Continence Gloucestershire Care Pathway

Please click the relevant flowchart box to be taken directly to textual information.


Health Visitors - GCS

Health visitors support families with young children aged 0-5 years by listening to any worries or questions a family may have.

Health visitors provide advice and support including:

  • Raising awareness of healthy bladders and bowels to reduce the risk of problems, such as constipation, developing
  • Initial dietary and lifestyle advice
  • Advice on  reward charts
  • Introduction to toilet training

Find your local health visitor, by calling the team on tel: 0300 421 8225.  Parents can contact the health visitor directly.

To find out more information go to the Resource link below for Care Services website for Health Visitors.

School Nurses

The team of school nurses provide a public health nursing service for school aged children and young people.  School Nurses provide advice and support around continence including:

  • Raising awareness of healthy bladders and bowels to reduce the risk of problems, such as constipation, developing
  • Initial dietary and lifestyle advice
  • Advice on reward charts
  • Introduction to  toilet training

School nurses who have had additional training also run Continence Clinics and are competent in providing advice and information on nocturnal enuresis, constipation and toilet training problems for children who have ongoing issues following the Universal support.

They deliver:

  • Formal assessment following agreed pathways including reviewing fluid intake/output charts
  • Toilet training programmes
  • Enuresis:
    • Explanation of the three systems approach
    • Ensuring adequate daily fluid intake
    • Dietary advice
    • Recommendation on types of drinks to avoid
    • Providing alarms for night time wetting
    • Offering the choice of seeking medication from the family GP eg desmopressin.
  • Constipation:
    • Dietary and lifestyle advice
    • Offer the choice of seeking medication from the family GP e.g.stimulant laxatives or macrogols

School Nurse Contact Details

Please complete and return this referral form.

Parents/carers can contact the School Nursing teams directly.

Locality   Telephone Number Email
Cheltenham Springbank Community Resource Centre 01242 581009
Cotswolds Cirencester Hospital 0300 421 8906
Forest of Dean Dilke Memorial Hospital 0300 421 8661/8662
Gloucester Finlay Hub 0300 421 1795
Stroud Stroud Maternity Hospital 0300 421 8959
Tewkesbury Tewkesbury Community Care Office 0300 421 6161

Special School Nurses are based at Springbank Community Resource Centre

Telephone: 01242 285 960


The central support team can be contacted on 0300 421 8225

Paediatric Continence Service - Glos

The Gloucestershire Specialist Continence Service is based at Gloucestershire Royal Hospital and holds clinics across the county and within special schools.  The service works with children and young people, and their families or carers, to promote and achieve continence through proactive toilet training.  The service aims to improve the clinical outcomes and quality of life for children and young people and their families through evidence-based treatment that promotes continence, preventing unnecessary long-term reliance on nappies and pads and the possible need for surgery

The Specialist Continence Service offers a wide range of interventions ranging from tips and techniques to motivate your child and develop their skills, to drug treatments and bedwetting alarms as part of a more complex and comprehensive treatment plan.  Whatever the approach, it is tailored to the needs and circumstances of your child or young person and your family following a comprehensive assessment of need.

The Specialist Continence Service provides on-going support and products tailored to the needs of children and young people.  Appointments are scheduled for a review of progress at least every 6 months.

Referrals - If the child has worked with the Health Visitor or School Nurse for 3 months with no improvement, it may be that further advice/support is required and the Health Visitor or School Nurse may refer the child onto the Children and Young People’s Specialist Continence Service.

GPs should not refer directly to the Specialist Continence Service in the first instance unless the child has special needs or complex bladder or bowel problems.