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Useful Documents Concerning Continence

Top Tips on Bladder and Bowel Issues

Read useful documents on Top Tips on Bladder and Bowel Issues ...

Excellence in Continence Care Document

A new updated Excellence in Continence Care guide has been published, promoting equal access to services and treatment for all. It is applicable to all children, young people, adults and the elderly, taking into account their diverse needs from assessment, diagnosis and treatment to recovery where possible. The purpose is to promote consistent practice, improve the experiences of people with continence needs, drive advances in clinical outcomes and reduce health inequalities.

It brings together evidence based resources and research and provides a practical means for commissioners to understand continence needs within their local population, as well as specify and contract for continence services, effectively measure outcomes and experience and work towards reducing health inequalities.

The 2018 version includes the following changes:

  • Links to NICE guidance, updates to references and signposting to useful resources
  • New sections on transition, care homes and a greater focus on bowel care and primary care
  • New examples of good practice.
For further information and to download document click here 

Guidance for the provision of containment products for adult incontinence A consensus document  2017

 Reducing variation and diversity in product provision has been an aim for many continence services, which have battled with cost pressures and distracting local challenges. Therefore, the development of the 'Guidance for the provision of containment products for adult incontinence: a consensus document 2017' contributes to levelling out variation, offers support to services when negotiating procurement and developing local best practice guidance.

The consensus document, which has been exposed to wide consultation and is part of the NHSE work on Excellence in Continence care, has received endorsement from the following organisations:
• Association for Continence Advice (ACA)
• NHS England Excellence in Continence Care (EICC) Programme Board
• RCN Continence Forum
• United Kingdom Continence Society (UKCS) 

We hope you find the document useful and we welcome any feedback, which may help shape its next iteration.

To view the complete document please click here.


Guidance for the provision of continence containment products to children and young people A consensus document 2016

Bladder and Bowel UK launched a national guidance document about the provision of continence containment products for children and young people in September 2016. Whilst it is recognised that over 750 000 children and young people suffer bladder and bowel problems on a daily basis, access to appropriate care is patchy and inconsistent. Some areas provide a comprehensive children's continence service, while others have little more than a 'free nappy' service. The latter is a potential waste of resources to the NHS, but, can be discriminatory to those children with disabilities who are not supported to attain continence in the same way as their peers. . This also has potentially dangerous consequences as there is a risk of underlying serious and treatable co-morbidities being missed.

The guidance document was developed by clinicians with expertise in children's continence, combining consensus of best practice with available evidence and was extensively reviewed. It has been approved by a number of national organisations and aims to facilitate a consistent and equitable approach to the provision of continence containment products.

To view the full document please click here


Spinal Injury Association sample policy on bowel care 

Following on from the recent patient directive around patients receiving essential bowel care whether it be in primary or secondary care the spinal injury association has developed a sample policy on bowel care. You may wish to use this within your own policy or use as an example of good evidence based practice. Ensure you reference the document.

Click here for the policy