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There are different levels of intervention to provide continence support to Children, Young People and their families, responsibilities for the commissioning of services are placed with different authorities.

Level 1 is early intervention including, advice and guidance from the 0-19 Universal Services Team and provide support for toilet training, night time wetting, day time wetting and constipation. This is commissioned by the Local Authority Public Health Teams.

Level 2 is a nurse led service commissioned by the ICB and covers all aspects of continence and provision of products.

Level 3 is specialist care commissioned by the ICB and requires consultant input i.e. urological issues.

Level 2 and Level 3 Paediatric Continence Service covers all children from birth to 19 years old with continence problems, including children with learning difficulties and physical disabilities.  Young adults between the age of 18 and 25 years old can receive continence services from the Continence Advisory Service which is delivered by the NHS Foundation Trust.

In Hartlepool this service is provided by North Tees and Hartlepool NHS Foundation Trust.

More information can be found at: Children's Outpatients - North Tees and Hartlepool NHS Foundation Trust (