Stoma Appliances and Accessories

You may find the following information useful if you have a stoma or are due to have one in the near future so that you can make an informed choice about how you obtain your stoma appliances.

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How to obtain supplies of your stoma appliances

In hospital:

  • Your stoma nurse will assess your needs and recommend appropriate stoma appliances and accessories.
  • Your stoma nurse will discuss options for future supply, either from a delivery company or your local community pharmacy and obtain consent for your personal information to be sent to the delivery company if you choose this option.

On hospital discharge:

  • Your stoma nurse will supply sufficient stock at discharge to ensure you have enough supplies to keep you going until you can order a prescription for further supplies and receive your next  supply of products.
  • Your stoma nurse will supply you with your prescription information and you should let your GP know your prescription information as soon as possible so they can make a note of it in your medical records and issue prescriptions in the future.

At home:

You are responsible for ordering your prescription for any appliances you require from your GP and you should contact your GP directly to order your stoma products when you have approximately two weeks supply remaining.

There’s no need to stockpile supplies but it is recommended that you order more appliances while you still have some left so you don’t run out. Your prescription can either be sent to, or collected by your local community pharmacy or a delivery company.

Whether you choose your pharmacist or a delivery company to supply your stoma appliances all service providers have agreed to dispense in accordance with the service standards, which include:

  • Use of appropriately trained staff.
  • Flange cutting and customisation  of appliances  on request.
  • Supply of free disposal bags and wipes as required.
  • Supply and delivery in accordance with patient’s needs e.g. delivery times, use of discreet packaging/courier.
  • A confidential and private patient support service.

How to order your prescription

If dispensed by community pharmacy:

  • Patient orders a prescription for all appliances required from their GP.
  • Patient in discussion with their GP gives consent for their prescription to be collected by the community pharmacy or patient (or representative) who collects prescription and brings it to the pharmacy.
  • Pharmacist dispenses appliances in accordance with prescription information.
  • Appliances can be collected by the patient (or representative) or delivered to the patient’s home by prior arrangement with the pharmacist.
  • If you have not received your stoma supplies two weeks after placing the order with your GP practice you should contact the pharmacy directly to check about your supplies.

If dispensed by a delivery company:

  • Patient orders a prescription for all appliances required from their GP.
  • Patient in discussion with their GP gives consent for their prescription to be sent to, or collected by, delivery company or patient collects and posts their prescription to delivery company.
  • On receipt of prescription delivery company dispenses  appliances  in accordance  with prescription  information.
  • Delivery company delivers appliances to the patient.
  • If you have not received your stoma supplies two weeks after placing the order with your GP practice you should contact the delivery company directly to check delivery date.

Who do I speak to if I want to use a different stoma appliance or accessory?

You should discuss this with your stoma care nurse specialist and/or prescriber.  They will be best placed to advise what alternatives may or may not be suitable to meet your clinical needs. Changes to your stoma care appliances or accessories will be communicated directly to your GP by the stoma care nurse. It is important to seek professional advice before using new products or accessories.

What do I do if I am dissatisfied with the service I get from my stoma product supplier?

In the first instance discuss your concerns with the supplier and/or your stoma care nurse.  If that fails to resolve your concerns use the HSCNI complaints procedure for your complaint to be formally investigated.

Further information:

NHS Choices- colostomy

NHS Choices- ileostomy

Colostomy Association

Ileostomy and Internal Pouch Support Group

Urostomy Association

 

Prepared by HSCB Medicines Management Team in conjunction with NI Stoma Care Nurse Forum  November  2014.

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