Please note: Tiemman tipped catheters cannot be accepted be accepted for community change
If patient is not housebound, close referral and contact the stoma nurses at Huddersfield Royal Infirmary
Please note: this service is for patients who are based in the South and who are housebound only i.e. would normally require GP home visits. Locala Colorectal & Stoma Support Service lies within the Continence Advisory Service. The service provides advice and support to health professionals in achieving holistic assessment, diagnosis and treatment planning for all patients with a stoma or enterocutaneous fistula. We are happy to take referrals or provide telephone advice for the following: • Any stoma/peristomal skin complication not responding to basic measures • Any complex stoma/peristomal complication • From district nurses where the trouble-shooting guide suggests referral • Where a patient is needing psychological support • Where the patient is needing/requesting an appliance review • Any situation where specialist colorectal or stoma advice/support is required • Complex bowel management plans • Support in the management of sigmoid volvulus • Support in the management of rectal irrigation • Wheelchair bound patients who cannot have their stoma care attended in the wheelchair We are happy to take urgent referrals or provide urgent telephone advice for the following: • High output stoma (greater than 1.5 litres in 24 hours) • Sore peristomal skin where appliances are not remaining intact for 24 hours • A fistula where leakage is a problem • Undiagnosed problems requiring specialist assessment • Ulceration on peristomal skin • From district nurses where the trouble-shooting guide suggests urgent referral We do not take referrals for the following: • Acute or chronic constipation where first line treatments have not been initiated (Refer to Adult Continence team) • Patients who are registered with a North Kirklees GP practice • Patients requiring routine bowel/stoma care • Persons under the age of 18 years • Patients who are not housebound, i.e. if a patient normally visits their GP. These patients should be referred to Huddersfield Royal Stoma Nurses for an outpatient appointment. *The term 'Housebound' refers to those patients who are unable to use private or hospital transport and require their GP to visit them routinely in their own home.
