Bowel management with spinal cord injured patients

derry felton made this Freedom of Information request to Berkshire Healthcare NHS Foundation Trust

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The request was successful.

Dear Berkshire Healthcare NHS Foundation Trust,

Bowel management for spinal cord injured people

Hello my name is Derry Felton and I work for the Spinal Injuries Association (SIA). I just have a few questions that need answering for our Public Affairs depas 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,

derry felton

FOI BHT - Berkshire Healthcare NHS Trust, Berkshire Healthcare NHS Foundation Trust

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FOI BHT - Berkshire Healthcare NHS Trust, Berkshire Healthcare NHS Foundation Trust

Thank you for your request. We will respond to you as soon as possible.

Best wishes

Steph Bennett
Interim Governance Administration Manager

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FOI BHT - Berkshire Healthcare NHS Trust, Berkshire Healthcare NHS Foundation Trust

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Please find attached our response to your request.

Best wishes

Steph Bennett
Interim Governance Administration Manager

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