Bowel management with spinal cord injured people

Dan Burden made this Freedom of Information request to East Suffolk and North Essex 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 Colchester Hospital University 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

FOI REQUESTS (RDE) Colchester Hospital University NHS Foundation Tr,

Dear Dan,

I am writing to acknowledge receipt of your request under the Freedom of Information Act 2000 to Colchester Hospital University NHS Foundation Trust, received on 16/01/2017. Your enquiry has been logged and forwarded to the appropriate department for action. Please note that the Act allows 20 full working days to provide a response although we will endeavour to do so before then. The deadline is calculated to be 13/02/2017.

If you have any queries regarding your request, please do not hesitate to contact me on this email address or 01206 745205.

Regards

Freedom of Information Team
Colchester Hospital University NHS Foundation Trust

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FOI REQUESTS (RDE) Colchester Hospital University NHS Foundation Tr,

1 Attachment

 

 

Dear Dan,

 

Further to your request made to Colchester Hospital University NHS
Foundation Trust for information relating to the above and pursuant to the
Freedom of Information Act 2000, please see the Trust’s response below.

 

You requested:

 

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 ? please see attached. The Trust also
follows the Trauma East Manual of Procedures and operations which has a
section on care of the neurological bowel (Management of the neuropathic
bowel). Please see link below.

[1]http://www.eoetraumanetwork.nhs.uk/docs/...

 

 

2.    If the Trust does, please supply a copy of this document. See above

 

3.    If the Trust does not, how is bowel care managed in the above
patient groups who present with this care need? Continence advice is now
funded by the Community via the Community gateway

 

4.            Does the Trust employ a specialist continence nurse(s)? No –
please see above

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'? Please see
above

 

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?
DRE and manual evacuation is a clinical decision made by the doctor

 

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? No

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? No

 

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? N/A

 

 

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

 

The Senior Information Risk Owner
Colchester Hospital University NHS Foundation Trust

Trust Headquarters
Colchester General Hospital
Turner Road
Colchester, Essex, CO4 5JL

 

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: [2]www.ico.gov.uk

There is no charge for making an appeal. Further information on your
rights under FOI is available here: [3]www.ico.gov.uk

 

This information is protected by Intellectual Property Rights and
Colchester Hospital University NHS 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.

 

Yours sincerely

 

Freedom of Information Team            

Colchester Hospital University NHS Foundation Trust

 

 

 

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References

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