Issue - meetings

Further to Minute C125 of the meeting of the Cabinet held on 14^th January, 2015 consideration was given to the report which detailed the response following the completion of a scrutiny review of Urinary Incontinence Services in May – June 2014.

This review identified a series of recommendations which cut across the Council’s Directorates, all of which were accepted.

The review conducted was a spotlight review and formulated six recommendations as follows:-

1          RMBC Streetpride and partner agencies such as SYPTE should ensure all public toilets in the borough are clean and well equipped to meet the needs of people who have urinary incontinence, including suitable bins for the disposal of equipment and disposable products.

          Response - SYPTE have confirmed that the toilet facilities provided by SYPTE at its Interchanges meet the requirements recommended in Urinary Incontinence Scrutiny review.  All SYPTEs toilet facilities are appropriately maintained, regularly cleaned and re provisioned with consumable products throughout the day including weekends to ensure a pleasant customer experience.

          Response – RMBC Facilities Management have confirmed that toilet facilities in Rotherham have suitable waste disposal systems are cleaned regularly to meet the needs of people with urinary incontinence.

2          RMBC Sport and Leisure team should establish greater links with the Community Continence Service in order to support people to participate in appropriate sport and physical activity.

          Response – Active Rotherham agree to work more closely with the Community Continence Service and take further guidance on how to improve the pathways to physical activity from the service.  Suggestions include literature for patients and information on suitable exercises for pelvic floor to be added to the new Get Active Rotherham website which is currently under development.

3          RMBC Sport and Leisure team should liaise with other sport and leisure activity providers to consider building more pelvic floor exercises into the Active Always programme and wider leisure classes

          Response – Active Rotherham will include pelvic floor exercises into their existing “active always” provision.  Public Health will also raise the importance of pelvic floor exercises at the next Rotherham Active Partnership meeting and long term conditions subgroup which covers most activity providers across the Borough.  If there are any training requirements identified, these will be considered and delivered to the Rotherham Active Partnership members to ensure the exercises are embedded in all services.

4       There should be greater publicity by partner agencies, coordinated through the Health and Wellbeing Board, to reduce stigma associated with incontinence and to raise public and provider awareness of:

 
a) the importance of maintaining good bladder and bowel health and habits at all life stages (through media such as screens in leisure centres and GP surgeries, further website development, VAR ebulletin and a campaign during World Continence Week from 22-28 June 2015)

          b) healthy lifestyle choices having a positive impact on general health but also helping to prevent incontinence, such as diet, fluid intake and being active

c) the positive benefits of pelvic floor exercises as a preventive measure for urinary incontinence, including  ...  view the full minutes text for item 88

-           Director of Public Health to report.

Councillor Doyle, Cabinet Member for Adult Social Care and Health, introduced the report and the response by Public Health following the completion of a scrutiny review of urinary incontinence services in May – June 2014.

This review identified a series of recommendations which cut across the Council’s Directorates. 

There were three main aims of the review which were:-

·                To ascertain the prevalence of urinary incontinence in the borough and the impact it has on people’s independence and quality of life.

·                To establish an overview of current continence services and costs, and plans for future service development.

·                To identify any areas for improvement in promoting preventive measures and encouraging people to have healthy lifestyles.

The review focused primarily on prevention rather than the costs of current service provision, but recognised that preventative work contributed towards achieving savings for services, for example by reducing admissions to hospital or residential care. Centralisation of continence prescribing had improved outcomes for service users and future service development with greater emphasis on prevention should also produce both further savings and better outcomes.  Awareness raising of the importance of good bladder and bowel health and being physically active, plus doing pelvic floor exercises as a preventive measure, could lead to fewer people having their quality of life diminished through urinary incontinence and result in lower future demand for services.

The review conducted was a spotlight review and formulated six recommendations as follows:-

1          RMBCStreetpride and partner agencies such as SYPTE should ensure all public toilets in the borough are clean and well equipped to meet the needs of people who have urinary incontinence, including suitable bins for the disposal of equipment and disposable products.

          Response - SYPTE have confirmed that the toilet facilities provided by SYPTE at its Interchanges meet the requirements recommended in Urinary Incontinence Scrutiny review.  All SYPTEs toilet facilities are appropriately maintained, regularly cleaned and re provisioned with consumable products throughout the day including weekends to ensure a pleasant customer experience.

          Response – RMBC Facilities Management have confirmed that toilet facilities in Rotherham have suitable waste disposal systems are cleaned regularly to meet the needs of people with urinary incontinence.

2          RMBC Sport and Leisure team should establish greater links with the Community Continence Service in order to support people to participate in appropriate sport and physical activity.

          Response – Active Rotherham agree to work more closely with the Community Continence Service and take further guidance on how to improve the pathways to physical activity from the service.  Suggestions include literature for patients and information on suitable exercises for pelvic floor to be added the new Get Active Rotherham website which is currently under development.

3          RMBC Sport and Leisure team should liaise with other sport and leisure activity providers to consider building more pelvic floor exercises into the Active Always programme and wider leisure classes

          Response – Active Rotherham will include pelvic floor exercises into their existing “active always” provision.  Public Health will also raise the importance of pelvic floor exercises at  ...  view the full minutes text for item 126