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Paediatric Continence

We are a small friendly paediatric continence team comprising nurses and nursery nurses. We support children up to 19 years of age experiencing delayed toilet training, daytime wetting, treatment-resistant night time wetting and chronic constipation and/or faecal soiling, and their families.

Wherever possible, the work of our team will continue although, in some cases, not in the way you may be used to.  

We will be stopping all appointments within the Continence Advisory Service at this time. We will be in touch with you again once we are able to resume this service. 

You can find more advice and support on the following websites: 

www.eric.org.uk 

www.bbuk.org.uk 

You can refer your child directly or through a healthcare professional involved in your child’s care, for example, a school nurse, health visitor, GP or paediatrician.

Prior to referral

Children and young people should receive level 1 continence input by healthcare professionals in primary care such as a health visitor, school nurse or community nurse, GP’ or paediatrician for a minimum of 3 months. This may include advice and support on constipation, toilet training problems or bedwetting (nocturnal enuresis), to promote continence and help in the prevention of treatable conditions such as constipation.

Referrals

Children and Young People can be referred to the Paediatric Continence Service by a healthcare professional involved in their care, for example, a School Nurse, Health Visitor, GP or Paediatrician.

As a specialist continence service, referrals are accepted for complex bladder and bowel problems, idiopathic constipation, day and night time wetting, and children with additional needs whose toileting has been delayed and unresponsive to level 1 input and toilet training at home.

A referral will be made to a Consultant Paediatrician/Consultant Paediatric Urologist if red flags are present for medical review.

Referrals to the Paediatric Continence team must  be made by a healthcare professional by completing the Paediatric Continence referral form and returning it to integratedhub@berkshire.nhs.uk

Once your child is referred into our service, we will contact you and provide you with a baseline bladder and bowel chart. This must be returned to our service within 28 days before an initial appointment (at home or in a clinic) is offered.

Appointments will be remote for the foreseeable future with assessments conducted via a virtual platform called one consultation, instructions will be sent with your appointment details.

Our usual clinics across Berkshire are at West Berkshire Community Hospital, Upton Hospital Slough, St Marks Hospital Maidenhead, Bracknell and Wokingham, and White Knights campus Reading.

Your first appointment will be an hour long. We complete a full continence assessment guided by ERIC (the Children’s Bladder and Bowel Charity). We also create an individualised care plan for your child to promote their optimum potential for independence in continence and suitability for toilet training.

We then provide you with an evidenced-based action plan, which might comprise bladder training, regular toileting and toilet positioning, plus advice and guidance on the use of medication to control symptoms.

You’ll then be given regular follow-up and support through telephone calls or face to face contact. We also work closely with your child’s school if applicable, and provide schools with a continence treatment plan.

Children with additional needs will be assessed as to their suitability to toilet train in the first instance.

Email: continence@berkshire.nhs.uk

Telephone: 01189 495146

We are open Monday-Friday 9am-5pm.

Visit our Support and Advice pages  and blogs for more information on bedwetting and toilet training.

You can find additional help online by visiting: