Bowel management with spinal cord injured people

Jennifer Sims made this Freedom of Information request to University Hospitals of Derby and Burton 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 Derby Hospitals 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,

Jennifer Sims

Foi (DERBY TEACHING HOSPITALS NHS FOUNDATION TRUST), University Hospitals of Derby and Burton NHS Foundation Trust

Dear Ms Sims

Thank you for your request for information; this is now being processed in accordance with the Freedom of Information Act 2000.

This Trust will make every effort to provide a response within the 20 working days specified by the Act. You should receive your response by 15th February 2017

Your reference number relating to this application is FOI.17.026 Please ensure you quote this when contacting us.

Kind regards.

Jane Haywood
Freedom of Information Officer
Derby Teaching Hospital NHS Foundation Trust

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Foi (DERBY TEACHING HOSPITALS NHS FOUNDATION TRUST), University Hospitals of Derby and Burton NHS Foundation Trust

1 Attachment

Dear Ms Sims,

Further to your request under the Freedom of Information Act, please find our Trust’s response attached.

Kind regards

Kelly Jackson
Administrator
Derby Teaching Hospitals NHS Foundation Trust

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