Bowel management with spinal cord injured people

Lauren Theodosi made this Freedom of Information request to Epsom and St Helier University Hospitals NHS 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 Epsom and St Helier University Hospitals 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,

Lauren Theodosi

Freedom of Information,

1 Attachment

Dear Ms Theodosi,

 

Thank you for your request for information.  Your request is being dealt
with under the Freedom of Information Act.  We aim to provide you with a
response within 20 working days from date of this email.  If this is not
possible we will write and explain the reason for the delay.

 

If you have any queries about this, please contact the Freedom of
Information office.  Please remember to quote the reference number above
in any future communications.  You may also wish to visit our website
[1]www.epsom-sthelier.nhs.uk/about-us/freedom-of-information/ or the
Office of the Information Commissioner website [2]www.ico.gov.uk for
further information.

 

Yours sincerely

 

Teresa O’Brien| Freedom of Information Manager | Interim Quality Alerts
Manager

Corporate Affairs | Epsom and St Helier University Hospitals NHS Trust

T: 020 8296 4992 | E: [3][email address] | W:
[4]www.epsom-sthelier.nhs.uk/

 

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Freedom of Information,

3 Attachments

Dear Ms Theodosi,

 

Further to your recent Freedom of Information request, please find
attached our letter of response.

 

Yours sincerely,

 

Teresa O’Brien| Acting Corporate Governance Manager

Corporate Affairs | Epsom and St Helier University Hospitals NHS Trust

T: 020 8296 4992 | E: [1][email address] | W:
[2]www.epsom-sthelier.nhs.uk/

 

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- - -

This message may contain confidential information. If you are not the
intended recipient please inform the sender that you have received the
message in error, before deleting it.

 

Please do not disclose, copy or distribute information in this e-mail or
take any action in reliance on its contents: to do so is strictly
prohibited and may be unlawful.

 

Thank you for your co-operation.

For more information on the work of the Trust, visit
[4]www.epsom-sthelier.nhs.uk, follow us on Twitter @epsom_sthelier, or
join us on [5]www.facebook.com/epsomsthelier.

- - -

 

References

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1. mailto:[email address]
2. http://www.epsom-sthelier.nhs.uk/
4. http://www.epsom-sthelier.nhs.uk/
5. http://www.facebook.com/epsomsthelier