The Children’s Community Continence Nursing Service provides a specialist tier 2 continence service for children and young people across Derbyshire, aged 4-18 years old (19 years old attending a special school).
Children and young people with day and night-time wetting, constipation and delayed toilet training (for children with additional needs) are assessed, diagnosis and treated in a community based setting. To support diagnosis per and post void bladder scans are undertaken along with abdominal palpation. Treatments include patient centred advice, enuresis alarms and initiating medications. Individualised written care plans or toileting plans are provided to support child and young person to reach their continence potential.
Referrals will be accepted once there is no improvement after 6 months (or there is a medical condition) of level 1 input which includes; promotion of healthy bladder and bowel, run toileting programmes, reviewing daily fluid input and output charts and providing advice around diet. However, if there is no improvement due to environmental difficulties a referral for an Early Help should be considered.
Please see the links below and the advice leaflets to support the impletation of level one.
Toilet training:
https://www.eric.org.uk/Pages/Category/potty-training
https://www.bbuk.org.uk/children-young-people/children-toilet-training/
https://www.autism.org.uk/about/health/toilet-training.aspx
Night time wetting:
https://www.eric.org.uk/Pages/Category/bedwetting
https://www.bbuk.org.uk/children-young-people/children-bladder/
https://www.youtube.com/watch?v=owgLJDZDmn4
Daytime incontinence:
https://www.eric.org.uk/Pages/Category/daytime-wetting
https://www.bbuk.org.uk/children-young-people/children-bladder/
https://www.youtube.com/watch?v=xojNdYxHLKU
Constipation/soiling:
https://www.eric.org.uk/Pages/Category/bowel-problems
https://www.youtube.com/watch?v=Dqdk6WYy7bM
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Referral Information
If you are thinking of referring a child/young person into the service please complete the two forms below as they are needed as part of the referral form (link at the bottom of the page):
- Level 1 check list to ensure it is an appropriate referral into our service.
- The child and family should complete a bowel and bladder diary (2day urine diary and 7day stool diary), using standard documentation.