In November 2015, NHS England published the Commissioning Framework for Continence Services Excellence in Continence Care.
This covers all ages including children and outlines a pathway including assessment, diagnosis and treatment to recovery where possible. The framework sets out a number of principles for a good design of service including integration across primary, secondary and tertiary services, health, education and social care.
The framework references the Paediatric Continence Commissioning Guide (2014) which provides a specification for paediatric continence services which again puts integration at its heart.
A national Excellence in Continence Care Board, chaired by NHS England and with membership of paediatric continence specialists and the Paediatric Forum continues to oversee the implementation of the Excellence in Continence Care framework.