dorset healthcare continence advisory service stephen miles clinical nurse specialist / team lead
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Dorset Healthcare Continence Advisory Service
Stephen Miles Clinical Nurse Specialist / Team lead
Background
Role of Continence Advisory Service•Manage Home Delivery system.•Own caseload of patients/ clinics & home visits•Training•‘Expert’ resource for patients, carers, health & social care staff •Improving standard of assessment & treatments
Background• Good Practice in continence services’ (DOH 2000) - ‘The
Guidance’– ‘Sets out a model of good practice to help achieve more
responsive, equitable and effective continence services’.
– ‘Trusts should ensure that people with continence problems are identified, assessed and get the treatment they need’
Background
Nice Guidelines:
• NICE (2013) ‘Urinary Incontinence – The management of urinary incontinence in women’
• NICE (2010) Lower urinary tract symptoms: The management of lower urinary tract symptoms in men
• NICE (2003) Multiple sclerosis Management of multiple sclerosis in primary and secondary care
Background
• Francis report – Mid Staffs enquiry
• Of the 33 cases of which oral evidence was heard, 22 included significant concerns about bladder & bowel care.
• ‘There may also have been a lack of training in continence care’
BackgroundCost:
Total cost per year for pads - Dorset - £1.5 million
Number of patients receiving products – 7,810