Salisbury Foundation Trust

FOI_4914

Internal Reference Number: FOI_4914

Date Request Received: 21/02/2019 13:57:40

Date Request Replied To: 15/03/2019 15:04:58

This response was sent via: By Email

Request Summary: Bowel managment patient saftey alert (spinal)

Request Category: Charities

 
Question Number 1:
As a request under the Freedom of Information Act, please provide the following information about the recent NHS Improvement (NHSI) Patient Safety Alert “Resources to support safer bowel care for patients at risk of autonomic dysreflexia 25 July 2018”, Alert reference number: NHS/PSA/RE/2018/005

Does the Trust have a formal written policy for digital rectal examination, digital rectal stimulation and the digital removal of faeces in spinal cord injured and other patients with neurogenic bowel dysfunction?

(a) Yes
(b) No
 
Answer To Question 1:
Yes
 
Question Number 2:
Following recommendation of this patient safety alert, did the Trust “review your local clinical policy and guidance relating to bowel assessment and management”?

(a) Yes – produced a new policy
(b) Yes - revised an existing policy
(c) Yes – retained existing policy
(d) No – did not review an existing policy
(e) No – no bowel assessment and management policy in place
 
Answer To Question 2:
A - yes the Trust produced a new policy
 
Question Number 3:
Is your policy based on the policy template that the Spinal Injuries Association circulated to your trust in August 2018?

(a) Yes
(b) No
(c) No bowel assessment and management policy in place
 
Answer To Question 3:
Yes
 
Question Number 4:
If admitted to the Trust will a person with neurogenic bowel dysfunction receive the following bowel care intervention – Digital removal faeces?

(a) Yes
(b) No
 
Answer To Question 4:
Yes
 
Question Number 5:
If admitted to the Trust will a person with neurogenic bowel dysfunction receive the following bowel care intervention –Digital rectal stimulation?

(a) Yes
(b) No
 
Answer To Question 5:
Yes
 
Question Number 6:
If admitted to the Trust will a person with neurogenic bowel dysfunction receive the following bowel care intervention –Trans anal irrigation?

(a) Yes
(b) No
 
Answer To Question 6:
Yes.

If the patient is newly injured maybe not, if this is the patients normal routine the patient would be assessed to maintain the patients routine
 
Question Number 7:
Are staff available seven days a week to undertake these bowel care interventions?

(a) Yes
(b) No
 
Answer To Question 7:
Yes
 
Question Number 8:
Has the Trust “reviewed your local education and training provision for interventional bowel management” as recommended in the Patient Safety Alert?

(a) Yes
(b) No
 
Answer To Question 8:
Yes. Training is on going.
 
Question Number 9:
As requested by the Patient Safety Alert, has the trust developed “an action plan to ensure patients have adequate and timely access to staff who are trained appropriately to carry out these procedures, including in the evening and at weekends”?

(a) Yes
(b) No
 
Answer To Question 9:
Yes
 
Question Number 10:
Has the Trust “shared your reviewed local guidance, advice on how to identify staff who can provide Digital Removal of Faeces, and the key messages in this alert with medical, nursing and other relevant clinical staff”?

(a) Yes
(b) No
 
Answer To Question 10:
Yes. This has been published by the Trust.
 
Question Number 11:
Does the Trust have a policy that allows for the personal care assistants/carers of spinal cord injured patients to assist with this element of the patient's care?

(a) Yes
(b) No
 
Answer To Question 11:
Yes
 
Question Number 12:
As recommended in the Patient Safety Alert, have you identified “an appropriate clinical leader to co-ordinate implementation of this alert”?

(a) Yes (please answer Q13, but ignore Q14)
(b) No (please answer Q14, but ignore Q13)
 
Answer To Question 12:
Yes
 
Question Number 13:
What are the contact details for the “appropriate clinical leader”(ie name, position, telephone and email)?
 
Answer To Question 13:
Anne Seaman, Spinal Practice Educator
Tel: 01722 336262, Ext 2084, email: anne.seaman1@nhs.net
 
Question Number 14:
Why has your Trust not appointed an “appropriate clinical leader”?

(a) Alert implemented without appointment of a clinical leader
(b) Took no action following Patient Safety Alert, as policy already in place
(c) Took no action. No existing policy in place
(d) Other
 
Answer To Question 14:
N/A
 
Question Number 15:
Are your newly registered nurses able to demonstrate the nursing procedures as required in Annexe B, section 6.5 of the Nursing and Midwifery Council’s document ‘Future Nurse: Standards of Proficiency for Registered Nurses’?

(a) Yes
(b) No
 
Answer To Question 15:
Yes
 
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Our staff at Salisbury District Hospital have long been well regarded for the quality of care and treatment they provide for our patients and for their innovation, commitment and professionalism. This has been recognised in a wide range of achievements and it is reflected in our award of NHS Foundation Trust status. This is afforded to hospitals that provide the highest standards of care.

Salisbury NHS Foundation Trust, Salisbury District Hospital, Salisbury, Wiltshire, SP2 8BJ
T: 01722 336262 E: sft.pals@nhs.net
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