Home Menu

New Children's Continence Service delivered by Children and Young People's Nurse (CYPN) Service.

New Children's Continence Service delivered by Children and Young People's Nurse (CYPN) Service.

The Children and Young People's Nurse (CYPN) service cover the whole of Lincolnshire. They provide support to children who are in year 1 at school and up to the age of 19 years (SEND 25).

CYPN services cover

  • Continence
    • Three tier service as described below
  • Healthy weight and nutrition.
  • My Healthy Choices, a programme developed for the family to aid the child to lose weight.
  • Initial growth review where concerns child may be underweight and liaise with the GP where more support from specialist services is required.
  • Complex health need
    • mainly supporting children who have an EHCP, or where they have a medical condition and school attendance has been affected, so a health care plan is developed to support the child and school.
  • Safeguarding
    • Child Protection (CP), Child In Need (CIN) and Team Around the Child (TAC) only where the CYPNservice is also providing care within other service areas listed here.
  • Educational packages to schools on awareness of anaphylaxis and asthma (they are not for the parent/child, unless they attend the school session).

Continence Service

The new Children's Continence Service provides services to children across Lincolnshire (with a Lincolnshire GP). They see children with day time wetting from age 3 ½ to 19 years, Nocturnal enuresis from age 5 to 19 years, and constipation and soiling from 0 to 19 years.

Children aged 0 to year 1 in school are under the care of the health visitors who are a tier one service. They are able to offer the same baseline support for constipation and day time wetting, especially around developing toileting skills. If tier one staff assesses a need for tier 2 they will then conduct that referral.

 

Tier one services:

· Day time wetting. Support with assessment and basic interventions. This also includes toileting skills development support programmes

· Bowel, soiling and/or constipation. Support with initial assessment and basic interventions around diet, fluids and activity. This includes where the soiling may be related to a behavioural or developmental condition.

· Nocturnal enuresis. Full initial assessment, basic interventions and are able to prescribe and provide enuresis alarms.

 

Tier two services:

  • Bladder. Comprehensive assessments for day time wetting and nocturnal enuresis. They will offer a range of assessments including bladder scanning and urinalysis. They will develop health care plans for individual children. They will prescribe medication as required through the prescribing request forms developed by LCC and a GP. The specialist nurses will monitor and review the children with prescribed medication.
  • Bowel. Comprehensive bowel assessments including a diagnosis of constipation. They will prescribe medication as required through the prescribing request forms developed by LCC and a GP. The specialist nurses will monitor and review the children with prescribed medication.
  • Education will be delivered to parents on bladder and bowel health.
  • Educational packages to all children's health team staff, schools and other professionals as required.

Tier three services:

  • Symptoms not improved by Tier 1 or 2 continence care
  • Red flags – recurring urinary tract infection, haematuria, kidney reflux, renal damage, abdominal straining or poor urinary stream, polydipsia, polyuria, family history of urinary tract anomaly, persisting chronic idiopathic constipation, delay in passing meconium, soiling, rectal bleeding, possible surgical problem identified
  •  Complex medical conditions for example neurological disorder, unexplained developmental delay, significant emotional problems (consider referral to CAMHS).

 

All referrals should be submitted by this referral form, see attached.  This form will soon be available in SystmOne, EMIS, and Ardens.

These are sent to the single point of access  BS_HealthServices@lincolnshire.gov.uk, you can also call 01522 843000.

Parents can complete a self-referral but for tier one service only. Tier two must be via the GP or other health professional.