Bowel management with spinal cord injured patients

The request was successful.

Dear Bolton 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 department.

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,

derry felton

Freedom of Information, Bolton NHS Foundation Trust

5 Attachments

 

 

FREEDOM OF INFORMATION

 

 

REF:            2017-8

Subject:        Bowel management with spinal cord injured patients

 

 

Dear Mr Felton,

 

Thank you for your email dated 06 January 2017 where you requested
information about Bowel management with spinal cord injured patients.

The information you requested is enclosed.  

 

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If you have any queries or concerns please do not hesitate to contact the
Freedom of Information Department. It would be helpful to quote the above
reference number in any future communication.

 

If you are unhappy with the service you have received in relation to your
request and wish to make a complaint or request a review of our decision,
you should write to The Chief Executive, Bolton NHS Foundation Trust, The
Royal Bolton Hospital, Minerva Road, Farnworth, Bolton. BL4 0JR.

 

If you are not content with the outcome of your complaint you may apply
directly to the Information Commissioner. Generally the Information
Commissioner cannot make a decision unless you have exhausted the
complaints procedure provided by Bolton NHS Foundation Trust. The
Information Commissioner can be contacted at The Information
Commissioner's Office, Wycliffe House, Water Lane, Wilmslow, Cheshire. SK9
5AF.

 

The information supplied to you continues to be protected by the Copyright
Design and Patents Act 1998. You are free to use it for your own purposes,
including any non-commercial research you are doing and for the purposes
of news reporting. Any other reuse, for example commercial publication
requires the permission of the Trust. You must ensure you gain the Trust
permission before reproducing any third party information.

 

 

Yours sincerely,

 

Information Governance Department

Informatics

Strategy & Improvement Office – 1^st Floor C/D Block

Royal Bolton Hospital

' 01204 390861

8  [1][email address]

 

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