Children's continence clinic closure, Greenwich

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Summary of report content

In November 2016, Healthwatch Greenwich produced a report relating to the closure of the Children’s Continence Clinic. This report outlines the background and potential impact of the closure of Greenwich’s Children’s Continence Clinic. It draws on information provided by service users, specialist nurses, charities, Public Health (part of Royal Borough of Greenwich), and national guidance to identify the possible impact of the closure and makes recommendations for future delivery. The report presents feedback and case studies to demonstrate the potential impact of closure. Healthwatch stated within the report that based on the available information and conversations held with experts and members of the public, it was considered that the Children’s Continence Clinic was an essential specialist service for the local area. The report made 5 recommendations on the following themes: • COMMUNICATION: The Greenwich Clinical Commissioning Group (GCCG) and providers to adequately communicate with those using the services as well as making the public aware of the changes. • SERVICE USER ENGAGEMENT: The GCCG and Royal Borough of Greenwich (RBG) seek the views of the most recent service users. • IMPACT ASSESSMENT: The GCCG undertake a full impact assessment of the continence clinic, including the impact of its current closure. • TEMPORARY PROVISION: The GCCG, RBG and Oxleas NHS Foundation Trust have agreed to recommission the service for three months and carry out a feasibility study. The report recommended that this should be extended to at least six months. • LONG TERM PROVISION: The GCCG and RBG (including Public Health) to work together to explore long term provision of this service. There was no response within the report from the Clinical Commissioning Group in terms of the commentary on the final report.

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General details

Report title 
Children's continence clinic closure, Greenwich
Local Healthwatch 
Healthwatch Greenwich
Date of publication 
Friday, 11 November, 2016
Date evidence capture began 
Friday, 11 November, 2016
Date evidence capture finished 
Friday, 11 November, 2016
Type of report 
Patient experience
Key themes 
Information providing
Service closure
Healthwatch reference number 

Methodology and approach

Was the work undertaken at the request of another organisation? 
What type of organisation requested the work 
Primary research method used 
User stories
How was the information collected? 
If an Enter and View methodology was applied, was the visit announced or unannounced? 

Details of health and care services included in the report

Social care services 
Children services
Community services 
Community based services for people with a learning disability

Details about conditions and diseases

Types of disabilities 
Long term condition
Types of long term conditions 
Another long-term condition

Details of people who shared their views

Age group 
Not known
Not known
Not known
Sexual orientation 
Not known
Does the information include public's views? 
Does the information include carer's, friend's or relative's views? 
Does the information include staff's views? 
Types of health and care professionals engaged 
All care professionals
Does the information include other people's views? 
What was the main sentiment of the people who shared their views? 

Outcomes and impact

Were recommendations made by local Healthwatch in the report? 
Does the information contain a response from a provider? 
Is there evidence of impact in the report? 
Is there evidence of impact external to the report? 
What type of impact was determined? 
Implied Impact

Network Impact
Relationships that exist locally, regionally, nationally have benefited from the work undertaken in the report
Implied Impact
Where it is implied that change may occur in the future as a result of Healthwatch work. This can be implied in a provider  response, press release or other source. Implied impact can become tangible impact once change has occurred.
Tangible Impact
There is evidence of change that can be directly attributed to Healthwatch work undertaken in the report.