title: Improving service provision for patients who are prescribed continence products.
abstract: It is estimated that 14 million people experience problems with bladder control and 6.5 million people have a bowel control problem (Bladder and Bowel Foundation, 2008). Many will rely on continence products to manage their problem and as such require products which ensure user dignity and discretion is maintained. Locally, an ever-increasing spend on prescribed continence products promoted a review of current service delivery. The combined results of a clinical audit and patient satisfaction survey highlighted areas in which service delivery needed immediate improvement. Significant service re-design has been undertaken with prescribing responsibility for continence-related products being transferred from GP practices to specialist nurses working within the continence service. Improvements in clinical care have been achieved and cost savings have been re-invested in the service.
authors.affiliation: NHS Rotherham Community Health Services Continence Service. joanne.mangnall@nhs.net
authors.forename: Joanne
authors.initials: J
authors.lastname: Mangnall
authors.forename: Kate
authors.initials: K
authors.lastname: Midgley
authors.forename: Stuart
authors.initials: S
authors.lastname: Lakin
authors.forename: Liz
authors.initials: L
authors.lastname: Beckitt
authors.forename: Laura
authors.initials: L
authors.lastname: Shepherd
mesh_terms: D005242:Fecal Incontinence / Q000628:therapy*; D006297:Health Services Accessibility; D006801:Humans; D017060:Patient Satisfaction; D011787:Quality of Health Care; D017751:Safety Management; D012648:Self Care; D006113:United Kingdom; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000628:therapy*