What evidence is available?

Sources of evidence	Information Provided	Limitation of Evidence
Parent / carer	First source of information and associated evidence.	Does not have specialist knowledge.
GPFR	The GP will be able to confirm the history of enuresis and will have details of referral to enuresis clinic and current treatment.	The frequency of enuresis and the type of treatment will have the greatest effect on care needs in this condition. The GP is most likely to have a complete history of the condition and be aware of current management including frequency of enuresis.
Consultant Paediatrician / Clinical Nurse Specialist	If the child is undergoing active management under the enuresis clinic the clinical specialist nurse is likely to be the best source of current information on treatment, progress and frequency of enuresis.	If the child has only been seen once for assessment, the hospital is likely to have little information on the child’s current care needs or treatment. However, they are likely to have taken a detailed history of the enuresis at the time of the first appointment.

Department for Work and Pensions