Chamber and committees

NHS Boards regularly assess continence patients' needs, with the assessments undertaken by dedicated Bladder and Bowel Teams or community nursing staff. This ensures that patients' needs are met, either through treatment or provision of appropriate containment products. Referrals can also be made by patients' GPs where necessary, and also by a range of other healthcare professionals including pharmacists, consultants and care home staff.

Where a patient has been assessed as requiring continence products, these are provided by their local NHS Board's continence service on prescription. As such, any person that is suffering from incontinence should seek a referral to their local continence service in order that their incontinence can be assessed, treated where appropriate, or managed through the prescription of continence products.

Whilst NHS Boards follow the guidance contained in the Association for Continence Advice Scotland paper 'Guidance for the provision of absorbent pads for adult incontinence - Scotland' that the number of absorbent pads issued in each 24 hour period would not normally exceed 4, it is stressed that provision should meet assessed clinical need. This will include determining the amount of urine being passed daily by the patient, and consequently the appropriate absorbency level for the absorbent pads being prescribed.

There is no expectation for an individual to buy continence products where they have been assessed as requiring them, so any patient that feels that their prescription does not meet their needs should raise their concerns with their local continence service in order that their incontinence can be reassessed and their prescription adjusted if appropriate.