Hi we have a number of children in Trafford schools who have assistance to do their catheter. Staff are trained to a level of competency by the urology nurses but not sure how that will work now during COVID-19 as we are struggling to get some health practitioners into schools to deliver training. Staff in Trafford schools doing catheters are mostly TA's with some teachers and management helping too if there are staff shortages. All staff doing this are signed off as competent.

For a pupil (not in phase I work in) in this position, it was done by an allocated TA until the pupil was able to it themselves. Other pupils I have come across in mainstream who have an intermittent catheter have been very successful in doing their own, even at a young age (e.g. year 1), although support with reminding them to make sure they empty thoroughly and attend to hygiene have still been needed.

We have received objections (verbally only currently) from a health and safety compliance officer for the academy trust regarding TAs carrying out the procedure. It may yet be resolved but it's helpful to know how other schools manage it. Yes - particularly challenging at the minute due to CV19.

We have a child in a similar situation. SEN TA and a number of SEN team are trained by the catheter nurse who then also comes and observes to sign you off as a competent person.

I think the key here is to work with the parents of the child, ask for a pupil voice and make sure that the contracts of the people you are training to do this cover the issue, to maintain the duty and the dignity of all involved.