Bladder and Bowel Service
Bowel and Bladder Services in Gateshead
Health Visitors / Early Years Practitioners /School Nurses
You can self refer to the 0-19 Service by contacting single point of contact telephone number 03000031918.
The 0-19 team can support your child with Bowel and Bladder issues after carrying out an a full assessment. The assessment will lead to a health care plan to follow for 6 months. School can be copied into this plan if requested and can be added to your child Educational Health Care plan.
After initial assessment and interventions have been supported for 3-6 months and resulted in no improvement the practitioner will refer to bowel and bladder specialist nurse for additional interventions, please speak to practitioner.
GP
Carries out initial physical assessment to diagnosis condition and supports medication plans during 0-19 Service interventions. Please ensure medication is regularly reviewed if not improving bladder or bowel condition.
Gateshead Children Bladder and Bowel Community Service
Referral from 0-19 Service after 6 months of intervention and support
This service consists of a specialist nurse Michelle Newton who is trained to support children their family and care team with bladder and bowel problems.
https://www.eric.org.uk/news/continence-nurse-wins-national-charity-award
The service offers a confidential, friendly service for all ages (0-19) and enables a smooth transition into adult care.
A further comprehensive bladder and bowel assessment is carried out to rule out any medical issues causing bladder and Bowel issues your child is experiencing and a treatment /medication programme tailored to suit your child/ young person individual need.
Common areas of concern may include:
• Persistent constipation and or soiling
• Leaking urine on coughing, exercising or laughing
• Frequent need to rush to use the toilet to pass urine (more than seven times a day)
• Feeling the need to constantly go to the toilet to pass urine
• Persistent bedwetting/ getting up a number of times in the night to use the toilet
• Day time wetting (for example overactivity of bladder/ Giggle incontinence/ hypo activity of the bladder etc )
• Specialist advise on toileting aids /equipment for containment reasons if medical condition effecting development
Self help -advice and support
Gateshead Autism Information Hub Facebook site = private group also has specific Bladder and Bowel Health advice
You can be referred via your Doctor, Health Visitor/School Nurse or any other Health Professional involved in your or your child’s care.
Address:
Bladder and Bowel Service
Bensham Hospital
Saltwell Road
Gateshead
NE8 4YL
Toilet
Changing places toilets can be accessed in many areas. A hoist is available with use of own sling. INTU shopping centres (locally Eldon Square and Metrocentre) require two forms of ID to register for access one must be photographic and one must show proof of address. (parent/care ID not the young person’s)
• http://www.changing-places.org/
Radar key can be bought and used for any key disabled toilet
• https://www.radarkeys.org/
Is your child ready to toilet train leaflet
Alarm help to support toilet training programme
https://www.bbuk.org.uk/wp-content/uploads/2019/04/Using-a-wetting-alarm-for-toilet-training.pdf
Useful Links:
Healthy Bladder
http://www.bladderandboweluk.co.uk/wp-content/uploads/2016/12/Promoting-Healthy-Bladders-1.pdf
Healthy bowel
http://www.bladderandboweluk.co.uk/wp-content/uploads/2018/04/Promoting-Healthy-Bowels.pdf
Understanding bed wetting in children with down syndrome and other learning disability leaflet
http://www.bladderandboweluk.co.uk/wp-content/uploads/2018/05/Understanding-Bedwetting-for-Children-with-Downs-Other-LD.pdf
Pictures for bed wetting
http://www.bladderandboweluk.co.uk/wp-content/uploads/2016/12/Bedwetting-information-picture-cards.pdf
Bed wetting information
http://www.bladderandboweluk.co.uk/wp-content/uploads/2016/12/Bedwetting.pdf
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=4a7167f2-50df-4855-baba-30f02ab1fd26
Teenage bedwetting
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=49012141-49ad-4e0a-8e1b-6abcbce07dfb
Night’s away advice for bedwetting
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=f33748a4-818a-4c98-b023-4dbfd7e5c11c
Medication for bed wetting -desmopressin
http://www.bladderandboweluk.co.uk/wp-content/uploads/2016/12/Desmomelt-2013-revised-and-updated-2017.pdf
Information how to complete toilet charts
http://www.bladderandboweluk.co.uk/wp-content/uploads/2016/12/BASELINE-toileting-chart-instructions-revised-2016.pdf
Chart
Poo: https://www.eric.org.uk/Handlers/Download.ashx?IDMF=0e6361d4-b887-43c9-8793-85eb00f1686c
Input/output: https://www.eric.org.uk/Handlers/Download.ashx?IDMF=acaa54de-12ad-4e02-9e84-60013d7f855f
Drinking: https://www.eric.org.uk/Handlers/Download.ashx?IDMF=3d8cb443-edc2-4f63-a9a2-a14a023007e8
Toileting: https://www.eric.org.uk/Handlers/Download.ashx?IDMF=13261050-213f-4680-a252-da84e70f785a
Bladder/bowel/nappy: https://www.eric.org.uk/Handlers/Download.ashx?IDMF=e5411211-d238-4003-927a-46a613aafec4
Adult learning disability constipation information
http://www.bladderandboweluk.co.uk/wp-content/uploads/2017/05/Booklet-for-people-with-LD-and-constipation.pdf
Constipation child information
http://www.bladderandboweluk.co.uk/wp-content/uploads/2018/05/Talk-About-Constipation.pdf
Constipation parent information
http://www.bladderandboweluk.co.uk/wp-content/uploads/2017/11/Understanding-childhood-constipation-leaflet-advice-for-parents-and-carers.pdf
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=8dddd643-9461-413f-a74a-6c3e652a1954
Understanding Constipation in Infants and Toddlers
Understanding Toilet Refusal – the child who will only poo in a nappy Information for families
Medication for constipation –Movicol and preparation
http://www.bladderandboweluk.co.uk/wp-content/uploads/2018/05/Macrogols.pdf
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=2b77da4b-077f-4798-bdda-7b8f65e4173c
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=c2848533-e999-41fa-a63a-439f7c13104b
Day time bladder problems
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=a728ba45-2374-4c28-b563-1c516b5a2df4
Toilet readiness
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=f87d5b50-cde9-45ff-8d08-87adaa1b2f69
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=dc253d91-a28b-47ef-a288-92cebb0add76
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=e55046e9-ac09-4783-9c74-07a29d5174ee
Toilet training booklet for parents
http://www.bladderandboweluk.co.uk/wp-content/uploads/2018/04/Understanding-getting-ready-potty-training.pdf
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=202c5144-c663-48e9-9bf2-4347699f3886
Toilet training booklet for child
http://www.bladderandboweluk.co.uk/wp-content/uploads/2016/12/A4-TALK-ABOUT-GOING-TO-THE-TOILET-2017-1.pdf
Information Sheet on Toilet Training Children with Special Needs
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=9b1c4466-ef97-436f-ad8a-9d53ffddb6a9
Toilet Training Children with Autism and Related Conditions – Information for Parents
http://www.bladderandboweluk.co.uk/wp-content/uploads/2016/12/Information-for-parents-re-toilet-training-children-with-ASD.pdf
| Guidance for parents/carers using disposable containment products (nappy, pull-ups, pads)
https://www.eric.org.uk/Handlers/Download.ashx?IDMF=68b829c1-4d05-4359-b0bf-4045d72046b6 Guidance for the provision of continence containment products to children and young people: A consensus document |
Guidelines for good practice: bedwetting/ constipation /UTI
https://www.nice.org.uk/search?q=Children%20Continence
Potty Training Reward Chart;
ERIC’s Potty Training Reward Chart
https://www.milestones.org/files/assets/toilettrainingkitprintable2017.pdf
Other Useful Resources:
Book
The potty Journey- Guide to toilet training children with special needs, including Autism and Related disorders Judith A Coucouvanis AAPC publishing 2008
