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Continence and urology service
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About the service
The service provides both adult and specialist paediatric service provision.
Adult continence and urology service provision:
The continence and urology service provides specialist bladder and bowel assessment, treatment and management for service users with an identified incontinence problem.
We offer specialist assessment in a clinical setting or in the individual’s own home for patients deemed housebound. Assessments can include bladder scans where necessary and will take into account bladder and bowel history, lifestyle and environmental factors to determine the most appropriate treatment method. Possible medications are suggested when needed – staff will discuss and identify all possible side effects and advantages, and the correct method of administration of medication. We also provide a referral to other agencies if appropriate.
Where continence aids and appliances are suggested, delivery of identified items will be organised and full instructions on how to apply to maximise their effectiveness demonstrated. Ongoing assessment will be made either face to face or over the telephone, liaising with other health professionals as indicated.
Paediatric continence and urology service provision 5-19 years:
The continence and urology service provides specialist bladder and bowel assessment, treatment and management for Children and Young People with an identified learning or physical disability that affects their ability to become continent. Following receipt of a referral and if applicable, a holistic assessment will be undertaken.
We offer a specialist assessment in a clinical setting only and this is currently at New Street Clinic in Barnsley town centre.
Where continence aids are appropriate, delivery of identified items will be organised and full instructions on how to apply to maximise their effectiveness demonstrated. Ongoing assessment will be made either face to face or over the telephone, liaising with other health professionals as indicated.
Why would someone choose the service?
- The service has received a range of positive feedback from patient surveys
- We provide the ability to be reviewed by the same staff – enabling consistency of care
- Patients can be seen in a variety of settings – both in clinical areas or in their own home if the patient is deemed housebound
- Patients at end of life can collect pads on arrangement from Monday to Friday 8am – 5pm from Kendray Hospital main reception
- Patients can be seen in clinical areas which is central to Barnsley with adequate disabled parking opportunities
Staff you may meet
- There are many people who work behind the scenes to keep services running and you may meet them in hospital or community settings. They include porters, cleaners, plumbers, electricians, decorators receptionists and secretaries who all work to make sure healthcare settings are kept clean, tidy and safe.
- Registered nurses use evidence based knowledge, and their professional and clinical judgement to assess, plan, implement and evaluate high quality person centred care. The work of registered nurses consists of many specialised and complex interventions to ensure people and their families can improve, maintain or recover health, or experience a dignified death.
- Nursing or healthcare assistants work in hospital or community settings under the guidance of a qualified healthcare professional. They help doctors, nurses and therapists give people the care and treatment they need.
- The NHS employs a wide range of clinical staff, it wouldn’t be possible to list them all on this website! All our clinical staff are skilled, dedicated professionals who adhere to high standards of training and work-place practice.
- We have a range of specialist advisors working in our Trust – they give advice on a wide range of different things, depending on what service they work in. So it could be, for example, mental health, stopping smoking, healthy eating or diabetes.
Why a professional should choose the service
- Audit reports on the current service identifies an excellent high standard of service delivery
- The service is able to respond in a quick and efficient manner for patient bladder and bowel assessment and management, providing consistency of care
- The service is compliant with NICE guidelines and effectively maintains budget control on providing continence aids.
- The service supports care homes and agencies in managing their client’s bladder and bowel conditions
- We provide excellent educational and support networks for all other health professionals
Support offered
- Patient lifestyle education on diet and fluids
- Education of normal body functions
- Individualised pelvic floor exercise programs
- Hygiene care
- Aids and appliances if appropriate
- Referral to secondary care or other health professionals
Outcomes
Adult continence and urology service provision:
- Enable people to take control of their bladder and or bowel problem
- Maintain dignity by using appropriate aids and appliances
- Help facilitate early and prompt discharge from hospital with ongoing community support of their condition
- Help reduce urinary tract infection and reduce inappropriate antibiotic prescribing and need for hospitalisation
- Help reduce deterioration of skin integrity
- Reduce the need to attend emergency department, particularly in relation to male catheterisation and problematic insertions
Paediatric continence and urology service provision 5-19 years:
- Enable children and young people to take control of their bladder and/or bowel problem
- Maintain dignity by using appropriate aids and appliances
- Help reduce deterioration of skin integrity
Referrals accepted from:
A & E, AHPs, Carers/family, CMHTs, Community nursing services, Consultants, Courts, Drug/alcohol agencies, Family/carers of children and young people up to 18 years old, GP staff, GPs, Health visitors, Hospital staff, Housing associations, Local authority staff, Midwives, Other health care workers, Other NHS services, Other Trust services, Patients(self-referral), Police, Primary care, Secondary care, Single Point of Access team, Social care providers, Voluntary services
Referral criteria:
Adult continence and urology service provision:
- Any person over 19 with an identified bladder and or bowel problem, who is registered with a Barnsley GP
- Urgent referrals can be made via telephone to single point of access
Adult continence and urology service: Referral form
Paediatric continence and urology service provision 5-19 years:
Children over 5 years of age must:
- Have a statement of educational needs/education health and care plan
- Have continence problems due to having a physical or learning disability that affects their ability to become continent
- Be under the care of a consultant paediatrician
Paediatric (5-19 years) continence and urology service: Referral form
Exclusion criteria:
- The service cannot provide support to children who are toilet trained, experiencing nocturnal enuresis (bed wetting) or faecal incontinence due to constipation
- Children under 5 years are not accepted by the service
Please note it is inappropriate to provide continence products where incontinence is secondary to underlying causes such as:
- Children requiring products for occasional use e.g., holidays, travel
- Urinary tract infections
- Inappropriate fluid intake
- Short term incontinence following surgical procedures