West Sussex Children's Continence Service

1
West Sussex Children's Continence Service

• Nina Bunce, Senior Continence Nurse Specialist
  Children
• Tina Fenner, Continence Nurse Specialist -
  Children

2
How many children are affected

• Constipation with faecal incontinence
• 1 in 30 children between the ages of 4 - 5 years
• 1 in 50 children between the ages of 5 6 years
• 1 in 75 children between the ages of 6 10 years
• 1 in 100 children between the ages of 10 12
  years
• Daytime wetting
• Number of children with wetting accidents during
  the day are more when younger and become
• 1 in 8 children at 11years
• 1 in 33 children at 16 years

3

• Night wetting
• Affects over half a million children in the UK
  between the ages of 5 -16 years
• 1 in 7 children at 7 years
• 1 in 11 children at 9 years
• 1 in 50-100 from the age of 15 years and older.
• Children with special needs
• From 4 years children can be assessed for
  products New assessment form will help to
  determine pathway of care toileting programme
  or product supply. Hand over by HV to SN and
  annual reassessment to be continued by SN teams.
  (If child has pull ups reassessment every 6
  months.)

4
What does the Childrens Continence Service do?

• Nurse led service
• West Area
• Clinics held at Child Development Centre,
  Chichester.
• Lead Community Paediatrician, Dr.Melissa
  Bracewell possibly to be identified for lead of
  service for whole of West Sussex
• South East Area
• Clinics held at Lyons Farm, Business Park,
  Worthing and
• Littlehampton
• North Area
• Vacant post for 18 hours
• Clinics to be held at Horsham and Haywards Heath

5

• Each area has approx 150 new referrals per year -
  increasing
• Follow up appts average between 300 350 per
  year.
• Children of complex needs are being identified to
  clinics
• 3 children with faecal incontinence attend
  Paediatric Outpatients referrals now to clinics
  no extra funding ( Chichester and Worthing)
• We offer treatment and behavioural management
  interventions
• Home visits/TAC/meetings in school/ etc.
• Production of literature, guidelines, assessment
  tools/training
• Uniformity of childrens assessment
  form/referral to service form and re-assessment
  for products.
• At current training being given out for use by
  all areas
• Working with Education re policy for management
  in schools.

6

• Where we are now
• Training to Health Visitors, School Nurses,
  Community Childrens Nurses
• Guidelines on practice for day/night wetting and
  faecal incontinence for community practitioners
• Guidelines for school nurse led enuresis clinics
• Leaflets for day/night wetting/faecal
  incontinence/medication/toilet training
• Developed new continence assessment forms for
  products and reassessment of products for
  agencies to use for all over county lack of
  disparity for forms