Services - Paediatric Continence Service in Halton &...

About Us

The aim of the paediatric continence service is to achieve early identification, assessment and initial treatment of children and young people with continence problems in the Halton and St Helens area. The service also manages long-term continence problems in children and young people. This includes supporting children with complex medical conditions that impact on continence.

We are excited to have moved over into the outstanding St Helens and Knowsley NHS trust in April 2020. We are keen to further develop our award winning service and are continuously seeking areas for innovation and improvement in theme with the STHK trust values.

We are a community based team of experienced specialist Nurses and Nursery nurses that have undertaken specialised training in the area of childhood continence.

GENERAL INFORMATION

Following referral in to the service children are seen in clinic by a member of the team and at one of the various locations across the 2 boroughs.

Home visits are carried out to provide treatment and support to those who are not able to attend the clinic.

School support and health care plans are provided to those children that need this and the team will support education staff to implement the plan required for each child.

Uroflow and sensory clinics are some of the more in depth clinics that are run in the service to meet the need in the area. The sensory children are run to assist those children who in particular find a clinic environment difficult and adjustments to lighting, assessment equipment and distraction toys are implemented to facilitate this.

The Uroflow clinic is an additional diagnostic clinic used to assess and treat children with daytime wetting issues.

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Senior Team Members

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Location

St Helens

Fingerpost Health Centre, Lowe House Health Centre, Newton Community Hospital

Halton

Woodview, Widnes HCRC, Hallwood, Independent Living Centre, St Paul's Health Centre

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Contact Us

The Halton and St Helens Paediatric Continence service is based at:

Fingerpost Health Centre, 1^st floor,
Atlas Street,
St Helens,
WA9 1LN

Office Hours: Monday- Friday 9am -5pm

Tel:01744 626701

Email:paediatric.continenceservice@nhs.net

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Other Information

CONTINENCE PRODUCTS

Prescription continence products may be available to some patients on NHS prescription; however the service does not provide 'free nappies'. We provide a comprehensive individualised plan to support children to achieve continence and independence in toileting.

DISCHARGE FROM THE SERVICE

Once input and care is complete or the service input is no longer required a patient can be discharged back to universal services or the GP for ongoing support.

The service follows the patient access policy and if you fail to attend your appointment without notifying us pre the appointment date and time your child will be discharged. Further information on this can be found on the STHK website.

Discharge will also be considered if you/your child fail to engage with the service and follow the recommended plan given by professionals

TRAINING & EDUCATION

The Service provides 3 study days each year based at fingerpost health centre, this is open to health, social, educational professionals. Please contact the service for further information if you are interested in attending one of the study days.

The Continence service provides a training packages of care around the child in home, social and education settings. This is individualised to each child and provided in conjunction with other health services.

USEFUL LINKS

www.eric.org.uk

www.stopbedwetting.org

www.worldbedwettingday.com

www.bladderandbowel.org

https://bladderhealthuk.org

www.bbuk.org.uk/children-young-people

www.shinecharity.org.uk

www.nice.org.uk/guidance/cg99

www.nice.org.uk/guidance/cg111

www.nice.org.uk/advice/mib50

www.nice.org.uk/guidance/cg54

www.nice.org.uk/guidance/ng43

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Referrals

Referrals into the continence service are accepted from any professional, however consent should be obtained and the referral form completed and sent to the service by post or secure email.

Common professionals that could refer into the service is: GP, Health Visitors & other health professionals; school or education staff, early years staff and social care professionals.

The service accepts referrals in to the team for children ages 0-18 for the following problems:

Constipation -from birth
Day Wetting 3 ½ yrs
Night time wetting 5yrs
Complex bladder and bowel conditions – from Birth – 19yrs
Delayed toilet training – 3 ½ yrs (please note on referral evidence is required from universal services that primary toileting support has been implemented and failed)

Bowel Record Chart
Bristol Stool Chart
Fluid Input Output Chart
Fluid Input Output
Food and Drink Record Chart
Referral Form for Paediatric Continence Assessment

Some referrals are not always appropriate for the services and each referral is looked at and triaged by a senior member of staff to determine this. Occasionally these referrals are redirected to other professionals that may be able to provide some fundamental work first with children/ young people and their families.

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Covid

COVID 19 UPDATE

Covid has changed the way some health services are seeing patients, in the continence service we are continuing to run clinics to assess and treat patients and have been increasing out telephone support to patients. We are where possible attending schools for those children who need a care plan however there are some restrictions as to the work that can take place in schools/education settings therefore we are supporting via video call also.

Risk assessments have been completed to ensure both patients and staffs are safe in the health care setting. We have asked that only 1 parent or carer attend appointments with patients and that if you or any family members have been contacted and asked to self-isolate due to a positive contact that you contact the service for advice before attending. Should you not be able to attend due to self-isolation then another appointment will be rearranged.

Staff will be wearing full personal protective equipment and areas will be cleaned in between each patient contact. Patients are asked to wear a face covering in the health centres and follow the building restrictions/one way systems. Those under the age of 11 years or exempt will not be required to wear a face covering.

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Latest Update

COVID 19 UPDATE

Covid has changed the way some health services are seeing patients, in the continence service we are continuing to run clinics to assess and treat patients and have been increasing out telephone support to patients. We are where possible attending schools for those children who need a care plan however there are some restrictions as to the work that can take place in schools/education settings therefore we are supporting via video call also.

Risk assessments have been completed to ensure both patients and staffs are safe in the health care setting. We have asked that only 1 parent or carer attend appointments with patients and that if you or any family members have been contacted and asked to self-isolate due to a positive contact that you contact the service for advice before attending. Should you not be able to attend due to self-isolation then another appointment will be rearranged.

Staff will be wearing full personal protective equipment and areas will be cleaned in between each patient contact. Patients are asked to wear a face covering in the health centres and follow the building restrictions/one way systems. Those under the age of 11 years or exempt will not be required to wear a face covering.

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