Sandwell and West Birmingham Hospitals NHS Trust Faecal Incontinence and Constipation Healthcare

Sandwell and West Birmingham Hospitals NHS Trust have developed a nurse-led Faecal Incontinence and Constipation Healthcare (FINCH) service, where an integrated care pathway has been designed to increase accessibility, streamlining of the patient pathway and provide a dedicated service for the management of fecal incontinence and constipation.

Before the finish services developed patients were you know with fecal incontinence and constipation problems were seen by lots of different people really embarrassed around the system and they’ll be told there isn’t really a lot that they can do or be given lots of laxatives in constipation cases or pads if they’ve gotten constants and sent on the way there was

Very little services for them and they were basically left to suffer in silence at home before i came into the service i was passed from pillar to post from one doctor to another doctor and i was at my wit’s end i was diagnosed with bowel cancer in 2013 then i had an operation that took away part of my bowel after that was great but i had this problem of going to

The toilet from five o’clock at night until 10 o’clock i just couldn’t keep off the toilet when the service was started it was consultant-led and from 2012 it started to become nurse that and we introduced the integrated care pathway for fecal incontinence which is where we started to integrate we are specialists nurses in our own right so we are able to see the

Patient’s okafor history order the investigations interpret the investigations and initiate treatments and actually discharge them so they can see one of us straightaway through the whole process so they get that continuity of care right the way through in 2012 and we launched a pilot for an integrated care pathway so that the patients who were being referred came

Directly through to ourselves we then triaged out to either community consultant or ourselves to be seen treated and we can integrate throughout each of those pathways at any stage should we need to by utilizing our multidisciplinary team meetings some well and dudley i’ve actually worked started working in partnership to embrace the dudley continence service and

Help our patients a bit closer to home so these patients didn’t have to come to sam well i could actually treat them at home and we’re actually working this across boundaries and across trusts we’re actually hitting 78 percent success rates with our patient outcomes so that patients are actually seen and discharged untrue to within approximately three visits which

Is our average cost savings that have occurred with reduced and laxative usage a lot of patients who have bail problems will have urinary symptoms also but we have made a significant impact on pad cost savings so we’ve reduced that by 53 percent the team have helped me know end if i’ve had a problem they’re always there at the end of a phone the impact is is giving

Me my life back the team have been amazing to me i’ve got a lot more confidence i can go out now so it’s had an amazing impact on my life the patient days came around from one of our cancer patients actually and i was seen him in clinic and he was sitting there telling me how isolated he was so we started the anterior resection syndrome survivorship days the pooh’s

News was born in the middle of last year really all the patients met up and put their bits together it’s been really helpful in giving them you know a peer group and we also find that some of them may have symptoms and another patient will tell them actually i’ve got that and i do these and it actually helps them manage their symptoms between them you know and it

Saves them actually coming to hospital for a visit because they sorted between themselves which is really really good so the leading change and adding value commitments we feel that probably number five is probably most important to us which is working with patients and the carers and families that’s what’s most important

Transcribed from video
Sandwell and West Birmingham Hospitals NHS Trust – Faecal Incontinence and Constipation Healthcare By NHS England