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This page contains materials produced by Hounslow and Richmond Community Healthcare NHS Trust (HRCH). On 1 July 2024, all adult and children’s community services in the London Borough of Hounslow provided by HRCH transferred to West London NHS Trust. Whilst we are in the process of re-producing these materials, patients and referrers can still refer to the information contained within them.

The Children’s Bladder and Bowel care team provides assessment, treatment, support and advice for children and young people with bladder and/or bowel difficulties.

The service actively seeks to promote healthy bladder and bowels by undertaking a thorough assessment by our children’s bladder and bowel nurse specialist.

Each holistic assessment takes into consideration the physical, mental, psychological, social and emotional wellbeing of the child.

This team is part of the Children’s Community Nursing Service.

We specialise in the treatment of:

  • constipation
  • daytime wetting
  • nighttime wetting

Treatments are tailored towards toileting readiness and are based upon evidence based guidelines.

The team liaise with multi-disciplinary health care professionals and other children’s services to deliver individualised care for all children within the service.

We also see and assess children who are eligible for continence products because of a learning or physical disability.

Appointments are undertaken in community settings such as clinic’s and schools and may also be offered in the home visit environment, dependent upon the needs of the child.

Anyone can make a referral.

The bladder and bowel team sees people who are aged 2 to 18 years who are registered with a Hounslow GP.

Children’s Community Nursing referral form

All referrals must be accompanied by:

A copy of your initial completed Continence Assessment Form – Child that has been toilet trained OR Continence Assessment Form - Child who has not yet been toilet trained.

Copies of all other assessment documentation used e.g. Intake/Output Chart, Poo Diary, Night Time Diary/ Toilet Readiness Assessment Chart.

If child is suffering from constipation and/or daytime bladder problems - evidence of physical examination carried out by GP/Paediatrician.

Please note: The appropriate Intake/Output Chart, Poo Diary, Night Time Diary/ Toilet Readiness Assessment Chart must be completed for a minimum of two weeks and submitted with your referral.

More information and copies of the continence assessment forms can be downloaded from The Children’s Bowel & Bladder Charity www.eric.org.uk