Cost-Effective Commissioning for Continence Care

By All Party Parliamentary Group For Continence Care, PRNE
Sunday, May 22, 2011

LONDON, May 23, 2011 -

- Launch of Guidance by All Party Parliamentary Group for Continence Care

Today the All Party Parliamentary Group for Continence Care is launching
a report: "Cost-Effective Commissioning for Continence Care" in the House of
Commons. This will provide a valuable guidance tool for GP Consortia to
commission improved continence services. Continence care is a taboo subject
although around six million men, women and children in the UK are affected.
The full report is at

The aim of this report is to maintain dignity and relieve physical and
emotional suffering in the millions of people with continence issues.

This commissioning guide has been compiled by a dedicated team of expert
continence care professionals and has received the endorsement of major
organisations and charities including the Royal College of Physicians and the
Royal College of Nursing (1). It provides a framework for implementing and
monitoring a truly integrated continence service.

An integrated continence service should be clinically-driven,
patient-sensitive and treatment focused. Evidence-based clinical pathways can
deliver significant cost savings to the NHS by reducing catheterisations,
pressure ulcers, hospitalisation for urinary tract infections, admission to
care homes, and product usage.

Paul Burstow, Health Minister said: "I welcome the timely production by
the APPG of the Guide: 'Cost Effective Commissioning for Continence Care'

He added: "Incontinence can so often be a hidden problem that affects so
many people of all age groups. There should not be an assumption that people
are doomed to suffer in silence. We all have a responsibility to ensure
greater awareness that there are services that can help. Commissioners are
key to ensuring that effective services are available and accessible to those
who need them. This report is an important part of encouraging more
widespread commissioning of cost effective solutions. I commend and
congratulate all those who were involved in the development of this Guide."

Dr Clare Gerada, Chair of Council of the Royal College of General
Practitioners said: "This document is a timely report in an area of
healthcare which affects all ages. Incontinence impacts on all aspects of a
patient's life and is costly to the NHS if the symptom is not proactively
identified, diagnosed and treated."

Baroness Greengross, Chair of the All Party Parliamentary Group for
Continence Care said: "This timely and useful guide illustrates the
importance of continence care and sets out how to commission and deliver a
quality integrated service which meets patient's needs and is cost-effective
to the NHS. Continence problems can affect any member of the population,
young or old. Incontinence can have a profoundly negative impact on a
person's quality of life creating isolation, loss of dignity and other health
and emotional problems. The wider cost implications of not providing adequate
care are significant. Patients should be able to expect and receive prompt
assessment and care to enable them to carry on living full and active lives."

"At a time of great change in the NHS and whilst the Government is
currently conducting a 'listening exercise' during its pause in consideration
of the Health and Social Care Bill, we feel it is vital to bring this issue
to the attention of all commissioner and policymakers."

Issued by: Tracy Stewart,Secretariat to the APPG for Continence Care

Download Report:


    Key Facts:

    - Around 4 - 6 million people experience continence problems in the UK
    - 1 in 12 children and young people in the UK experience wetting and
      soiling difficulties
    - Around 3.7 million women in the UK suffer stress incontinence - a high
      percentage can be cured or improved
    - Incontinence is more prevalent than asthma, epilepsy and dementia

    (1) Charities and Organisations Supporting 'Cost Effective Commissioning
        for Continence Care'

    Age UK
    Association of Spina Bifida and Hydrocephalous (ASBAH)
    Association for Continence Advice (ACA)
    Association of Chartered Physiotherapists in Women's Health (ACPWH)
    Bladder and Bowel Foundation (B&BF)
    British Society of Urogynaecology (BSUG)
    Education and Resources for Improving Childhood Continence (ERIC)
    International Continence Society (ICS)
    International Longevity Centre - UK (ILC-UK)
    Multiple Sclerosis Society
    Paediatric Continence Forum (PCF)
    Patients Association
    Royal College of Nursing (RCN)
    Royal College of Physcians (RCP)
    United Kingdom Continence Society (UKCS)

Contact: admin at or call +44(0)1483-418221

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