Shropshire Council

Continence

All children, and young people (C&YP) should receive support to achieve their potential for the attainment of continence, regardless of their age, culture, or ability (Bladder and Bowel UK 2021). Often C&YP are thought not to be able to be fully continent because of their additional needs, however, we need to ensure C&YP are fully assessed and only when toilet training is not achievable then products will be considered. However, there is no statuary requirement to provide continence containment products through the NHS, products may be considered for children over the age of 5 who are not able to become continent within 6 months of engagement with appropriate support, interventions and/or toileting programmes.  

We aim to promote healthy bladder and bowels for all C&YP, ensuring they are not constipated, are drinking regularly, and using the toilet regularly thorough the day but, they may not show signs of being ready to be toilet trained. We signpost all families with children who have delayed toilet training in their second year of life to: Lets go Potty and Pants for School  

C&YP should receive toileting advice from their Health Visitor for under 5’s (Single Point of Access -SPOA Shropshire 0333 358 3654 / T&W 0333 358 3328) or School Nurse for 5 to 19 years old’s (SPOA Shropshire 0333 358 3654 / T&W 0333 358 3328) and if products are thought to be required over the age of 5 years, then C&YP are assessed by the Continence for Paediatrics Team.  

If the C&YP attends a Special Schools or are under the care of the Community Paediatric Nurses, then assessments will be done by the most appropriate nurse.  

Information for Nurseries: Thinking about wee and poo now you’ve reached the age of 2  

Information for Primary School: Thinking about wee and poo now you’re on your way to school  

Guidance for the provision of continence containment products to children and young people.  

You can contact the Continence Advice Service on 01743 444062, Monday to Friday, 8.30am to 4.30pm (Excluding bank holidays).