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Service overview

The service aims to actively promote continence, both bladder and bowel. We are able to identify and assess patients, give advice and best management for their incontinence needs, helping to improve their quality of life. The service provides clinical assessment, advice and support for patients and their families. We work closely with GPs district nurses, occupational therapists, physiotherapists, mental health, social services and care agencies to ensure a seamless service. We provide teaching to health and social care professionals. The continence team may recommend disposable or washable continence products following full assessment.


The service is provided to any patient, with bladder and bowel health issues, who is registered with a GP in Herefordshire. Patient's permission will always be obtained before any assessment takes place.  Care pathways are available regardless of gender.

Where to find us/contact us

Our main contact address is:

Bladder and bowel health service
Gaol Street Health Clinic
HR1 2HU  

Telephone: 01432 378933

Opening hours

We work Monday to Friday 9am to 5pm, excluding Bank Holidays, providing the services across Herefordshire.

Three times weekly clinics are held at:

Gaol Street Health Clinic
Gaol Street
Hereford HR1 2HU

Three nurse led weekly sessions are held at the County Hospital in Bulmers and Oxford Suite.

Ward visits when required at the County Hospital, Community Hospitals, Stonebow Unit and Hillside Intermediate Care Unit.

Home visits are provided to those who are unable to attend our clinics at Gaol Street, Ross-on-Wye Community Hospital, Ledbury Health and Care Centre and Leominster Community Hospital.

Population served

All patients within Herefordshire who are 18 years of age or above.

The Continence Service covers the whole of Herefordshire and residents living out of area but registered with a Herefordshire GP.

Referral criteria and tesponse time

NICE guidelines recommend that all patients who are referred to us are seen. Referrals are received from your Consultant, your GP, nursing staff, the MS Nurse Specialist, the Parkinsons Nurse Specialist, patients themselves or their families or carers, Nursing Homes, Residential Homes, Maternity Unit and Mental Health.

We aim to see urgent cases within 1 working day of referral. Routine cases are seen within 8 weeks.

The team

The bladder and bowel health service is Nurse led with two bladder and bowel health service advisers. They follow NICE guidelines and the enhanced service approach means unnecessary hospital admission and premature or unnecessary admission to long-term residential care may be avoided.

The members of the bladder and bowel health team hold a variety of specialised skills to identify and assess patients, giving advice and best management for their needs.

Self care and patient and carer information

Good Management can give patients back their self esteem, dignity and confidence so improving quality of life.

© Wye valley NHS Trust 2017