Enuresis Continence Service Community Local offer


Lancashire’s Local Offer

Lancashire’s Health Services

Lancashire Teaching Hospitals NHS Trust

Continence Service

1.         Lancashire Teaching Hospital NHS Trust – Continence Service

Lancashire Teaching Hospitals NHS Trust Outreach Enuresis Service is a specialist nurse-led tier 2 NHS service providing assessment and treatment for children and young people (age 7 years and over) for the management of nocturnal enuresis.

The service supports and promotes physical and emotional health and wellbeing for children and young people who have medium to long-term continence problems.  The service aims to promote continence to ensure that optimum health, hygiene and developmental goals are achieved.

The service offers a range of expertise in managing and treatment for nocturnal enuresis:

Interventions could range from one session to on-going support and involvement with the service depending on the presenting problem.


Contact details

2.         Address and contact details and area covered

The main location of the service and contact details are:

  • The Outreach Team, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, PR2 9HT.  Telephone 01772 522939

The service works across Preston and South Ribble with clinics based at a variety of community locations.  Home and school visits are offered where required.

The service is available 9.00 am to 5.00pm Monday to Friday. Outside working hours if there was an emergency the family would be directed to contact their G.P. or the Paediatric Assessment Unit at Royal Preston Hospital.  Telephone 01772 523189




3.         The service is for:

This service is designed to serve children and young people between the ages of 7 - 19 years who suffer from nocturnal enuresis. Daytime continence issues and children under 7 years with nocturnal enuresis will be seen by a Consultant at either Royal Preston or Chorley & District Hospital. To be eligible to receive the service, the child or young person should be aged between 7 - 19 years and be registered with a Preston or South Ribble GP.

Transition into adult continence services begins at age 16 years and as we are a small team this is usually a seamless process enabling the adult nursing team to meet young people and their families when continuous care into adulthood is needed. 




4.         Accessing the Service

The child or young person can be referred into the service if they are experiencing bladder problems.

Initial assessment of need will be completed by GP, School Nurse, Health Visitor or Consultant and they will begin initial treatment. Where treatment is unsuccessful, or needs are complex, referral into the Continence Service will be accepted.

The team can be contacted directly to gain advice, support or signposting. The service can be accessed free of charge.  Waiting lists exist however individual needs are reviewed at referral and allocated for initial assessment accordingly.


Decision making processes

5.         Decision making processes used to determine who is eligible to receive a service.

The child or young person will be eligible to receive the service if they are aged between 7 - 19 years and are registered with a Preston or South Ribble GP.

The team will assess the referral to decide whether the service is appropriate. If the team require more information they will try to contact the referrer and / or the family and school nurse once the permission of the family is obtained. If clarity cannot be established the team will offer a consultation appointment to assess whether the Continence Service can meet the young person’s needs.



Methods of communication

6.         Methods of communication with service users/patients and how they are involved in decision making/planning:

Children and Young People are directly consulted about their plan of care and decisions made about future care options. Staff will ensure that care plans are sensitive to children’s needs and that young people contribute to their future care plans.  Parents and carers’ views will also be considered in the context of care planning to ensure that the needs of the whole family are taken in to account.

The service encourages Children and Young People and their families to voice their views about the service either directly to the nurse involved in delivering their care, contacting the service manager, or through LTHTR Patient Advice and Liaison Service. PALS@lthtr.nhs.uk Telephone 01772 522972

Other methods of communication include:

  • Service user information leaflets
  • Phone calls to families



The service accesses bilingual interpreters as appropriate for families whose first language is not English. Parents or carers may be present at appointments and will be informed of how their child is doing.



7.         Service Accessibility:

All the health centres and community hospital sites are wheelchair accessible and have disabled toilet facilities. Appointments can be offered in a variety of locations including health centres, family homes, and mainstream schools.

There is no out of hours service. If there was an emergency the family would be directed to contact their G.P or Paediatric Assessment Unit Telephone 01772 523189 as appropriate.



8.         Workforce Skills and Training

All staff are compliant with mandatory training requirements and have completed an annual personal development review with learning and development opportunities identified. 



9.         Contacts for further information






10.       Feedback

Queries, compliments and complaints can be discussed with a member of staff or team manager. If you wish to make a formal complaint or compliment we advise that you contact the LTHTR Patient Advice and Liaison Service: PALS@lthtr.nhs.uk Telephone 01772 522972

Incidents and complaints are investigated thoroughly and lessons learnt shared with those concerned and the wider professional team.

Patient experience surveys are distributed to families and children via random selection throughout the year.