Prompt, high quality, comprehensive continence services are an essential part of the NHS. Incontinence is a treatable condition. But in 1999 the Audit Commission reported that "In practice district nurses implement a conservative care plan focused on managing the problem rather than treating the underlying cause". Children, young mothers, people with learning or physical disabilities and older people all experience problems with bladder and bowel management, and sometimes, both. In some situations as many as 1 in 7 women aged 45 - 64 living at home may have problems with incontinence.
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