FOI 2025/1261

1. Does your ICB currently commission a dedicated community bowel and bladder (continence) service for children and young people?

If yes, please provide:

a. The name of the service and which Trust or provider is commissioned to provide this service. The age range covered. Whether the service includes Tier 1, Tier 2 and Tier 3 continence care . The date the service was first commissioned. The referral pathway for children to access any continence services

If no:

b. Are there any plans to commission such a service?

c. How are children with continence needs currently supported in your ICB area?

2. Does your ICB collect or hold data on children presenting with bowel and bladder issues (e.g. constipation, urinary retention, faecal incontinence) in A&E or primary care settings?

If so:

a. How is this data coded and classified?

3. Are children who present to A&E with abdominal pain or constipation routinely referred to a community continence service? If so, which service?

4. Does your ICB hold data on the number of children accessing continence support services in the past three years (e.g. referrals, community appointments, home care)? If so, please provide figures.

5. Has your ICB carried out a local needs assessment or gap analysis relating to children’s continence care in the past five years? If yes, please provide a copy or summary.

1. NHS GM ICB does commission continence services for children and young people. Some of these services are dedicated continence services for children and young people but not in all areas of GM. This is a result of historic commissioning arrangements of the CCGs which transferred over to the ICB. In the absence of a dedicated continence service there is typically a graded approach to support with public health nursing providing early advice and support with then referrals on to Community Children’s Nursing Teams (CCNTs) for products or support with then consideration of paediatric input re: medication if required.

a. NHS Greater Manchester (NHS GM) does not hold the information requested; it will be necessary for you to contact the Provider Trusts commissioned in Greater Manchester for the information you seek. To assist you, please find below links to their websites with information about how to make a Freedom of Information request.

Bolton NHS Foundation Trust – Freedom of information – Bolton NHS FT (boltonft.nhs.uk)

Northern Care Alliance NHS Foundation Trust – Freedom of Information Requests :: Northern Care Alliance

Manchester University NHS Foundation Trust – Freedom of Information – Manchester University NHS Foundation Trust (mft.nhs.uk)

Stockport NHS Foundation Trust – Freedom of Information – Stockport NHS Foundation Trust

Tameside and Glossop Integrated Care NHS Foundation Trust – Freedom of Information Requests :: Tameside and Glossop Integrated Care (tamesideandglossopicft.nhs.uk)

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust – WWL Teaching Hospitals NHS Foundation Trust | FOI Disclosure Log

Pennine Care NHS Foundation Trust – Freedom of Information :: Pennine Care NHS Foundation Trust

Greater Manchester Mental Health NHS Foundation Trust – Freedom of Information | Greater Manchester Mental Health NHS FT (gmmh.nhs.uk)

Some of these services are dedicated continence services for children and young people but not in all areas of GM.  This is a result of historic commissioning arrangements of the CCGs which transferred over to the ICB.

In the absence of a dedicated continence service there is typically a graded approach to support with public health nursing providing early advice and support with then referrals on to Community Children’s Nursing Teams (CCNTs) for products or support with then consideration of paediatric input re: medication if required.

b. There are no plans to commission a dedicated CYP continence service outside current arrangements as described above however NHS GM is committed to ensuring an equitable offer across community services via its review of all community services.

c. Via existing commissioned services -see response 1 (albeit not all are dedicated services for CYP).

2. The ICB does not hold this data.

a. See response to Q2

3. The ICB does not hold this information. You would need to contact the FOI Teams at each of our Acute Providers.

4. The ICB does not hold this data, as the service is commissioned as part of a block contract. To obtain this information, you would need to contact the FOI teams at each of the Acute providers.

5. No