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Nocturnal enuresis (bedwetting) service referral

Referral Information

Please share the Nocturnal Enuresis (bedwetting) Service webpage with the family which details helpful resources and guidance.

The team only accepts referrals for children and young people (5-16 years) who meet all the following criteria;

  • The child has a working diagnosis of primary nocturnal enuresis or secondary nocturnal enuresis.
  • The child has been offered or signposted to level 1 continence work, whether this is Suffolk County Council continence workshop, school nursing support or signposting to support charities such as 'ERIC' or 'BLADDER AND BOWEL UK'.
  • The child is registered with a GP within the Suffolk boundaries (Waveney excluded as served by Norfolk Suffolk Foundation Trust, GP codes 06L and 07K), despite where they may attend an educational facility. (IS THIS CORRECT FOLLOWING THE ICB RESTRUCTURING?)
  • Evidence is provided of clear management plans for daytime symptoms/overactive bladder and/or constipation if applicable.

Referrals may not be accepted if one or more of the following applies:

  • Non-engagement of the family. The routine work, medication and alarm treatment requires the full engagement of the parents/carers. Families must be made aware of the level of involvement which will be required from them.
  • No consent, this should be obtained from the child/young person (if competent) or parent/carer.
  • No evidence of first steps of intervention being offered by the school nursing team where appropriate.
  • Duplication of a service such as with the urology paediatricians, unless for alarm treatment only.
  • Children over the age of 15 years will be assessed at referral and may need referral to a paediatrician due to age prior to adult services.
  • There is evidence of daytime symptoms/overactive bladder with no clear management plan.
  • There is evidence of constipation with no clear management plan.
  • Consideration of level of learning disabilities and emotional age, whether a child of that age could be dry at night and whether it is achievable at this time.
  • The use of sleep medication to manage sleep disturbances e.g. Melatonin, Circadin, Sleynto and Clonidine – parents need to be aware in these cases alarm treatment may not be suitable.
  • The child has a complex presentation – already referred to another urology specialist – excluding referral by a specialist for alarm treatment.
  • Repeat referrals for the same need.

Please have the following information ready

  • Child's information including date of birth and address.
  • Name of the GP surgery the child is registered with.
  • Parent or carer's information including full contact details.
  • Families spoken language and if they require a translator.
  • Details of the child's disability and any supporting information in electronic documents which should be emailed to EnuresisClinical@wsh.nhs.uk with the young person's NHS Number and date of birth. (IS THIS CORRECT?
  • Details of any medication the child is taking.
  • All professionals must gain consent from the parent or carer to make a referral to this service.
Make a nocturnal enuresis (bedwetting) service referral