Bowel management with spinal cord injured people
Dear Hull and East Yorkshire 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,
Carol Macmillan
Dear Carol
Thank you for your request for information. It will be dealt with under the terms of the Freedom of Information Act 2000. In some circumstances a fee may be payable and if that is the case, we will let you know. A fees notice will be issued, which you will be required to pay before we proceed with your request.
We will respond to your request within 20 working days of it being received.
All information provided under Freedom of Information is deemed to be in the public domain. The Information Commissioner requires as good practice that organisations make public, information provided from Freedom of Information requests.
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Kind Regards
Freedom Of Information Team
for Hull & East Yorkshire Hospitals Trust
Mary Seacole Building, Willerby Hill,Willerby, HU10 6ED
Fax: 01482 477857
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity to which they are addressed. If you are not the intended recipient you are notified that any use, disclosure, copying or distribution of the information is prohibited. In such cases you should destroy this message and kindly notify the sender by reply e-mail. All e-mails will be scanned by the Trust for viruses, spam and malicious content. However, Humber NHS Foundation Trust will not be liable for any losses as a result of any virus contained within this email or attachment(s). We are not liable for any opinions expressed by the sender where this is a non-business e-mail. If you do not receive the entire message, or if you have difficulty with the transmission, please telephone us immediately.
Dear Carol
Please find attached the response to your Freedom of Information Request.
We apologise for the delay.
The information we have provided to you is copyrighted to the Hull & East
Yorkshire Hospitals NHS Trust and provided to you free of charge for your
personal use or for other specific uses permitted in the Copyright Act. If
however you wish to use the information we have provided for any
commercial purposes including the sale of the information to a third party
then, under the Regulations on the Re-use of Public Sector Information
Regulations 2005, you must ask us for permission to do so in respect of
each specific piece of such information. If we do grant such permission
this may involve a licensing arrangement which may attract a fee.
All information provided under Freedom of Information is deemed to be in
the public domain. The Information Commissioner requires as good practice
that organisations make public, information provided from Freedom of
Information requests.
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:
Freedom of Information Team
On behalf of Hull & East Yorkshire Hospitals NHS Trust
Mary Seacole Building
Willerby Hill
Willerby
HU10 6ED
FAX: 01482 477857
[1][Hull and East Yorkshire Hospitals NHS Trust request email] or [2][email address]
If you are not content with the outcome of your complaint, you may apply
directly to the Information Commissioner for a decision. Generally, the
ICO cannot make a decision unless you have exhausted the complaints
procedure provided by the Hull & East Yorkshire NHS Trust. The Information
Commissioner can be contacted at:
The Information Commissioner’s Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF
Yours sincerely
Freedom of Information Team
On behalf of Hull & East Yorkshire Hospitals NHS Trust
Mary Seacole Building
Willerby Hill
Willerby
HU10 6ED
This e-mail and any files transmitted with it are confidential and
intended solely for the use of the individual or entity to which they are
addressed. If you are not the intended recipient you are notified that
any use, disclosure, copying or distribution of the information is
prohibited. In such cases you should destroy this message and kindly
notify the sender by reply e-mail. All e-mails will be scanned by the
Trust for viruses, spam and malicious content. However, Humber NHS
Foundation Trust will not be liable for any losses as a result of any
virus contained within this email or attachment(s). We are not liable for
any opinions expressed by the sender where this is a non-business e-mail.
If you do not receive the entire message, or if you have difficulty with
the transmission, please telephone us immediately.
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