What happens in the nocturnal enuresis clinic?
Surrey 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.
Children are seen for up to six months in the clinic and will be referred back to GPs or other relevant health professionals if continence is not achieved.
•Clinics are run weekly, fortnightly or monthly.
•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 for 4 weeks 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. If desmopressin is required the GP will receive a letter requesting their support prescribing the desmopressin.
•Children with signs of bladder instability will be referred back to GPs for further assessment and bladder scanned.