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Can GP prescribe nappies?

174 replies

user49753267547005 · 26/02/2023 15:01

Dc's nappies are constantly leaking. I've tried more brands and types than I can think to name. I have no idea what to do anymore.

I put sanitary pads in the nappies and they still leak.

Can the GP prescribe incontinence nappies?

DC is 4.5yo

OP posts:
user49753267547005 · 26/02/2023 16:31

Dc doesn't go to school so will have to get referral from GP hopefully

OP posts:
user49753267547005 · 26/02/2023 16:32

jannier · 26/02/2023 16:25

Have a look on the Eric website...it's a continence charity....they used to do larger nappies

Thank you. I have used their website in the past so I will definitely look at their stock.

OP posts:
user49753267547005 · 26/02/2023 16:32

kitcat15 · 26/02/2023 16:25

It’s the continence service not incontinence!!
but seriously….in my area , a GP or HV can do a referral to the paediatric continence nurse specialist at 4 years….regardless of any SN or not

Thank you

OP posts:

Interested in this thread?

Then you might like threads about these subjects:

Rowgtfc72 · 26/02/2023 16:33

We used tesco size 6 nappies for our dd age 5 for overnight. Only nappies we found that never leaked.

user49753267547005 · 26/02/2023 16:33

I don’t think it is irrelevant though as if special needs then it’s a medical issue rather than a childcare one?

I have no issue with childcare. I'm asking if the GP can prescribe them generally, the replies suggest they can in certain circumstances.

OP posts:
user49753267547005 · 26/02/2023 16:34

Moonicorn · 26/02/2023 16:27

If you’re expecting them to be free(?) then it can’t just be a general ‘not toilet trained yet’ issue, whereas I’ve read that if they’re prescribed for special needs they become a medical issue but I’m happy to be corrected 🤷🏼‍♀️

I don't care if they're free or not. I care that they don't leak.

OP posts:
user49753267547005 · 26/02/2023 16:34

Rowgtfc72 · 26/02/2023 16:33

We used tesco size 6 nappies for our dd age 5 for overnight. Only nappies we found that never leaked.

Are these Fred and Flo?

OP posts:
InsertMoniker · 26/02/2023 16:35

Whether or not additional needs are involved is irrelevant. I asked about nappies not about the potty training age range

It is a bit relevant because in some cases the continence service will supply pads free. Children with SN are often late being toilet trained. Sometimes never.
Anyway, the continence service can give you advice.

NurseP · 26/02/2023 16:36

Bambo and libero are the brands that we moved onto from the continence team when standard nappies no longer worked for us. We now have abriform junior as my son is too big for the size 7 libero and sadly they won't fund the bigger sizes. You can get either in amazon.

user49753267547005 · 26/02/2023 16:37

InsertMoniker · 26/02/2023 16:35

Whether or not additional needs are involved is irrelevant. I asked about nappies not about the potty training age range

It is a bit relevant because in some cases the continence service will supply pads free. Children with SN are often late being toilet trained. Sometimes never.
Anyway, the continence service can give you advice.

I will discuss it with them and see what can do (if anything)

OP posts:
kitcat15 · 26/02/2023 16:37

user49753267547005 · 26/02/2023 16:34

I don't care if they're free or not. I care that they don't leak.

You would get them free after 4 years in my area OP …..and support with toilet training…..you wouldn’t need a medical issue….the fact that your 4 year old is incontinent during the day and night still, would be reason enough for a referral

user49753267547005 · 26/02/2023 16:38

@kitcat15 Thank you for your help

OP posts:
Icanflyhigh · 26/02/2023 16:38

user49753267547005 · 26/02/2023 15:25

It is common.

Whether or not additional needs are involved is irrelevant. I asked about nappies not about the potty training age range

It is common, you're right.

I use Huggies pyjama pants for my DS who is almost 11 - we get the 8-15 years range and they've never leaked overnight.

No additional needs here, just a heavy sleeper who doesn't wake up for a wee when he needs to - he'll grow out of it!

Not sure about getting them prescribed, incontinence service will be able to advise on that x

Mythicalcreatures · 26/02/2023 16:42

In my old area, part of the referral for continence products was to provide toilet training advice and assessment for a period before the referral could be made.
On a practical note, I used to double make the bed with dry nite pads and waterproof sheet on both layers, so if there were leaks, I would just take off the top layer and there would be dry sheets ready, really helpful at 4am

Topnun · 26/02/2023 16:43

You can ask a pharmacist, they can order types in beyond the ones they stock on the shelves and can probably advise.

Idontgiveashitanymore · 26/02/2023 16:43

If you try charity shops they sometimes sell adult incontinence pads

StalkedByASpider · 26/02/2023 16:44

Hey OP - I've got a 13 yr old who is still in nappies, so we've tried various things over the years.

Is your DC particularly big or small for their age? Or do they have a particularly small waist? My DS is very slim and finding nappies/pullups that fitted him round the waist was a problem because the capacity for holding in waste wasn't sufficient.

You can be referred to the continence service, as others have said. Personally the continence service in our area isn't very good at all (not the quality of the nurses, the products they provide). They're extremely reluctant to provide pull-ups and prefer nappies, and usually they're just brands that you can buy privately anyway. They're not special nappies/pullups as you might hope/expect and don't perform any better. If anything I found them to be poorer quality (presumably due to cost).

Where is it leaking from? Is it through the leg holes because the fit is poor? Or is it because the nappy/pull-up just can't hold enough? If it's the former, you could try putting a pair of regular pants over the top of the pull-up, as that will hold it a bit closer. Or the period/incontinence pants over the top as a PP suggested.

I found the smallest size of adult incontinence wear to be huge - we have to use it for swimwear and it virtually comes up to DS's nipples!

We've found the Huggies DryNites the best - we didn't get on with Pampers at all as DS got bigger. Pampers were great for babies but we found they split.

We also found pullups were better than nappies. I think a PP linked to the ID site. They're quite good and well worth a try - and if you email them first they will send you samples of their different products so you can see if it suits before ordering a batch.

Forgot to add. If there's any abnormalities with your DC's toilet habits - for example, they're weeing/pooing a huge amount in one go rather than going regularly - they can provide help/advice with that too. You might not need this, but just thought I'd mention it.

Sorry there's not a brilliant answer for you. We've been battling this for years and just can't find a failsafe solution. There really is a gap in the market - if there are any manufacturers reading this!!

Loopyloooooo · 26/02/2023 16:44

You need "Tesco junior nappies" until the referral for continence team is sorted. They are designed to plug the gap for children with SN who are too big for normal nappies but don't have the continence team involved yet.

MolkosTeenageAngst · 26/02/2023 16:45

Tesco sell nappies designed for older children which may fit better than the larger sizes in toddler brands and are available in the nappy aisle of bigger Tesco stores: www.tesco.com/groceries/en-GB/products/301360389

Otherwise the brands I have seen prescribed by the continence service for children with SN (I’m a special school teacher) are:
Tena Slip Junior: www.incontinencechoice.co.uk/tena-slip-junior-50-60cm-20-24in-1390ml-pack-of-32.html?gclid=Cj0KCQiAo-yfBhD_ARIsANr56g5RyT0EWilr7HQ5Onys-2Gr_4bjuBz3FMKrdReTRkgVd1532F91nGEaAikDEALw_wcB
Molicare extra small (pull ups): www.incontinenceshop.com/molicare-mobile-extra-small-pack-of-14?gclid=Cj0KCQiAo-yfBhD_ARIsANr56g7enQa6RGaIJTZxgrvebQzaBj4jLiZVWI4_oOP2VsgQ5H1Du1TDrjUaAtMiEALw_wcB
Abena slip extra small: www.ageukincontinence.co.uk/catalog/product/view/id/35383/s/abri-form-premium-junior-xs2-1500ml-pack-of-32/?gclid=Cj0KCQiAo-yfBhD_ARIsANr56g7FSZgxLNX6ht8ussPK4x-c7wnuug_oeaEAH8l1_asHBpveqUhFQHAaAsUpEALw_wcB

In terms of having nappies prescribed referrals to the continence team can usually be made either through your GP or through the school nurse. The age at which a child is eligible for continence products can vary by your local NHS trust (Is usually somewhere between 4-7) and they usually only prescribe 3-4 nappies a day. The continence team can often send out samples. Even if your DS doesn’t yet meet the criteria for a continence prescription they may be able to offer some advice regarding the products available.

Quisquam · 26/02/2023 16:48

DD was assessed at 16, as she had a medical condition, by the incontinence team and they gave me samples of different pads and pull ups for her to try. I settled on the Tena incontinence pants for her, as pads leaked at night. She gets 2 a day, and there’s a delivery every 6 months. If she needed more, I could push for them, because she gets Continual Health Care funding, but 2 is usually enough.

chazlive · 26/02/2023 16:48

UserEleventyBillionandOne · 26/02/2023 15:18

What a rude and ignorant comment. It’s perfectly normal for a child of that age to still need nappies/pull ups overnight.

It's really not normal.

Rowgtfc72 · 26/02/2023 16:50

@user49753267547005 it was a few years ago before Fred and flo but they were just bog standard tesco own brand.
At 5 dd was the size of a 7yr old so we made the nappies into pull ups and she stepped into them. So they certainly held a lot of wee. She was in them till 5 and a half and we never had a leak.
Huggies were the worst and looking at pyjama pants we weren't convinced they'd cope.

Jemimapuddleduk · 26/02/2023 16:50

We get pull ups prescribed via the NHS from a referral from
paediatrician to continence team and followIng an assessment. During the day ds uses libero sleep tight pull ups (the prescribed ones). We top up with drynite pyjama pants as we only get 3 nappies a day in the prescription. At night time we use the junior plus Tesco nappies and they rarely leak.

Redebs · 26/02/2023 16:52

Wow, the number of people throwing around judgemental inaccuracies!!!

It's NORMAL for some children to not be nighttime dry at age 6-7.

And lots of children have other reasons why they aren't continent.
Snarky comments are just mean and ignorant.

Hope you find something effective. OP. The cloth nappy boosters are great if you have a washing machine.

Zone2NorthLondon · 26/02/2023 16:53

The Continence nurse at GP can assess. Doesn't require a GP
Hope yiu get a satisfactory resolution