Your child may been referred to us by your GP or paediatrician to assess their continence needs and develop a plan of support that works for them and for you.
Achieving control of bladder and bowel function is a normal part of development for most children and young people. Some children and young people need more help than most to achieve full control and some will need on-going support to be as independent as possible in this area.
Access to this service is open to those who live in Hillingdon, have a Hillingdon GP or attend a Hillingdon school.
If you are a healthcare professional and want to make a referral to the service please complete this form, and email to cnw-tr.
What happens in the enuresis clinic?
Your first appointment will be in one of our face to face clinics with a school nurse. It is important you attend this appointment.
Please advise if you need a interpreter by calling the clinic and we will arrange for one to be present at the appointment.
Clinics take place at :
Laurel Lodge Clinic, Uxbridge
Westmead Clinic, South Ruislip
- Hillingdon Clinics are run in line with NICE guidance (2010) and the three systems approach. Clinics are child-focused and planned interventions are made in partnership with parents/carers and the child.
- Clinics are run weekly.
- First appointment is 1 hour to allow for holistic assessment of the situation.
- NICE guidance will direct whether support is needed with drinking, toileting advice or interventions are needed with Desmopressin or a nocturnal enuresis alarm.
- Interventions are trialled and then reviewed.
- Nocturnal enuresis alarms or medication are not issued without completion of a full holistic assessment.
- Desmopressin will not be prescribed at the clinic. The service may recommend you GP to presribe desmopressin is required.
- Desmopressin is only recommended after all self help measures have been done.
- Children with signs of bladder instability will be referred back to GPs for further assessment and bladder scanned.