Who's paying?

Article Abstract:

The Labour government re-introduced 15% VAT tax on home-delivered continence products on 1 January 1998 and the NHS continence service is concerned that it will only be able to afford to deliver 85% of the continence pads it used to. Southampton Community Health Services NHS Trust expects to pay 60,000 pounds sterling in VAT annually. Health trusts are having to ration supplies or ask clients to wait. Some are providing washable pads. Patients are resorting to purchasing their own pads but these are not as absorbent as the others. These products are also over priced in chemist shops.

Taxation, Labour Party (United Kingdom), Medical equipment and supplies industry, Medical equipment industry, Tax policy

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Continence: a case for home delivery services

Article Abstract:

UK health trusts began using home delivery services for continence products as a means of exploiting a loophole in value added tax law. The government is to terminate this loophole from Jan 1 1999 but trusts will not necessarily opt to discontinue the use of home delivery services. Contracts with delivery services have benefits including administrative clarity, storage savings, and freeing of nursing time for other services. Potential problems with hoarding or overestimation of patient requirements can be overcome.

Management, Health services administration

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Sex, relationships and continence

Article Abstract:

The impact of bladder control problems on the sex lives of patients with neurological diseases mean it is important for nurses to be able to deal directly with patient queries and help with positive suggestions and sympathetic counselling. Continence problems may deter people from fulfilling a full sexual role within a relationship, but this can be overcome with the help of a few practical guidelines, such as regular washing to prevent odour and a reduction in the intake of fluid before sex.

Psychological aspects, Health aspects, Care and treatment, Patients, Patient care, Neurological nursing, Sex counseling

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