days for us to respond to your request so you
can expect a response by 14 February 2017.  We will of course make every
effort to respond sooner if possible. A fee may be charged to cover
postage and photocopying costs.

 

You should also be aware that the Act does allow, in certain cases, for
the 20 working day time period to be extended. We will notify you as soon
as possible if there is a need to extend the time limit for responding to
your request.

 

The Trust has a statutory duty to provide advice and assistance to
applicants. If you have any questions now, or during the processing of
your request, please write or telephone me.

 

Many thanks

 

Kindest regards

 

Freedom of Information Team

North Essex Partnership University NHS Foundation Trust

 

 

 

 

 

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FOI (NORTH ESSEX PARTNERSHIP UNIVERSITY NHS FOUNDATION TRUST), North Essex Partnership NHS Foundation Trust

1 Attachment

Dear Lauren Theodosi,

 

RE: Freedom of Information Act Request (REF: FOI.LT.17.512)

 

With regards to your recent request for information, made under the
Freedom of Information Act provisions, please find attached a response.

 

If you are dissatisfied with the way North Essex Partnership University
NHS Foundation Trust has handled your request for information, you can
request a review by writing to:

 

Mr David Griffiths

The Senior Information Risk Owner

North Essex Partnership Foundation Trust

Trust Head Quarters

Stapleford House

Stapleford Close

Chelmsford

Essex, CM2 0QX

Telephone: 01245 546400

 

If you remain dissatisfied with the handling of your request or complaint,
you have a right of appeal to the Information Commissioner at: The
Information Commissioner's Office, Wycliffe House, Water Lane, Wilmslow,
Cheshire, SK9 5AF. Telephone: 08456 30 60 60 or 01625 54 57 45 Website:
[1]www.ico.gov.uk.

 

This information is protected by intellectual property rights and North
Essex Partnership University Foundation Trust does not give you permission
to make any commercial use of any part of this message.  Any copies you
make must be attributed to us and you must seek permission from the Trust
if you wish to reproduce or publish this information in any format.

 

Many thanks

 

Kindest regards

 

Freedom of Information Team

North Essex Partnership University NHS Foundation Trust

 

 

 

 

 

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