Bowel management with spinal cord injured people

Dan Burden made this Freedom of Information request to West Midlands Ambulance Service University NHS Foundation 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 West Midlands Ambulance Service 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,

Dan Burden

:Freedom Of Information Mailbox, West Midlands Ambulance Service University NHS Foundation Trust

Good afternoon

Thank you for your below enquiry which we acknowledge.

We shall contact you again shortly.

Kind Regards

Lynsey Kumari
Freedom of Information & Document Control Officer
West Midlands Ambulance Service NHS Foundation Trust
Millennium Point, Waterfront Way, Brierley Hill, Dudley, DY5 1LX
Tel: 01384 451662
Have you seen our previous FOI responses? Or Our frequently asked FOI page? Check it out by clicking here

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:Freedom Of Information Mailbox, West Midlands Ambulance Service University NHS Foundation Trust

2 Attachments

Good afternoon

Please see the attached letter in respect of your recent request for information under the Freedom of Information Act.

We have also attached a quick survey and we were wondering if we could spare a few moments of your time to complete and return to either myself or the Head of Governance and Risk [email address] to help us improve the service we currently provide.

Kind Regards

Lynsey Kumari
Freedom of Information & Document Control Officer
West Midlands Ambulance Service NHS Foundation Trust
Millennium Point, Waterfront Way, Brierley Hill, Dudley, DY5 1LX
Tel: 01384 451662
Have you seen our previous FOI responses? Or Our frequently asked FOI page? Check it out by clicking here

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