Asked by: Glyn Davies (Conservative - Montgomeryshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what steps his Department is taking to improve the quality of care provided for people with incontinence in the UK.
Answered by Jane Ellison
NHS England has advised that according to a survey conducted in 2008, there are over 14 million adults who have bladder control problems and 6.5 million with bowel control problems in the United Kingdom.
The Department does not collect information on the number of people living with urinary and faecal incontinence specific to Northern Ireland, Scotland and Wales. This is a matter for devolved administrations.
The Healthcare Quality and Improvement Partnership (2010) established that in order to achieve the best clinical outcomes, continence services have to be integrated across primary and secondary care and care home settings.
They also concluded that ‘there is an urgent need for improved and equitable practice for all people with bladder and bowel problems’ through the development of commissioning frameworks, evidence-based training for health professionals and patient empowerment to increase their expectations of cure.
Improving continence care provision through integrated services brings many benefits including:
- a better quality of life and more independence through finding solutions appropriate to individual needs;
- less reliance on pads and products by using alternative treatments;
- a reduction in admissions to hospitals and care homes;
- fewer complications, such as urinary tract infections, faecal impaction and skin breakdown; and
- a reduction in costs.
NHS England’s Excellence in Continence Care guidance provides a framework that enables commissioners to work in collaboration with providers and others to make a step change to address shortfalls so that safe, dignified, efficient and effective continence care is consistently provided.
This guidance is aimed at commissioners, providers, health and social care staff and as information for the public and has been produced in partnership with patient and public advocates, clinicians and partners from the third sector. The roles of everyone involved in the care of people with continence needs are made clear in the guidance and publication via a launch is planned for ‘Self Care Week’ beginning 16 November. The launch will both raise awareness and promote understanding.
In addition the National Institute for Health and Care Excellence has produced a range of guidance for clinicians to support them in the diagnosis, treatment care and support and people with continence problems e.g. Urinary incontinence in women (September 2013), Faecal incontinence in adults (June 2007), Urinary incontinence in neurological disease: assessment and management (August 2012) and Lower urinary tract symptoms in men: management (May 2010).
Asked by: Glyn Davies (Conservative - Montgomeryshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what progress his Department has made on raising awareness and promoting understanding of incontinence amongst (a) health and social care staff and (b) the general public; and if he will make a statement.
Answered by Jane Ellison
NHS England has advised that according to a survey conducted in 2008, there are over 14 million adults who have bladder control problems and 6.5 million with bowel control problems in the United Kingdom.
The Department does not collect information on the number of people living with urinary and faecal incontinence specific to Northern Ireland, Scotland and Wales. This is a matter for devolved administrations.
The Healthcare Quality and Improvement Partnership (2010) established that in order to achieve the best clinical outcomes, continence services have to be integrated across primary and secondary care and care home settings.
They also concluded that ‘there is an urgent need for improved and equitable practice for all people with bladder and bowel problems’ through the development of commissioning frameworks, evidence-based training for health professionals and patient empowerment to increase their expectations of cure.
Improving continence care provision through integrated services brings many benefits including:
- a better quality of life and more independence through finding solutions appropriate to individual needs;
- less reliance on pads and products by using alternative treatments;
- a reduction in admissions to hospitals and care homes;
- fewer complications, such as urinary tract infections, faecal impaction and skin breakdown; and
- a reduction in costs.
NHS England’s Excellence in Continence Care guidance provides a framework that enables commissioners to work in collaboration with providers and others to make a step change to address shortfalls so that safe, dignified, efficient and effective continence care is consistently provided.
This guidance is aimed at commissioners, providers, health and social care staff and as information for the public and has been produced in partnership with patient and public advocates, clinicians and partners from the third sector. The roles of everyone involved in the care of people with continence needs are made clear in the guidance and publication via a launch is planned for ‘Self Care Week’ beginning 16 November. The launch will both raise awareness and promote understanding.
In addition the National Institute for Health and Care Excellence has produced a range of guidance for clinicians to support them in the diagnosis, treatment care and support and people with continence problems e.g. Urinary incontinence in women (September 2013), Faecal incontinence in adults (June 2007), Urinary incontinence in neurological disease: assessment and management (August 2012) and Lower urinary tract symptoms in men: management (May 2010).
Asked by: Glyn Davies (Conservative - Montgomeryshire)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what estimate his Department has made of the number of people living with (a) urinary incontinence and (b) faecal incontinence in (i) Northern Ireland, (ii) Scotland and (iii) Wales.
Answered by Jane Ellison
NHS England has advised that according to a survey conducted in 2008, there are over 14 million adults who have bladder control problems and 6.5 million with bowel control problems in the United Kingdom.
The Department does not collect information on the number of people living with urinary and faecal incontinence specific to Northern Ireland, Scotland and Wales. This is a matter for devolved administrations.
The Healthcare Quality and Improvement Partnership (2010) established that in order to achieve the best clinical outcomes, continence services have to be integrated across primary and secondary care and care home settings.
They also concluded that ‘there is an urgent need for improved and equitable practice for all people with bladder and bowel problems’ through the development of commissioning frameworks, evidence-based training for health professionals and patient empowerment to increase their expectations of cure.
Improving continence care provision through integrated services brings many benefits including:
- a better quality of life and more independence through finding solutions appropriate to individual needs;
- less reliance on pads and products by using alternative treatments;
- a reduction in admissions to hospitals and care homes;
- fewer complications, such as urinary tract infections, faecal impaction and skin breakdown; and
- a reduction in costs.
NHS England’s Excellence in Continence Care guidance provides a framework that enables commissioners to work in collaboration with providers and others to make a step change to address shortfalls so that safe, dignified, efficient and effective continence care is consistently provided.
This guidance is aimed at commissioners, providers, health and social care staff and as information for the public and has been produced in partnership with patient and public advocates, clinicians and partners from the third sector. The roles of everyone involved in the care of people with continence needs are made clear in the guidance and publication via a launch is planned for ‘Self Care Week’ beginning 16 November. The launch will both raise awareness and promote understanding.
In addition the National Institute for Health and Care Excellence has produced a range of guidance for clinicians to support them in the diagnosis, treatment care and support and people with continence problems e.g. Urinary incontinence in women (September 2013), Faecal incontinence in adults (June 2007), Urinary incontinence in neurological disease: assessment and management (August 2012) and Lower urinary tract symptoms in men: management (May 2010).
Asked by: Tom Pursglove (Conservative - Corby)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what guidance and information is available to (a) NHS healthcare workers, (b) patients and (c) carers of patients who regularly suffer from urinary-tract infections.
Answered by Jane Ellison
Guidance aimed at healthcare staff, patients, carers and the public on the care and treatment of people with urinary tract infections (UTIs) is available from a number of sources. These include the National Institute for Health and Care Excellence (NICE) which published a quality standard on the treatment of Urinary tract infections in adults in June 2015. This is part of a suite of materials which includes a quality standard on Urinary tract infections in infants, children and young people under 16 and information for the public. In addition to describing the NICE quality standard, The information for the public provides links to other information sources such as NHS Choices and The Bladder and Bowel Foundation. These resources are available at https://www.nice.org.uk/guidance/qs90
Materials specifically for primary care include the Public Health England (PHE) primary care antibiotic guidance which was updated in June 2015. It provides advice on the treatment of uncomplicated UTIs and on antibiotic choice. It also has advice on treating those with recurrent UTIs. It is available via the PHE and Royal College of General Practitioners (RCGP) TARGET (Treat Antibiotics Responsibly, Guidance, Education, Tools) Antibiotics Toolkit website. Clinical commissioning groups are able to use this guidance to develop local versions.
https://www.gov.uk/government/publications/managing-common-infections-guidance-for-primary-care
PHE has also developed guidance on diagnosis of UTIs, which is being reviewed this year. This is also available via the PHE or RCGP TARGET website.
https://www.gov.uk/government/publications/urinary-tract-infection-diagnosis
In addition, the TARGET Antibiotics Toolkit, available on the RCGP website, includes a presentation for primary care staff, and an online course on managing urinary symptoms. These are available at:
http://www.rcgp.org.uk/clinical-and-research/target-antibiotics-toolkit.aspx
Asked by: Madeleine Moon (Labour - Bridgend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what estimate he has made of the number of attendances at A&E because of (a) urinary tract infections, (b) catheter-related infections and (c) stoma care issues in each of the last three years; and if he will make a statement.
Answered by Jane Ellison
This information is not collected.
While the Hospital Episode Statistics accident and emergency (A&E) data set does contain information about the diagnosis of patients attending A&E, it is not possible to identify the conditions requested as the diagnosis system in place is not detailed enough to classify these conditions.
Table 14 in the Health and Social Care Information Centre’s (HSCIC’s) annual publication demonstrates the diagnosis groupings published. Data for 2013/14 can be found at:
http://www.hscic.gov.uk/catalogue/PUB16728/acci-emer-atte-eng-2013-14-data.xlsx