Bowel management with spinal cord injured people

Tim Nicholson made this Freedom of Information request to Kettering General Hospital NHS Foundation Trust

This request has been closed to new correspondence. Contact us if you think it should be reopened.

The request was successful.

Dear Kettering General Hospital 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,

Tim Nicholson

Fellowes Marita,

Dear Mr Nicholson

 

Thank you for your request for information about bowel management for
spinal cord injured people in the Trust.

 

Your request dated 18 January 2017 was received on 19 January 2017 and
I am dealing with it under the terms of the Freedom of Information Act
2000.

 

In some circumstances a fee may be payable and if that is the case, I will
let you know.  We will issue a formal fees notice before commencing the
work, setting out the likely cost against the amount of time anticipated. 

 

If you have any queries about this letter, please contact me.  Please
remember to quote the reference number above in any future communications.

 

Yours sincerely

 

 

Marita Fellowes

Information Governance Officer

Glebe House | Trust Headquarters

Kettering General Hospital NHS Foundation Trust

T: 01536 491489 | E: [email address]

 

Kettering General Hospital NHS Foundation Trust, Rothwell Road, Kettering, Northants NN16 8UZ Tel: 01536 492000

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Fellowes Marita,

1 Attachment

Dear Mr Nicholson

 

Please find attached the Trust’s response to your Freedom Of Information
Act 2000 request received on 19 January 2017.

 

Kind regards,

 

 

Marita Fellowes

Information Governance Officer

Glebe House | Trust Headquarters

Kettering General Hospital NHS Foundation Trust

T: 01536 491489 | E: [email address]

 

Kettering General Hospital NHS Foundation Trust, Rothwell Road, Kettering, Northants NN16 8UZ Tel: 01536 492000

This e-mail may contain confidential information and/or copyright material and is intended for the use of the addressee only. Any unauthorised use may be unlawful.
The contents of this e-mail may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000. Unless legally exempt, the confidentiality of the message and your reply cannot be guaranteed.
If you receive this e-mail by mistake, please advise the sender immediately.
Scanning of this message and addition of this footer is performed by Sophos E-mail Filter software in conjunction with virus detection software.