Formulary


	NHS Bath and North East Somerset, Swindon and Wiltshire CCG Royal United Hospitals Bath NHS Foundation Trust Great Western Hospitals NHS Foundation Trust Salisbury NHS Foundation Trust

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Formulary Chapter 17: Continence and Stoma Information - Full Chapter

Notes:

PLEASE NOTE THIS CHAPTER IS STILL UNDER CONSTRUCTION.

BANES - BaNES Integrated Continence Urology Products Formulary 2018

WILTSHIRE - Wilts Integrated Continence Urology Products Formulary 2017

BaNES Continence advisors:
Bladder & Bowel Service, St Martins Hospital, Tel: 01225 831766 (Sonya Sibun)
Urology Department, Royal United Hospital, Tel: 01225 825990 (Jackie Robinson)

BaNES prescribing guidelines for continence appliances (suggested quantities)

Appliance	Frequency of change	Recommended monthly quantity	Additional information
Indwelling catheters	Up to 12 weeks (long term)	One (plus one spare) every 3 months
Indwelling catheters	Up to 4 weeks (medium term)	One (plus one spare) every month
Intermittent single use catheter	Between 1-5 times daily	Average use - 30 to 125
Catheter valves	Every 5-7 days	Five
Sheaths	Usually one per day	Thirty
Leg bags	Usually one bag every 5-7 days	Five
Night bags (Drainable)	Usually one bag every 5-7 days	Five
Night bags (non-drainable)	One bag in 24 hours	Thirty
Catheter retaining straps		One	Pack of 5 lasts 4-6 months
Catheter bag sleeves		One	Pack of 4 lasts 6 months
Anal plugs	Usually every 12 hours	Sixty
Retracted penile pouch	Usually 24-48 hours	Thirty
Faecal collector	Usually 24 hours or more	Designed to collect liquid stool only

Stoma Information

Please refer to your local Stoma Care Nurse Specialists for further information and advice on choice and availability of stoma preparations.

BaNES Stoma information:
BaNES RUH Stoma Advisory Team stocks and maintains a full range of ostomy products and is available for advice at RUH Hospital on 01225 428331

BaNES CCG Stoma Care Nurse Specialist is based at the RUH. Hazel Brooks can be contacted on 01225 824056

Great Western Hospital, Swindon, Kennet & North East Wiltshire.
The Stoma Care Team at GWH stocks and maintains a full range of ostomy products, and is available for advice on telephone number 01793-646202

Salisbury District Hospital & South Wiltshire.
For advice on ostomy products, please contact the Stoma Care Clinical Nurses Specialists at Salisbury District Hospital on telephone number 01722-429256

Details...

Non BNF

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Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG
	High Cost Drug Approval System

Traffic Light Status Information

Status	Description
	RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.
	Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.
	Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.
	These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.
	Suitable for patient to be directed to buy themselves
	Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.
	Not currently used. We intend to include this TLS in future to highlight where a decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.
	Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.