HNY Policy and Pathway Repository - Humber

A referral to the Enuresis service may be necessary when a child, aged 5 years or older, is displaying significant symptoms of nocturnal or diurnal urinary symptoms if symptoms persist following advice and support by the School Health Teams.

No Red Flag Symptoms Listed

All referrals to the Enuresis service will come via the School Health Teams who will make initial contact with the family giving them information on the following in conjunction with Enuresis checklist for School Health Teams:

• Constipation.
• Recommended fluid intake.
• Good toileting/ bedtime routines.
• Ways to increase fluid intake.
• Handy hints for children with daytime or night time symptoms.
• The parent will be advised to contact the School Health teams if the symptoms do not improve or resolve within eight weeks.

Do Not Refer

General Practitioners to refer children to the school nursing service in the first instance to offer the advice and support above.

Referral Criteria

When a parent contacts the school health team requesting further support the school health team will make a referral to the Enuresis Service. A referral to School Nursing Enuretic service template will be completed on SystmOne (S1) and an electronic referral sent by the School Health Team. The template will include details of relevant history, service level and work carried out to date by the School Health Team. The referral will be sent to the Single Point of Access Team to be triaged by the continence nurse or a senior nurse both within the Community Children's Nursing Service.

Referrals

Electronic via the generic email inbox of the chcp.cypsinglepoint@nhs.net

Referrals will be made by the school nursing service.

For children from the age of 5 years.

Enureris Check List

Enureris Policy