Bowel management with spinal cord injured people

Dan Burden made this Freedom of Information request to The Shrewsbury and Telford Hospital NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

Response to this request is long overdue. By law, under all circumstances, The Shrewsbury and Telford Hospital NHS Trust should have responded by now (details). You can complain by requesting an internal review.

Dear Shrewsbury and Telford Hospital 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,

Dan Burden

Cole Sophie, The Shrewsbury and Telford Hospital NHS Trust

2 Attachments

Dear Dan,


Thank you for your request for information.


The Trust acknowledges your request and it is being processed as a new
request under the terms of the Freedom of Information Act 2000.


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 if necessary and you
will be required to pay before I will proceed to deal with your


Please find attached a briefing which explains:


o your rights to request a review by the Trust or to complain to the
Information Commissioner’s Office if you are not satisfied with the
response from the Trust,
o an outline of the Trust’s policy on the Reuse of Public Sector


If you have any queries regarding this email, please contact me and quote
the reference number above in any future correspondence.



Kind Regards,




Sophie Cole [2]Description: Description:
Description: Description: Description:
Assurance Team Administrator and cid:image001.jpg@01D051EC.FFAC2D70
Freedom of Information Officer


Suite 2, Stretton House|

The Shrewsbury and Telford Hospital
NHS Trust | Royal Shrewsbury
Hospital | Mytton Oak Road |
Shrewsbury | Shropshire | SY3 8XQ


Telephone 01743 261087

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Cole Sophie, The Shrewsbury and Telford Hospital NHS Trust

Dear Dan,

I am writing to apologise that this FOI request may breach its 20 working day deadline. I am working with the team to get an answer to you as soon as possible.

Kind regards,


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