The Children and Young People’s (CYP) Continence Service was established in February 2021 to promote Health Bladder and Bowel’s for the child and young people of West Hertfordshire. We also manage the allocation of continence products for our patients who require them.
We are based at the Peace Children’s Centre in Watford and the team consists of two Continence Nurses and two Continence Support Workers. They are also assisted by the Specialist Nursing Administration Team. The service operates a Monday to Friday service between the hours of 9am and 5pm (except Bank Holidays).
Continence issues affects large numbers of children and young people and can prevent them from achieving their full potential. It can lead onto psychological issues and these need to be spoken about and addressed. Children with additional needs are also greatly affected by continence issues, either directly or in directly of their underlining diagnosis. With our support, we will look at diet/fluids/behaviour and biological links to the continence issue. If medications are required, we will liaise with the GP and monitor the effects of the medications.
We operate a Tier 2 Continence Service, in line with guidance from the Children’s Continence Commissioning Guide published by the Paediatric Continence Forum (Sept 2019) and provide support to children aged 4yrs to 18yrs. If they attend one of our Special Schools, we will continue to support them until they are 19yrs.
Our referral criteria states that we will accept referrals from professionals and parents for children and young people with constipation/soiling/day time and night time wetting and toilet training advice. The patient needs to live in West Hertfordshire and be registered with a GP Surgery in West Hertfordshire. We ask that a minimum of 3 months intervention is tried under the Tier 1 Continence Services (GP/Health Visitor or Public Health Nurses/School Nurses). If the continence issue has not been resolved or the child requires continence product’s then we will accept a referral. Parents should contact these professionals initially before making a referral to us. Please note: we do not provide alarms for bed wetting.
The CYP Continence Service also manages the allocation of continence products for patients on our caseload. We assess the patient and offer a contribution to their continence needs with a maximum allocation of 4 pads per day. This is based on a clinical decision and all patients in products have an Annual Assessment to review their needs and continue with an allocation.
We run clinics in St Albans and Watford currently, with plans to expand according to need.
Peace Children’s Centre
Thursdays 09:00 till 13:00/12:00 till 17:00, alternate weeks.
St Albans Health and Wellness Centre
Wednesdays 09:00 till 13:00/12:00 till 17:00 alternate weeks.
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