Download Paediatric Continence Services in the UK PDF

TitlePaediatric Continence Services in the UK
File Size520.8 KB
Total Pages20
Document Text Contents
Page 2

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• Executive summary 2

• Introduction 4

• What should a good and accessible paediatric continence service look like? 5

• Previous PCF research: 2011 and 2014 5

• Analysis of 2017 findings 9

• Looking forward 15

• Recommendations 16

• Further information and resources 17

• Appendix 19

Page 10

Page 11

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Question 2: Is there a single service for the above five problems?

When considering the proportion of areas which commissioned a single paediatric continence service

(indicating the service is integrated), Northern Ireland experienced a 20% increase in the proportion of

Health Boards commissioning integrated services – but this only constitutes one more Health Board.

Northern Ireland has nearly twice the proportion of Health Boards commissioning these than the next

best nation, England. England has shown a 5.55% increase in the percentage of CCGs offering

integrated services between 2014 and 2017, indicating further room for improvement.

Provision of integrated children’s continence services in Scotland and Wales also gives cause for

concern. In Scotland, 7% fewer Health Boards offer integrated services than the national average, and

there was a 13% reduction (i.e. two fewer Health Boards) in the number providing integrated services

since the 2014 survey. The complete loss of integrated services in Wales is especially alarming.

However, this provides an opportunity for service providers to re-evaluate their services and there are

indications that they are doing so (highlighted in the answers given to question 7).



















England Scotland Wales N. Ireland UK average

The proportion of CCGs/Health Boards commissioning integrated services

2014 - Commissioned integrated services 2017 - Commissioned integrated services

Page 19

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• Bladder & Bowel UK (formerly PromoCon)

Helpline telephone: 0161 607 8219

The PCF has for many years worked with ChiMat (the National Child and Maternal Health Intelligence

Network, or ChiMat, now part of Public Health England), to compile an online Continence Needs

Assessment Report. This provides estimates of the numbers of children in CCGs and top level local

authorities with bedwetting; daytime wetting; unplanned admissions to hospital for UTIs and

constipation; and the PCF’s FOI data on service provision for 2014. The tool can be accessed at this

link, but it should be noted that it may be archived in future as ChiMat’s online data is being moved to

Public Health England’s new “Fingertips” tool. It may be at least a year before the Continence Needs

Assessment report will be fully re-instated and updated.

Page 20

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2017 research: Freedom of Information requests to CCGs and Health Boards

1. Please state whether the following five paediatric continence services have been

commissioned by your CCG/Health Board:

a. Bedwetting;

b. Daytime wetting;

c. Toilet training;

d. Constipation/soiling;

e. Product supply for paediatric continence problems.

If any of the above services are not commissioned by your CCG/Health Board, please let us

know which partner organisation does commission the service.

2. Is there a single service for the above five problems? If the answer is yes, is this service led

by a paediatric continence advisor?

3. If the answer to question 2 is no, please list the services that are commissioned to handle

these problems and the designation of each of the service leads.

4. For each of the above five services, please state how many people aged from birth to 18 years

were referred to the service in each of the last five years.

5. Do you have any future plans to:

a. commission a new paediatric continence service; or

b. review the existing paediatric continence service?

If so, please provide details.

6. How many nurses specialising in paediatric continence are currently employed by the services

commissioned by your CCG/Health Board? Please specify whether they have had specific

training in:

a. Children’s nursing;

b. Paediatric continence management.

7. Are you aware of the NICE-accredited Paediatric Continence Commissioning Guide? If so, do

the services commissioned in your CCG/Health Board use it?

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