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Service Details

Children`s Continence (PEBBLES) - Stockport

Contact Information

 For any further information about the service please contact your school nurse, health visitor or GP.

For general advice and enquiries you can contact the Health Visiting and School Nursing advice line on 0161 835 6789 Monday to Friday 9am - 5pm. It provides support from Health Visitors and School Nurses on all aspects of child health, development and parenting including – sleep, healthy eating, management of minor illnesses, child development, speech and communication, behavior, general health and emotional well-being, immunisations, toilet training and special educational needs

 

If you have already been referred to the service/if you need to contact the service directly you can email childrenscontinence@stockport.nhs.uk or ring on 0161 835 6750.

 

About Our Service

PEBBLES provides evidence-based specialist continence support to children and young people aged 5-19 years with a Stockport GP.  The service offers support to patients when Tier One (GP and School Nursing) support has been ineffective. Such support includes chronic constipation, daytime wetting, nighttime wetting, and provision of containment products (when criteria is met).

The care and support provided is focused on the individual child, we identify the most appropriate care pathway for the child, implement and regularly review a treatment plan.  We ensure that a high level of support is given for each child to enable them to achieve their full potential.

The Team

PEBBLES is a small team who have a huge amount of experience with complex continence issues. The team keep the child /young person at the centre of their care, and they recognise the impact continence issues have not only on the patient but also the whole family.

Our Expertise

Product Provision

All children and young people will receive support to achieve their maximum continence potential, regardless of age, culture or ability.

Containment products should only be provided following a full assessment and when toilet training is not achievable. If a child can potentially toilet train the decision will always be to put an intense training programme into place for a minimum of 12 weeks, but this is usually a 6-month programme by tier one services, Health Visitor/School Nurse. The exception to this is when there is a neuropathic bladder or bowel condition meaning a child will never be able to toilet train.

Continence containment products can be prescribed from 5 years of age, the entitlement will be on an individuals need basis.

We will request a few sample continence products depending on your child’s needs. Once we have all agreed on which product is most suitable for your child, we will order the first delivery.

We are unable to provide continence products for treatable conditions such as bedwetting, soiling or constipation.

Disposable Pants (Pull ups) are not supplied. They are less effective and less absorbent than alternative products. Studies and clinical experience have shown that they do not support toilet training.

 Positive Feedback from Patients and Their Family

“My son had been struggling to stay dry at night so we’d be referred to the Pebbles service. My son was nervous on the day of his appointment but as soon as we met the nurse she was amazing. Her nature with him was lovely and really spoke to him on his level and explained all about what was happening. The nurse took time to explain things simply and the actions that needed to be taken to help. Her caring nature was present at every appointment and really guided us through our treatment.

The knowledge the nurse shared and the way she explained everything made such a difference. It was clear. The nurse genuinely cared about her job and my son, it wasn’t about following a process or ticking a box. It was genuine care.”

 

“The nurse  contacted us and we set up a meeting - straight away we were blown away by the support that was given. The Nurse was amazing explaining what the next steps were and were always able to contact her on the phone over the following months.”

The children’s continence team have made a huge impact in both my daughters and my family’s life. She really struggled for such a long time and support from the children’s continence team she now is a happy little girl with an understanding of toileting that is nothing but amazing. Thank you for all your help!”

“You really are appreciated and wanted you to know it! I admire your dedicated work and support. Thanks again.

“Thank you so much for your help with our son. He is a much happier boy at home and especially at school not that his continence problems have been solved.”

Useful Links

www.ERIC.org.uk - to speak to an advisor please call FREEPHONE 0808 801 0343. The Helpline is open Monday - Thursday, 10am to 2pm and is free to call from landline and mobile numbers.

www.BBUK.org.uk - you can call the helpline on 0161 214 4591

 

How to Use the Service

Accessing PEBBLES

We do not accept self-referrals in PEBBLES.  If you require continence support for your child, please contact your GP or School Nurse for support. If a referral to PEBBLES is required, the GP, School Nurse or other medical professional can complete the PEBBLES referral form and send it to childrenscontinence@stockport.nhs.uk

Contacting PEBBLES

If your child has been referred or is already receiving support from PEBBLES, and you need to contact us, please email us childrenscontinence@stockport.nhs.uk or ring 0161 835 6750.  All voicemails are picked up and actioned. Please allow 5 working days for a response; this may be a little longer during busy periods. 

0-5 Years of Age and Toilet Training

If your child is under the age of 5 and requires support for their continence needs, please contact your Health Visitor for support.  Unfortunately, we are not able to accept referrals for patients under the age of 5. 

We do not provide support for toilet training. If you require support for this, please contact your Health Visitor if your child is under 5 years of age, or your School Nurse if 5 years of age and above.  Please see useful links where you can find a wealth of information to support with toilet training.

The documents below may also be of use: 

PEBBLES referral form

BBUK Toilet Training - additional needs and disabilities

BBUK - Understanding Constipation

BBUK - Understanding enuresis

ERIC - daytime bladder

ERIC - nighttime bladder

Lets go potty - toilet training including additional needs

 

 

 

 

 

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