Description of service
The Children’s Continence Service is a community based team of experienced specialist nurses and nursery nurses. We provide support, advice and treatment to children and young people with bowel and/or bladder problems including those with Neuropathic bladder and bowels.
Who can access the service?
- Nocturnal Enuresis (bedwetting) ages 5-19yrs: Start fluid programme, toileting strategies, care plans in school, issue toilet passes for high school, enuresis alarms issued and programme started, medication
- Daytime wetting 3.5-19yrs: Start fluid programme, toileting strategies, ultrasound bladder scanning, urinalysis, uroflowmetry, medication
- Constipation 0-19yrs: Start fluid programme, toileting strategies, abdominal examination, medication therapy – including disimpaction regimes, play therapy for toilet fears, rectal irrigation under direction of consultant paediatrician plus training for parents/carers and patients
- Children who use catheters and/or who have stomas: Provide training for parents/carers/teachers to catheterise, ensure catheters are being used correctly, bladder scanning and urinalysis, liaise with Alder Hey and Whiston Hospital to ensure continuity of care
- Children with special needs with delayed toileting – including Autism: Work with schools and families to put individual plan in place, specialist nursery nurses working 1-1 in children’s homes with play therapy
How can people access the service?
Children/young people can be referred by anyone to the service as long as there is parental consent.
Referrals will often come from parents, GP’s, School Health, Health Visiting teams and school staff.
On completion of a referral form, please fax or post this to the address below.
Referrals will also be taken by telephone.
Where is the service offered?
St Helens clinics: Fingerpost Park Health Centre, Lowe House, Billinge, Ashtons Green, Irwin Road, Bowery Medical Centre, Newton Hospital.
Halton clinics: HCRC Widnes, Hallwood Health Centre, Independent Living Centre, Murdishaw clinic, Halebank clinic.
We can also offer home visits for those unable to make it to clinic appointments. Some children may be seen in school if this is appropriate.
We can attend safeguarding meetings if required, submit reports and contribute to case conferences.
Training is offered to all health staff and we welcome anyone who wishes to shadow our clinics.
We also offer training to social care staff as well as foster carers.
Children’s Continence Service
Fingerpost Park Health Centre
Telephone: 01744 626701
Textphone: 18001 01744 626701
Fax: 01744 626716
NICE website for nocturnal enuresis
NICE website for constipation
NICE website for UTI in children
ERIC Childhood Continence charity
Disabled Living – Managing Bowel and Bladder Problems in Schools and Guidelines
Supporting Pupils at School with Medical Conditions, Department of Education Statutory Guidance 2014