An Adult Bladder and Bowel (Continence) service is delivered via Birmingham Community Healthcare NHS Foundation Trust (BCHC) offering appointments for all residents in Birmingham, including in Sutton Coldfield, with a clinic facility in North Locality based at Sutton Cottage Hospital. The service offers face-to-face and virtual consultations and supports the community nursing service with patients who meet the housebound criteria with complex needs around continence management, catheter care or bowel management.

The service treats adults who are experiencing bladder problems or bowel dysfunction, with all patients receiving a high-quality clinical assessment and personalised care plan in line with best practice, and national driven guidance.

There are a range of investigations, including vaginal pelvic floor assessment, bladder ultra-sound scan or rectal examination, that are available through the service that helps to determine the best course of treatment, based on individual patient needs. Treatment may include lifestyle advice or interventions, pelvic floor exercises, bladder re-training, medication, specialist care or signposting to other appropriate services. The service also offers specialist clinics for young adults aged between 18 and 19 years old transitioning from Children's Services working in partnership BCHC’s Children's and Families Division. The service can be accessed by referral via a patient’s general practitioner (GP).

Housebound patients, including patients with psychological illness which prevent them from accessing a clinic, or following a treatment programme, will initially need to be referred to a Community Nursing service for assessment and treatment by the patient’s GP.

BCHC is currently scoping the use of containment products and ensuring they align with National Institute for Health and Care Excellence guidance recommendations. A consultation and engagement plan, quality impact and equality, human rights assessment will underpin any decisions on the future model.

The average patient waiting times for clinic appointments at Sutton Cottage is 10 weeks, but urgent referrals can be seen within two weeks.

GPs also can access secondary care specialist advice and e-refer a patient to University Hospitals Birmingham NHS Foundation Trust’s (UHB) specialist clinics for adults with incontinence, overactive bladder, stress urinary incontinence, or bladder pain.

As part of the system’s work to transform and standardise care, between October 2026 and March 2027, GPs across Birmingham and Solihull will start to have access to digital tools for clinical decision making and case management via online consulting rooms with UHB urology specialists to speed up and improve access in health and care.