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  • Continence
  • Common Childhood Illnesses
  • Immunisations
  • Area Profiles
  • Referrals
  • Continence

    Derbyshire Children’s Continence Service Level 1

    School Nurse Teams will help you to with basic continence advice and support you with first line advice to help with resolving your child's continence issues.





    Derbyshire Children’s Continence Service Level 2

    We are a small nurse led community service working within Derby City and Derbyshire. We support children and young people 4-18 years (19 years if in a special school), with continence needs. The Children's Community Continence Nursing Service provides children and young people with day and night-time wetting help. Constipation and delayed toilet training needs are assessed, diagnoses and treated in a community based setting. To support diagnosis, pre and post void bladder scans are undertaken along with abdominal palpitation. Treatments include patient centred advice, enuresis alarms and initiating medications. Individualised written care plans or toileting plans are provided to support children/young people with reaching their continence potential.

    Referrals will be accepted once there is no improvement (or there is a medical condition) from Level 1 input, which includes:

    - Promotion of healthy bladder and bowel

    - Toileting programmes

    - Reviewing daily fluid input and output

    - Diet advice

    If there is no improvement due to environmental difficulties, a referral for Early Help should be considered.


    There is a lot of self-help that parents/carers can use to support their child/young person’s continence needs. Please see the links below:



    ERIC is a national charity for children and young people with continence needs.

    Toilet training:

    Night time wetting:

    Daytime incontinence:



    If you have tried the self-advice above and have had no success, please contact your Health Visitor, School Nurse or GP for further support and advice.       



    The pictures below are links to information leaflets that you can download. Just simply click the picture and you can open or download the leaflet.

                  Teaching your child how to wipe his bottom      Teaching your child how to wipe her bottom     Stages for toilet training

                  Is bedwetting a problem?     Constipation and soiling     Advice for day time wetting

                  Trouble shooting           

    If you are thinking of referring a child/young person into the service please complete level 1 check list to ensure it is an appropriate referral into our service, please see level 1 check list below. 

    Level 1 checklist

    If the patient has tried the self-advice above and the check list indicates a referral to level 2, please use the referral form link below.


    Single Point of Access referral form

    Bladder and Bowel Diary

    Level 2 Referral