FOI/2024/25/399

Request

Do you provide continence products to adults? Yes across all our clinical divisions. If so, what is your continence budget?

Inner North West Division - West London £359,240. Central London £427,266. H&F £299,007

Outer North West Division (Brent)- £821,127

South West Division (Merton) £262k over spent (£22k on pay, £240k non-pay – mostly products)

South West Division (Wandsworth) ) £636,058 for 2024/25.

North Central Division - £962,760

Hertfordshire Division - £1,346,000

 

If so, are there any exclusions e.g. nursing homes?

Inner North West Division – No exclusions if are registered to a GP within the borough that we cover.

Outer North West (Brent) – We do not provide products for nursing homes

South West Division (Merton) - No exclusions if patients are registered to a GP within the borough that we cover.

South West Division (Wandsworth) There are no exclusions to care/nursing homes.

North Central Division - No exclusions if patients are registered to a GP within the borough that we cover.

Hertfordshire Division - Nursing homes are excluded

Is you spending in line with the allocated budget (are you underspending or overspending?) overspending across all divisions

 

What is your continence budget per head of population (over 18)

(Please note, there will be other elements within the budget not accounted for, eg rent for continence clinic space)

Inner North West Division - No Data Available

Outer North West (Brent)- £3.06 per head of population size 18 +

South West Division (Merton) - £3.93 per head population size 18 +

South West Division (Wandsworth)  £2.37 (total budget / population size 18 +

North Central Division- Approximately £3.07 per head population 18 +

Hertfordshire Division- The average budget per head quarterly is £96.50 – This is per patient population within the Bladder and Bowel service.

 

Do you have a minimum pad requirement and a limit on the maximum number of pads provided per individual per day?

We do not have a minimum pad requirement; however, the maximum daily limit is x4 pads a day unless provision of pull-up products in which case the daily limit is 1. Policy relating to daily limit is a CLCH Trust-wide policy and is currently being reviewed.

 

Do you have any information about delivery charges/costs to patients own homes and nursing homes?

Effective as of 01.04.2025

Below is the ratings of delivery charges, own homes £12.50,  

Care Home size Delivery Charge

1 patient           £12.50

2-4 patients       £25.00

5-10 patients     £50.00

11-20 patients   £75.00

21-30 patients   £100.00

31-50 patients   £125.00

51+ patients      £150.00

 

What product brands do you use?

Inner North West Division - Tena

Outer North West (Brent)-  Id Expert

South West Division (Merton) - Tena

South West Division (Wandsworth) - Tena

North Central Division- Tena and ID fixation

Hertfordshire Division - Tena

 

Do you have any schemes or pathways that have successfully reduced the requirement for continence products, or reduced the cost of continence product provision? Or delivery charges? Could you detail these?

Inner North West Division

-Pads are sourced through NHS Supply chain.

- Orders for high absorbency pads or more than 4/day must be authorised by the Continence Nurse Specialist . This allows for discussion regarding need

-All deliveries are on call back

-Care homes receive a delivery every 8 weeks

-Own home - less than 3 pads/day =16 weekly . 3+pads/day - 12 weekly

Outer North West (Brent)- No schemes

South West Division (Merton) No schemes

South West Division (Wandsworth) - No specifically focused schemes, however, high-cost product provision is overseen by specialist team to ensure appropriate provision. Delivery charges are set by NHS Supply Chain / Home Delivery Service.

North Central Division - We offer training to care homes & Inpatient units to ensure products are used appropriately and that assessment for products are holistic & individual to ensure patients get the correct product & quantity needed. B&B have just produced an educational resource pack, which will be given to all care & nursing homes so they have information & support on how to assess & manage the incontinent patient. We do annual product reviews on all patients on B&B caseload who are receiving containment products to ensure they are still required and if any change is needed to their prescriptions. We are currently doing a data cleanse of people who are on HDS to ensure they are still actively reordering products, and discharging those who have moved out of area, changed Gp to a non-Barnet Gp or if they are deceased.

Hertfordshire Division- Purchasing through NHS supply chain and ICS buying capacity. Reducing delivery charges by changing to a longer period in the ordering cycle. When we move to NHS supplies can look at other products/ Providers

Do you have a specialist continence service or do your district nurses provide continence products?

Inner North West Division  - Bothspecialist continence service and our district nurses provide continence products

Outer North West (Brent) - We have nurses and HCAS who specialises in continence service

South West Division (Merton) - Bothspecialist continence service and our district nurses provide continence products

South West Division (Wandsworth) - Bothspecialist continence service and our district nurses provide continence products

North Central Division- Both specialist continence service and our district nurses provide continence products

Hertfordshire Division - Specialist continence service