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The Patient Advice and Liaison Service (Pals)

The Patient Advice and Liaison Service (Pals) is a free and confidential service which helps patients, parents and carers with any information, concerns, or problems that they have about their NHS care/service.

Pals can be contacted by phone, email or via an online virtual Zoom appointment. See our contact details below to get in touch – one of our friendly team will be happy to support you.

No waste

Waste is an ongoing problem in the NHS: money, time, resources – it can all be used better. We know this. Working more efficiently means working safer, thinking differently. Everyone knows that there is less money about so it’s vital that we explore new ways to improve what we do and how we do it.

Bowel washouts using an antegrade colonic enema (ACE)

Bowel washouts are a method of dealing with constipation or with soiling, which is the leakage of faeces (poo) other than during a bowel movement. If other methods fail, doctors may recommend bowel washouts using an antegrade colonic enema (ACE). This can also be called the Malone or MACE method. This page from Great Ormond Street Hospital (GOSH) explains about bowel washouts using an ACE and what to expect when your child has treatment.

Contact with blood and bodily fluids

On very rare occasions, a member of staff might injure themselves in such a way it is possible that your child’s bodily fluids could enter their body. Bodily fluids include saliva, urine and faeces (poo) but this page from Great Ormond Street Hospital (GOSH) is mainly concerned with blood. It explains what will happen if a member of staff comes into contact with your child’s bodily fluids in such a way that there is a risk of transmitting infection.

Your child is having a CT scan using ‘feed and wrap’ technique

A CT scan (Computed Tomography) uses x-rays and computers to take pictures of the internal structures of your child’s body. This page from Great Ormond Street Hospital (GOSH) explains about having a CT scan at, how to prepare for it and what care your child will need afterwards.