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Continence Services


Continence Services are specialist teams providing support and medical advice for people with bowel or bladder incontinence.

About the Continence Services

Community Nursing Assessment


If your patient is already receiving visits from the Community Nursing Service they can do a continence assessment and provide the necessary continence equipment initially.

Update: please note there is a new referral form for the Community Nursing Service from 21st July 2021 (see links above and right)

Otherwise refer to the Community Continence Service

Community Continence Service

  • Incontinence of urine and/or faeces
  • Weak pelvic floor
  • Stress incontinence
  • Overactive bladder
  • Trial without catheter (TWOC)


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Coventry Guidance  
Community Continence Services (Community Assessment Service CAS)

The aim of the continence service is to support clients to be continent and DRY.

Clients may qualify for continence products based on assessment of clinical need and the severity and type incontinence.

Clinics are held on the second floor of City of Coventry Health Centre

Referral forms can be downloaded from GP Gateway and referrals can be made via email: CBS.General@covwarkpt.nhs.uk

GPs should ensure patients contact details are correct on the referral form.

The patient will receive an initial assessment with a member of the continence team.

Following assessment the patient may be given a letter to purchase continuous continence products at a discounted price from one of the following health centres:

  • Longford Primary Care Centre  Tel: 024 7664 6700
  • Wood End Health Centre  Tel: 024 7684 3100
  • Willenhall Primary Care Centre  Tel: 024 7630 4888
  • Tile Hill Health Centre  Tel: 024 7647 2672

The Continence Service provides a telephone consultation system before the patients attend the continence assessment appointment to:

  • Explain what happens at an appointment with the continence service
  • Allay any fears or concerns before they attend their appointment
  • Answer any questions about the service and support available for this embarrassing problem
  • Build a relationship before the patients attends and help to reduce our high DNA rate
  • Explanation of how to fill in the bladder and bowel diary before their appointment

Please ensure at the time of the referral the patient’s telephone number is up to date.

This process will ensure all referrals to the continence service are dealt with in an efficient timely manner and up to date information relating to the patients’ clinical and appointments needs.

Here are some other relevant pages on GP Gateway, find them by clicking the A-Z tab above:

Guidance for Housebound Patients

If the patient is under the care of the Community Nursing Service please arrange an assessment through them.

If your patient is not under the care of District Nurses complete and email the correct referral form

Follow link for clinic information for patents

Follow link for continence information including products and pelvic floor exercises


Rugby Guidance  

Aims to promote continence wherever possible, through our continence assessment and treatment programme. For some patients this is not always achievable and so we provide management options to improve their quality of life and independence.

We have three community continence teams based in Nuneaton, Leamington and Rugby and an Acute hospital team based at Warwick Hospital. Patients with bladder or bowel dysfunction from the age of 16 can be referred for a clinical continence assessment via GP or the hospital.

Contact and location

South Community Team (Alcester, Ellen Badger, Henley, Southam, Stratford Healthcare)

Royal Leamington Spa Rehabilitation Hospital
Tel: 01926 600820

North Community Team (Camphill Clinic, Bedworth Clinic, Springhill Clinic, Coleshill Clinic, Polesworth Clinic, Atherstone Clinic)

Camphill Community & Family Centre
Tel: 0247 6390032

Rugby Continence Service

The Orchard Centre
Tel: 01788 555105 or fax the referral form to 01788 55104

Their Team: Terry Holland, Specialist Nurse for Continence
Barbara Sheehan, Continence Staff Nurse
Donna Haycox, HCA for Continence
Helen Leddingham, Administrator for Continence (Rugby)

Exclusion Criteria


  • Failed previous gynaecological surgery
  • Symptoms of obstructive outflow
  • Unexplained vaginal bleeding
  • Haematuria
  • Abdominal mass
  • Prolapse
  • Voiding difficulties


  • Raised Prostate Specific Antigen (PSA) in line with the patients age group
  • Haematuria
  • Abdominal mass
  • Voiding difficulties

Whilst there are patients in the exclusion criteria the service will be happy to see and support the patients as long as they have either been seen and investigated or whilst they are awaiting an appointment for secondary care.

Patients with Bowel problems:

  • As above these patients are also welcome to be referred as long as complex bowel disorders such as inflammatory bowel disorders and malignancy have been excluded. Or to support the patients where such diagnosis has been made

Preparing for appointment

For community appointments, patients are usually sent some charts to complete and will be asked to bring a fresh sample of urine and a current list of medication.

We provide appointments for continence assessment in the most suitable setting including acute hospital, clinics and patients’ homes (if unable to leave their home) within Warwickshire.

Related links


SWFT Clinical Services

SWFT Clinical Services works in partnership with South Warwickshire NHS Foundation Trust to deliver the continence service across the county.

The key role of SWFT Clinical Services is the operational management of the continence service from order through to delivery. Once a clinical assessment has taken place, patients and Residential Homes place orders for pads via a dedicated pad order line which is managed by the Outpatient Pharmacy at Warwick Hospital. Once placed, all orders are tracked and them delivered by West Midlands Ambulance Service straight to the door.

Please see link in right hand panel for further information on the Continence Advisory Service for Rugby and referral form.


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