TOOLKIT: Your ‘how to’ guide for service improvement  

What is the toolkit?

This toolkit has been developed for people involved in the design and delivery of high quality continence care and infection prevention – or for patients wanting to know what good quality care looks like. The aim of the toolkit is to take examples of best practice and provide practical advice, templates and guides that you can use within your service.

Whether you are a clinician, commissioner, patient or have another role in continence care or infection prevention, then this toolkit could help you to make changes which will improve patient lives and make your service more efficient. 

What is included?

The toolkit includes: 

  • A template catheter passport

  • A template business case for bladder scanners

  • A template business case for requesting additional continence nurses

  • A template CQUIN for the community setting

  • A template presentation on the topic of infection prevention and CAUTIs

  • A video interview on patient management systems

  • A template business case for a patient management system

  • A second business case for a patient management system - new format

  • National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England

  • Catheter care RCN guidance for nurses

  • Evidence-based Guidelines for Best Practice in Urological Health Care: Catheterisation

  • Five patient experience surveys

  • A reference guide for primary care: Diagnosis of urinary tract infections (UTIs)

  • A UTI leaflet for older adults

  • Service Evaluation - Lessons from Introducing a Continence Management System

  • A personal catheter passport

  • The Excellence in Continence Care guidelines published by NHS England in 2018

  • A Catheter Care Guide by Age UK and the Health Innovation Network South London

  • A Patient Safety Collaborative case study

  • Chesterfield Royal Hospital’s six-step strategy for reducing catheter-associated urinary tract infections

If you want to take simple, cost effective steps to improve continence care in your service then these tools and the Best Practice Guide are a must-read.

Contact

If you would like any further information on the toolkit, or would like to share your ideas for other materials that might be added, please contact UACCsecretariat@mailpbconsulting.com

 

Catheter Passport

Please download this template and edit it to suit your services needs. 

The Committee would like to thank the following bodies for feeding into the design of this template: Surrey and Sussex Health NHS FT, Cardiff and Value UHB, North Yorkshirsh PCT, NHS North of Tyne, Newcastle Upon Tyne Hospitals NHS FT, Northumberland Tyne and Wear NHS FT, Northumbria Healthcare NHS FT, Peterborough and Stamford Hospitals NHS FT, Cambridgeshire and Peterborough NHS FT, Liverpool Community Health NHS Trust, Royal Liverpool and Broadgreen University Hospitals NHS Trust, 5 Boroughs Partnership Community Health Services, Aintree University Hospital NHS FT and Kent Community Health NHS FT.


Business case for bladder scanners

Please download this template and edit it to suit your services needs. 

The Committee would like to thank Amy Cartwright, Nottingham University Hospitals NHS Trust, for providing the template. 


Business case for additional continence nurses

Please download this template and edit it to suit your services needs. 

The Committee would like to thank Gill Davey, The Dudley Group NHS Foundation Trust, for providing the template. 


CQUIN for the community setting

Please download this template and edit it to suit your services needs. 

The Committee would like to thank NHS East and North Hertfordshire CCG for providing the template.


Template Catheter Associated Urinary Tract Infection Presentation 

The Committee would like to thank Hannah Molyneux at Liverpool Community Health NHS Trust for providing the template.


Patient Management System Videos 

Thanks to Chair of the Unplanned Admissions Consensus Committee, Michelle Hunt, who has recorded a series of short videos where she discusses the patient management system she implemented in her service, Cobweb. 


Business case for a Patient Management System

Thanks to Michelle Hunt, Berkshire Healthcare NHS Foundation Trust, for the template, originally used in 2014


Business case for a Patient Management System

Thanks to Michelle Hunt, Berkshire Healthcare NHS Foundation Trust, for the template, originally used in 2015


Guidelines - epic3

National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England


Guidelines - Catheter Care

RCN guidance for nurses on catheter care


Guidelines - Catheterisation: Indwelling catheters in adults

European Association of Urology Nurses - Evidence-based Guidelines for Best Practice in Urological Health Care


Patient experience survey (community clinic)

A patient experience continence care feedback tool developed by Ann Yates at Cardiff and Vale UHB.


Patient experience survey (home visit)

A patient experience continence care feedback tool developed by Ann Yates at Cardiff and Vale UHB.


Patient experience survey (hospital discharge)

A patient experience continence care feedback tool developed by Ann Yates at Cardiff and Vale UHB.


Patient experience survey (under 65s)

A patient experience continence care feedback tool developed by Ann Yates at Cardiff and Vale UHB.


Patient experience survey (toileting care)

A patient experience continence care feedback tool developed by Ann Yates at Cardiff and Vale UHB.


Guidelines – Public Health England

Diagnosis of urinary tract infections (UTIs)


TARGET UTI Leaflet for Older Adults and Carers

The older adult UTI patient Information leaflet has been designed to be used with older adults who are at risk of UTI, experiencing urinary symptoms or have been diagnosed with UTI.


Service Evaluation - Lessons from introducing a continence management system

Michelle Hunt provides an insight into the rationale behind the introduction of the Cobweb System
to Berkshire NHS Foundation Trust and examines the benefits and challenges that have arisen following its introduction.


My Personal Urinary Catheter Passport

Developed by the Dudley Clinical Commissioning Group, Dudley Council, The Dudley Group NHS Foundation Trust, Dudley and Walsall Mental Health Partnership NHS Trust and Black Country Partnership NHS Foundation Trust.


EXCELLENCE in Continence Care (2018)

Practical guidance for commissioners, and leaders in health and social care.


Catheter Care and You: Advice for older people

Developed by Age UK and the Health Innovation Network South London.


Patient Safety Collaborative case study

The East Midlands Patient Safety Collaborative (EMPSC) piloted an audit tool to measure the prevalence of common care problems found in nursing and residential homes. Continence is one of the domains the tool focuses on.


Six-step strategy for reducing catheter-associated urinary tract infections

Chesterfield Royal Hospital developed an improvement strategy to reduce catheter-associated urinary tract infections after data revealed rates were double the national average.