This is a community-based nurse-led service offering assessment, investigation, treatment and management of children and young people with bladder and bowel problems and toilet training difficulties.

The service aims to promote healthy bladder and bowels amongst children and young people. This will help to make sure every opportunity is taken to support a child to achieve their continence potential, resulting in greater independence and dignity. This includes children with learning and/or physical difficulties.

The team consists of Specialist Children and Young People’s Bladder and Bowel Nurses and Advisors.

CYBBS is offered in various community clinics and at drop-in sessions in south east and south west Essex or by telephone if appropriate. Clinics are also offered in Special Schools.

Referrals are accepted from GP’s, Health Visitors, School Nurses and Paediatricians for children who are registered with a GP in south Essex.

CYBBS provides assessment, treatment, support and advice to children and young people with bladder and bowel problems including:

• daytime wetting – from 4 years old
• night time wetting – from 5 years old
• constipation and soiling – from 4 years old
• delayed toileting – from age 2 years old where it is known or anticipated the child may have difficulties with toileting
• support with training for health and school staff for bladder and bowel management
• advice and support with containment products

Exclusions from service:

• children under 4 years or over 18 years old
• children out of area