SLIDE 1
Bladder & Bowel Service (BABs)
- Patient focused
– Aim to improve Urinary & Faecal incontinence, distressing symptoms and QOL
- To promote
Bladder & Bowel Service (BABs) Jenny Tibbs Lead Nurse Specialist - - PowerPoint PPT Presentation
Bladder & Bowel Service (BABs) Jenny Tibbs Lead Nurse Specialist - - PowerPoint PPT Presentation
Bladder & Bowel Service (BABs) Jenny Tibbs Lead Nurse Specialist Dr Rachel Bradley Consultant Physician St Martins Bladder & Bowel Service & BRI Mr Ed Courtney Consultant Colorectal Surgeon RUH Bladder & Bowel Service (BABs)
SLIDE 2
SLIDE 3
Bladder & Bowel Service (BABs)
- To ensure right patient is seen by the right professional
at right time – To ensure cost effectiveness – Shared multi-professional assessments
- Receives referrals from 1, 2 care and patients
- Current BABs pathway: SpN triage, SpN assessment &
review, BDC & other specialists
- Bowel Dysfunction Clinic
SLIDE 4
BABs Bowel Dysfunction Clinic
- Monthly Consultant & Specialist nurse led clinic
- Complex functional bowel symptoms & management advice
– Aims to avoid unnecessary investigations – Clarify those that may benefit from referral to other specialists for specific treatment
- Supports Continence Specialist Nurses
– Case based discussion – Teaching & training
SLIDE 5
- However, current patient experience/journey is variable:
– duplication of assessments – inconsistent approach – unnecessary investigations – QOL impact not always addressed
- Greater integration & collaboration of services and clearer
referral pathways will ensure improved patient experience
- Raise awareness of BABs & other specialist services
Proposed new Integrated Pathway for patients with functional Bowel Problems
SLIDE 6
Proposed new Pathway for patients with Functional Bowel Problems
SLIDE 7
Urinary pathway
- There isn’t one….
SLIDE 8
Discharge Pathway for ISC
SLIDE 9
Discharge Pathway for Indwelling Catheters
SLIDE 10
Post Natal Removal of Catheters and Teaching ISC
SLIDE 11
BABs service development
- CCG spec – BABs is expected to manage the prescribing of
continence products and prescribe medication for over active bladder (BABs patients)
- Nurses in process of completing NMP
- Setting up IT system and reviewing present spend/ items
prescribed by surgery
- Plan – visit each surgery, meet/ review patients needs add to
database.
- Role out surgery by surgery commencing with ISC products
SLIDE 12
BABs service development
- Access to a Women’s health physio, patients with
vaginal/ rectal prolapse only [no bladder/ bowel symptoms]
SLIDE 13
BABs service development
- Clinics – St Martins hospital, Paulton hospital,
Keynsham health centre
- Partnership working with RUH
- ISC as from 10/05/16, TWOC [in the future]
- Referral process – professional/ self