1. Dorset Healthcare Continence Advisory Service
Stephen Miles
Clinical Nurse Specialist / Team lead

2. 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

3. 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’

4. 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

5. 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’

6. Background Number of patients receiving products – 7,810 Cost:
Total cost per year for pads - Dorset - £1.5 million
Number of patients receiving products – 7,810