The Bladder and Bowel Service provides care for adults with urinary and faecal continence problems in the Great Yarmouth and Waveney area.
The service is made up of continence specialist nurses, continence staff nurses and continence healthcare assistants.
We liaise with and support other professionals such as: GPs, district nurses, health visitors, learning disability nurses, physiotherapists, occupational therapists, carers and the secondary care urology and gynaecology teams. In the north of the area, we deliver the Children’s Continence service, and have clinics at the Newberry Children’s Centre in Gorleston and the John Grant School in Great Yarmouth. In the south of the area, we deliver clinics for children at Beccles Hospital, the Kirkley Mill Health Centre and the Warren School, Lowestoft.
Patients will receive a comprehensive continence assessment of their problems and needs and an individualised programme of care will be discussed and agreed. A treatment or management plan will be made in agreement with the patient. This may include: bladder/toileting advice and training, supervised pelvic floor exercises, fluid and dietary advice, medication review and advice and other specialist interventions, such as intermittent catheterisation.
Products for the containment of incontinence can only be provided following an assessment using the approved tool and documentation. Interventions to promote continence will be tried first where appropriate.
The service holds Bladder and Bowel (B&B) clinics at:
Shrublands Health Centre, Gorleston
Newberry Children’s Centre, Gorleston
The John Grant School, Caister
Martham Health Centre
Kirkley Mill Health Centre, Lowestoft
Patrick Stead Hospital, Halesworth
Reydon Health Centre
Nelson Medical Practice, Gt Yarmouth
You will have the choice of which clinic you would prefer to attend.
Home visits are provided by this service if a patient is housebound. Interpretation and translation services can be arranged by staff for service users where appropriate.
The service also delivers the Lower Urinary Tract Service (LUTS), which offers a specialist assessment of men complaining of lower urinary tract symptoms. The service is accessed through ‘choose and book’. Men can expect to receive a full assessment including rectal prostate examination, relevant blood checks, flow rate and a residual ultrasound scan. A diagnosis will be made at the clinic and the patient will receive a treatment or referral plan with review where appropriate.