Bowel management with spinal cord injured people

Carol Hornett made this Freedom of Information request to Nottingham 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 Nottingham University Hospitals 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,

Carol Hornett

Merrick Stephanie (ICT Services), Nottingham University Hospitals NHS Trust

Dear Ms Hornett

 

REF: NUH 37623 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST

 

Thank you for your request for information about bowel management and
spinal injuries. Your request was received on 19^th January 2017 and we
are dealing with it under the terms of the Freedom of Information Act
2000.

 

Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).

 

In some circumstances a fee may be payable and if that is the case I will
let you know. A fees notice will be issued to you, and you will be
required to pay before I will proceed to deal with your request.

 

You will receive the information requested within 20 working days allowed
under the Act unless the Trust does not hold the information or there is a
reason for it to be withheld. I will write to you in any event.

 

If you have any requirements regarding the format any information should
be supplied in, e.g. the language to be used, audio, large print and so
on, then please let me know.

 

If you have any queries or concerns then please do not hesitate to contact
me. Please remember to quote the reference number above in any future
communications.

 

Further information about your rights is also available from the
Information Commissioner at:

 

Information Commissioner's Office
Wycliffe House 
Water Lane 
Wilmslow 
Cheshire 
SK9 5AF 
Telephone: 08456 30 60 60 or 01625 54 57 45
[1]www.ico.gov.uk

 

Yours sincerely,

 

Stephanie Merrick

 

Freedom of Information Trust Lead

Patient Records Services

ICT Services, Nottingham University Hospitals NHS Trust

QMC Tel: 0115 9249924 ext 63100

 

Please note my working days are: Monday -  Friday 08.30 -16.30

 

ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[2]http://ictselfservice

 

Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.

 

show quoted sections

References

Visible links
1. http://www.ico.gov.uk/
2. http://ictselfservice/

Booth Ann (Medical & Teaching), Nottingham University Hospitals NHS Trust

Dear Ms Hornett

 

REF: NUH 37623 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST

 

Thank you for your request for information about bowel management and
spinal injuries. Your request was received on 19^th January 2017 and we
are dealing with it under the terms of the Freedom of Information Act
2000.

 

Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH).

 

In some circumstances a fee may be payable and if that is the case I will
let you know. A fees notice will be issued to you, and you will be
required to pay before I will proceed to deal with your request.

 

You will receive the information requested within 20 working days allowed
under the Act unless the Trust does not hold the information or there is a
reason for it to be withheld. I will write to you in any event.

 

If you have any requirements regarding the format any information should
be supplied in, e.g. the language to be used, audio, large print and so
on, then please let me know.

 

If you have any queries or concerns then please do not hesitate to contact
me. Please remember to quote the reference number above in any future
communications.

 

Further information about your rights is also available from the
Information Commissioner at:

 

Information Commissioner's Office
Wycliffe House 
Water Lane 
Wilmslow 
Cheshire 
SK9 5AF 
Telephone: 08456 30 60 60 or 01625 54 57 45
[1]www.ico.gov.uk

 

Yours sincerely

 

Ann Booth

 

Freedom of Information (FOI) Administrator

Patient Records Services

ICT Services, Nottingham University Hospitals NHS Trust

QMC Tel: 0115 9249924 ext 63100

 

Please note my working days are: Monday, Tuesday and  Friday 08.00 -16.00

 

show quoted sections

References

Visible links
1. http://www.ico.gov.uk/

Booth Ann (Medical & Teaching), Nottingham University Hospitals NHS Trust

Dear Ms Hornett

 

REF: NUH 37623 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST

 

I refer to your Freedom of Information request received on 19 January
2017.  Unfortunately there will be a delay in supplying you with a final
response.

 

Please be assured that your request is still receiving our full attention
and we apologise for any inconvenience this delay may cause you

 

Yours sincerely,

 

Ann Booth

Freedom of Information (FOI) Administrator

Patient Records Services

ICT Services, Nottingham University Hospitals NHS Trust

QMC Tel: 0115 9249924 ext 63100

 

Please note my working days are: Monday, Tuesday and  Friday 08.00 -16.00

 

ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[1]http://ictselfservice

 

Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.

 

show quoted sections

References

Visible links
1. http://ictselfservice/

Booth Ann (Medical & Teaching), Nottingham University Hospitals NHS Trust

Dear Ms Hornett

 

REF: NUH 37623 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST

 

I refer to your Freedom of Information request received on 18 January
2017.  Unfortunately there will be a delay in supplying you a final
response.

 

Please be assured that your request is still receiving our full attention
and we apologise for any inconvenience this delay may cause you.

 

Yours sincerely,

 

 

Ann Booth

 

Freedom of Information (FOI) Administrator

Patient Records Services

ICT Services, Nottingham University Hospitals NHS Trust

QMC Tel: 0115 9249924 ext 63100

 

Please note my working days are: Monday, Tuesday and  Friday 08.00 -16.00

 

ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[1]http://ictselfservice

 

Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.

 

show quoted sections

References

Visible links
1. http://ictselfservice/

Foulds James (ICT Services), Nottingham University Hospitals NHS Trust

1 Attachment

Dear Ms Hornett

 

I can only apologise for the massive delay that NUH has had in returning
this FOI request to you.

 

I hope that this delay hasn’t inconvenienced you too much.

 

Regards

 

James Foulds

 

REF: NUH 37623 FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST –
FINAL DISCLOSURE

 

I am writing in response to your correspondence dated 19^th January 2017
 requesting information under the Freedom of Information Act 2000.

 

Nottingham University Hospitals NHS Trust (NUH) came into being on 1st
April 2006 and assumed responsibility for the services provided by both
the Queen's Medical Centre (QMC) and Nottingham City Hospital NHS Trust
(NCH). 

 

Your request for information has now been considered and I am pleased to
be able to answer your questions as follows:

 

o Please refer to the attached document

 

You are advised that this information is provided in accordance with the
Freedom of Information Act 2000 and is for your personal use.  Any re-use
of this information will be subject to copyright and the Re-Use of Public
Sector Information Regulations (18^th July 2015).  In the event of any
re-use, the information must be reproduced accurately and not used in a
misleading manner.

 

If you have any queries or concerns then please contact me. Please
remember to quote the reference number above in any future communications.

 

If you are unhappy with the response you have received and wish to make an
appeal, you should write to:

 

Information Governance Manager

Nottingham University Hospitals NHS Trust

ICT Services, Heathfield House

City Campus

Hucknall Road

Nottingham

NG5 1PB

 

If are unhappy with the overall service you have received and wish to make
a complaint, you should write to:

 

Complaints Lead

Nottingham University Hospitals NHS Trust,

Queen’s Medical Centre Campus,

Derby Road,

Nottingham, NG7 2UH.

 

If, after exhausting our internal process, you are still unhappy with the
information received, you may write to:

 

The Information Commissioner’s Office,

Wycliffe House,

Water Lane,

Cheshire, SK9 5AF.

Telephone: 08456 30 60 60 or 01625 54 57 45
[1]www.ico.gov.uk

 

Yours sincerely

 

James Foulds

Freedom of Information (FOI) Administrator

Patient Records Services

ICT Services, Nottingham University Hospitals NHS Trust

QMC Tel: 0115 9249924 ext 63100

 

Please note my working hours are 08.00 -16.00 through the working week.

 

ICT Services are always happy to help, you can access our services by
calling 69000 or for non-urgent enquiries please use the Self Service form
[2]http://ictselfservice

 

Help us prevent infections at our hospitals by cleaning your hands.
Remember – hand washing is the simplest and most effective way of
preventing infections.

 

 

Sent on behalf of:

Rory King
Information Governance Manager

ICT Services

Nottingham University Hospitals NHS Trust

City Hospital

Nottingham

NG5 1PB

 

Tel: 0115 9691169 Ext. 57169

Email: [3][email address]

 

References

Visible links
1. http://www.ico.gov.uk/
2. http://ictselfservice/
3. mailto:[email address]