VOL: 99, ISSUE: 21, PAGE NO: 34
Karen Logan, MSc, DipMan, RGN, is nurse consultant, director of continence services, Gwent Healthcare NHS Trust;
Susan Proctor, PhD, BSc, CertEd, RN, is associate nurse director research and development, Gwent Healthcare NHS Trust
The importance of integrating continence services in order to promote best practice in continence care is well established (Pomfret, 2001; Department of Health, 2000a; Speakman, 1999), yet many trusts struggle to act on these recommendations (Abrams, 2002a; 2002b; Continence Foundation, 2002; 2000). A number of barriers appear to be causing these difficulties in implementing integrated continence care. For example, a number of reviews identify the appointment of a director of continence services as a key step (CF, 2002; Association for Continence Advice Wales, 2001; DoH, 2000a), but a recent review indicated that only six per cent of trusts in England are planning such an appointment (CF, 2002). Other barriers include funding, skill mix, professional autonomy and problems related to multiprofessional working (Abrams, 2002a; 2002b; CF, 2002).