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Thread: NHS nappies

  1. #1

    Default NHS nappies

    I notice from other threads and websites that often people in the uk get their nappies via the NHS. I was wondering how this is done. Is it by prescription via a GP or consultant? Do you have to be totally incontinent or just a bedwetter?
    I am seeing a consultant about my nightly bed wetting and increasing issues during the day. I have had lots of tests and have had a first try at medication, will no success yet. I have a diagnosis of Operative Bladder. I use a nappy every night and use it every night. Now during the day, after a number of accidents, i now wear a nappy. I am not totally incontinent during the day, but do have leakage and a few times a week have accidents.
    Nappies are not cheap and if there is a chance of getting them free, or for the cost of a prescription, then it would help.
    Any ideas/experiences would be gratefully received.

  2. #2

  3. #3

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    seek out your local continence advisor you dont need to be refered by your doctor

  4. #4

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    Either ask the diaper fairy, or like every other medical related query in the UK, go see your GP.

  5. #5

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    Quote Originally Posted by jamie72 View Post
    I notice from other threads and websites that often people in the uk get their nappies via the NHS. I was wondering how this is done. Is it by prescription via a GP or consultant? Do you have to be totally incontinent or just a bedwetter?
    I am seeing a consultant about my nightly bed wetting and increasing issues during the day. I have had lots of tests and have had a first try at medication, will no success yet. I have a diagnosis of Operative Bladder. I use a nappy every night and use it every night. Now during the day, after a number of accidents, i now wear a nappy. I am not totally incontinent during the day, but do have leakage and a few times a week have accidents.
    Nappies are not cheap and if there is a chance of getting them free, or for the cost of a prescription, then it would help.
    Any ideas/experiences would be gratefully received.
    I saw my GP who referred me to the local incontinence service. To get the nappies free, you have to require a certain level and frequency of nappy. When I first got mine I was very incontinent, not totally, but I was absolutely soaking a 700ml one when I had my accidents. I was referred to the local service, they sent a district nurse and continence specialist to see me, and it went on from there. I also got referred to urology. I have overactive bladder syndrome, but the Vesicare is helping in the fact I don't need to go every five minutes any more.

    I get 6 packs of 28 nappies every few months. I'm supposed to change three times a day, but I'm not as bad as I used to be, but I'm not well enough to stop using the service as I do get through 2 every day, sometimes more frequently, I am also partially fecal incontinent, so I cannot go without a nappy at all.

    They don't give out the pull-up style ones, you get the "pads" to place inside your underwear, they're as big as nappies though, they just don't have the Velcro strips, or the sides to be pull-ups. I use TENA COMFORT MINI SUPER, but I feel I need to go back to the bigger ones as these only hold 500ml and I've managed to get my bladder to hold on better, so when I do have an accident, I'm soaking and actually pee'ing down my leg! *blush* I think the ones I'm on are the minimum size allowed on the service, you have to buy them yourself if you don't need 500ml plus.

    Hope this helps?

    Sent from my ZT ICS using Tapatalk 2

  6. #6

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    i get mine quarterly from the nhs as well i went to my gp who reffered me to the district nurses who came out and assesed my needs. With regards to pullups i think its down to each individual PCT area as i know i could get them where i live but i dont due to it is easier for me to change a nappy than a pull up.

    lol @ Berko's comment

  7. #7

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    Quote Originally Posted by cp88 View Post
    i get mine quarterly from the nhs as well i went to my gp who reffered me to the district nurses who came out and assesed my needs. With regards to pullups i think its down to each individual PCT area as i know i could get them where i live but i dont due to it is easier for me to change a nappy than a pull up.

    lol @ Berko's comment
    I don't know about that, I was told that the pull-ups/full pants are not available to standard patients, only those who are mentally disabled, and are likely to take off the nappy when they are not supervised or supposed to.

    As you said though, it could be different per area...


    sent from my Zenithink C91 (Upgrade) Tablet,
    using Xparent Purple Tapatalk 2

  8. #8

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    this is a real bone of contention the nappy style pads (with tapes) should be made available to any patient however there is a common reluctance to supply these I had to fight really hard to get them as the CA's tried to make me take the shaped pads despite me telling them that I had tried them and found them hard to use without problems (im still quite mobile and move alot in my sleep), had to resort to the DDA(disabillity discrimination act) and quality of life argument before they gave in. I have never really understood the problem as the shaped pads and the tape on all in ones are literally the same. as for the 4 a day maximum allowance this is currently being looked at as being inadequate as a one size fits all policy and the thinking is going towards indiviual need assessment but its the NHS so just because they are rethinking it doesnt mean anything will change. as my dad said when he accompanied me to my assessment 'only 4 a day are you kidding I wouldnt leave a baby in a wet nappy why would you expect my son too just to save expense' needless to say that the assessment team requested he didnt attend any further meetings LOL

  9. #9

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    I know initially they wanted me to use shaped pads but they said because of my mmobility issues a 2 piece system would be no good for me so i have tried the flex style pads and found they rubbed to much and made me sore where i creawl to move around due to my cp so i use the nappy style of pad.

    @bill1971 LOL at your Dad reaction

    Personaly i think NHS should centralise the ordering of pads so that you are still assesed by your local continence nurse but you can order any manufactuer's pads via this system based upon the reccomendation of the type and strength of pad the nurse reccomends. if they did this centrally i thought the nhs as a whole would have greater buying/ bargaining power. as at the moment each PCT has different suppliers.

  10. #10

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    Agree with everything above. Policies on getting pads/nappies on NHS vary depending on which NHS trust you fall under. It is not consistent across the country. Once you've been referred by the GP, the district nurse or CA will do a continence assessment on you and whether or not you are eligible for free pads depends on your personal situation, condition and the PCT's policy. If your GP does not have details of your local continence advisory service, the district nurse will, or call the bladder & bowel foundation..you can google the number. Let us know how you get on. HM

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