Paediatric Continence


Children's Continence Service

  • The service is primarily for special needs children who require help and support with toilet training including daytime wetting, constipation and soiling
  • At the initial assessment, information and advice is given on helping the child acquire toileting skills including routines and recommended fluid intake. Families will be informed how to access a provision of nappies, if appropriate to the child's needs
  • Other help includes workshops on toilet training; advice on intermittent self-catheterisation; visual symbols, reward charts and care plans; telephone advice; liaison with education and social services staff and follow up assessments.

Who to Refer

  • Patients should be registered with a Bedfordshire or Luton GP
  • Children aged 4 - 18 (mainly special needs)

Please note: when seeking/receiving advice in regard to patient care and making referrals, NHS Connecting for Health Information Governance standards and policies must be adhered to.

Who not to Refer

  • Aged under 4
  • Aged over 18 years
  • Not registered with a Bedfordshire or Luton GP
  • Night time wetting only (these patients should be referred to the Enuretic Service at Union Street Clinic in Bedford or Liverpool Road Health Centre in Luton)
  • Constipation and soiling experienced by children in mainstream education - these children should initially be seen by the School Nurse (see SEPT 0-19 teams) and if the problem persists, they should be referred to the Bowel Clinic at the Child Development Centre, Kempston, Bedford or Edwin Lobo Centre in Luton.


  • Patient Support Group ERIC, available at is a UK-based charity for people who are affected by bedwetting. The charity's website provides useful information and advice for both children and parents.
  • ERIC also has a telephone helpline - 0845 370 8008, open weekdays from 10am to 4pm.

Last updated: 26/04/2012

Update due: 26/04/2013