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Incontinence Appliances ______ PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ Scottish Drug Tariff Part 5 INCONTINENCE APPLIANCES This document is dated 1st December 2019 NOTES: 1 Prescribers and suppliers should note that products not included in this part are not prescribable. 2 Attention is drawn particularly to the average life-in-use of each type of product, which, together with the pack-size, should enable prescribers to calculate their patients’ requirements with reasonable accuracy. 3 Only basic information on each product has been provided and prescribers may on occasions wish to seek further information about certain products, e.g. when assessing a patient for the first time. If so, this is always available from the manufacturers. (Addresses and phone numbers are given at the end of this part.) Information might also be sought from community nurses and community pharmacists. Where possible, manufacturers’/`supplier’ codes have been shown, but prescribers should note that the order numbers shown are not necessarily the full codes for the items that they may wish to order. This is particularly true of Urinal Systems, where additional code numbers are usually necessary to denote variations from the basic design and individual prices. 4 Prescribers are reminded that Incontinence products (others than those pads listed), incontinence garments, skin wipes and occlusive devices such as female vaginal devices and penile clamps are not prescribable under the Drug Tariff provisions. 235 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ INCONTINENCE APPLIANCES ............................................................ 235 ANAL PLUGS ........................................................................................ 237 CATHETER VALVES ............................................................................ 237 CATHETER VALVE WITH INTEGRAL BAG ......................................... 238 DRAINABLE DRIBBLING APPLIANCES .............................................. 238 FAECAL COLLECTORS ....................................................................... 239 INCONTINENCE BELTS ....................................................................... 240 INCONTINENCE PADS ......................................................................... 241 INCONTINENCE SHEATHS .................................................................. 242 INCONTINENCE SHEATHS – FIXING STRIPS & ADHESIVES ............ 256 INSERT FOR FEMALE STRESS INCONTINENCE ............................... 257 LEG BAGS ............................................................................................ 258 NIGHT DRAINAGE BAGS ..................................................................... 271 SUSPENSORY SYSTEMS .................................................................... 277 TUBING AND ACCESSORIES .............................................................. 278 URINAL SYSTEMS................................................................................ 284 236 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ ANAL PLUGS Warning: This product should not be used without assessment by an appropriate medical professional. Manufacturer Appliance Order No Quantity Price (p) Coloplast Ltd Peristeen Anal Plug Small 1450 20 4751 Large 1451 20 4654 Renew Medical Inc Renew Insert Regular FG730 30 6687 Large FG731 30 6687 CATHETER VALVES Warning: This product should not be used without assessment of bladder function by an appropriate medical professional. Indications: For use with an indwelling urethral catheter. Contra-indications: Reduced bladder capacity No bladder sensation Cognitive impairment Insufficient manual dexterity to operate the catheter valve Note: It is recommended that the catheter valve be changed every 5 – 7 days. Manufacturer Appliance Order No Qty Price (p) Bard Ltd S Flip-Flo Catheter Valve BFF5 5 1348 CliniSupplies Ltd S Prosys Catheter Valve PCV3942 5 975 Coloplast Ltd S Coloplast Catheter Valve CV3808 10 2708 Flexicare Medical S E-Z Flow Catheter Valve 00-0060 5 1101 Great Bear S Libra Lever Catheter Valve 10540A 5 1298 Healthcare Ltd Jade-Euro-Med S Euro Catheter Valve JECV 5 1326 L.IN.C Medical Ltd S Care-Flo Catheter Valve CF1 5 759 Macgregor S Qufora Catheter Valve 21104204 5 859 Healthcare Ltd S These products are supplied sterile 237 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ CATHETER VALVES (cont) Warning: This product should not be used without assessment of bladder function by an appropriate medical professional. Note: It is recommended that the catheter valve be changed every 5 – 7 days. Manufacturer Appliance Order No Qty Price (p) Manfred Sauer UK S Smartflow Catheter Valve CVS 5 1196 Ltd Optimum Medical S Ugo Catheter Valve 3000 5 1096 Solutions Teleflex S Teleflex Catheter Valve 850560-000000 1 200 Unomedical Ltd S Careline Lever Catheter 90 821 1S-20 5 1035 Valve S Careline T Tap Catheter 90 805 1S-20 5 1035 Valve S These products are supplied sterile CATHETER VALVE WITH INTEGRAL BAG Jade-Euro-Med S Euro bag with dual tap JEDT 10 3193 S These products are supplied sterile DRAINABLE DRIBBLING APPLIANCES Bags or pouches that use absorptive material to soak up urine are not prescribable. NOTE: The appliances listed below may be re-used, on average, for at least a month. Manufacturer Appliance Order Qty Price No (p) Jade-Euro-Med Dribbling bag with loops and tapes Fig 18 1 2053 Drip Male Urinal with tap M 100 1 5457 Replacement belt for M 100 JB 100 1 1346 Ward Surgical Male Dribbling bag with diaphragm WM60 1 2792 Appliance Co and belt 238 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ FAECAL COLLECTORS Manufacturer Appliance Order No Qty Price (p) B.Braun Flow Collector 039900E 15 4231 Medical Coloplast Ltd. Fistula Bed Drainage Bag 14010 10 1754 Hollister Ltd. Incare Faecal Collector 500ml 9822 10 4678 1000ml 9821 10 4678 ProSys SECCO hydrocolloid adhesive faecal collector pouch International Ltd. with connector tube/cap SEC600-CT 10 4515 with fold up tail SEC600-FT 10 4514 239 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ INCONTINENCE BELTS NOTE: Average Life in Use – 6 Months Manufacturer Appliance Order No Qty Price (p) DBT Medical Waist and support for LM886103 1 741 Kipper bag Jade-Euro-Med Waist belt for Kipper bags KBWB 1 656 37mm webbing/elastic waist belt for WB 1 656 use with Jade-Euro-Med appliances Web Belt 86cm WS-105-91-34 1 1357 91cm WS-105-91-36 1 1357 97cm WS-105-91-38 1 1357 107cm WS-105-91-42 1 1357 112cm WS-105-91-44 1 1357 86cm WS-106-01-34 1 1357 91cm WS-106-01-36 1 1357 97cm WS-106-01-38 1 1357 107cm WS-106-01-42 1 1357 91cm WS-107-01G 1 1357 Ward Surgical Waist belt for black kipper bag WM62 1 513 Appliance Co. Rubber belt for PP Urinal WM63 1 444 240 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ Nx INCONTINENCE PADS Price (p) 1. Thick – White wool or bleached fleece, and cellulose wadding covered with gauze or a non-porous moisture retentive facing material and a waterproof backing Robinson Disposable Bed Pad: Robinson Healthcare (also listed as Inco Plus Disposable Bed Pad) 40cm x 60cm per 100 Product code: 55420 1392 2. Bleached Cellulose Fluff Pulp, evenly spread, covered with a porous non-moisture retentive facing material and a waterproof backing. (Tena: Molnlycke – no layers or plies). 40cm x 60cm Per 30 899 60cm x 60cm Per 30 999 Nx The items in part 5 that are NOT prescribable by nurses in forms GP10 (N) are annotated Nx. See part 8b for details of the Nurse prescribing formulary. 241 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ INCONTINENCE SHEATHS The incontinence sheaths (also known as penile sheaths and external catheters) listed below, are, except where indicated, of the soft, flexible, latex type. Sheaths are available with and without fixing devices that may be applied externally (around the outside of the sheath) or internally (around the penis between the skin and the sheath). A list of fixing devices and other adhesion products is included. Each Sheath may be left in place for 1 to 3 days between changes. Manufacturer Appliance OrderNo Qty Price(p) Bard Ltd Encompass Latex-free self adhesive penile sheath 24mm BLFS24 30 4950 28mm BLFS28 30 4950 30mm BLFS30 30 4950 32mm BLFS32 30 4950 35mm BLFS35 30 4950 Reliasheath latex-free penile sheath (including adhesive strip) 24mm D523LF 30 4847 28mm D524LF 30 4847 30mm D525LF 30 4847 32mm D526LF 30 4847 35mm D527LF 30 4847 Latex-free penile sheath 24mm U523LF 30 2982 28mm U524LF 30 2982 30mm U525LF 30 2982 32mm U526LF 30 2982 35mm U527LF 30 2982 Beambridge Medical ♠ Beambridge Non-Latex Self Adhesive Sheath 24mm 6-S24 30 5228 28mm 6-S28 30 5228 31mm 6-S31 30 5228 35mm 6-S35 30 5228 40mm 6-S40 30 5228 Beambridge Urinary Sheath Small 20mm 6-65 30 5025 Medium 25mm 6-65 30 5025 Large 30mm 6-65 30 5025 Ex Large 35mm 6-65 30 5025 CliniMed Ltd BioDerm XLS Oval 20026/10 10 8575 Non – adhesive sheath without liner. Sheath with separate double – sided adhesive strip ♠ Sheath with self-adhesive liner 242 PART 5 INCONTINENCE APPLIANCES ___________________________________________________________________ INCONTINENCE SHEATHS – continued Manufacturer Appliance OrderNo Qty Price (p) CliniSupplies Ltd ♠ Prosys Flofit Self Adhesive Silicone
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