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The Proven Pathway for Stoma Care

Secure Start is a community care pathway that aims to promote excellence in stoma care by delivering a high quality service and in turn a positive experience for patients. By measuring the effectiveness of care, rates of prescribing and overall service cost, Secure Start is able to demonstrate efficacy.

The Secure Start pathway is divided into 4 phases

1. Pre-operative care

Secure Start's structured programme of patient support enables informed decision making and improved experience of care, potentially reducing hospital stay.

2. In hospital

Secure Start works in collaboration with current acute nursing best practice, providing education and support to facilitate early self care.

3. Returning home

Secure Start provides a structured return home plan, with early home visits and telephone contact. These help prevent potential problems early, eliminating additional cost at source.

4. Living with a stoma

Secure Start's ongoing patient commitment at 3, 6 and 12 months (annually thereafter) helps ensure continued best practice as the patients’ needs evolve.

Proven in action

6000+ patients

Over 6000 patients have been through the Secure Start pathway since 2012.
Currently the pathway is adopted by:

  • Norfolk and Norwich University Hospitals NHS Trust
  • Heatherwood and Wexham Park Hospitals NHS Foundation Trust
  • Barking Havering and Redbridge University Hospitals NHS Trust
  • Central London Community Healthcare NHS Trust
  • Hounslow and Richmond Community Healthcare NHS Trust
  • Kings College Hospital NHS Foundation Trust
  • Your Healthcare CIC

Recognised by key organisations
The only Royal College of Nursing (RCN) accredited stoma care pathway in the UK.
Care Quality Commission (CQC) registered as a service provider.

Royal College of Nursing. RCN ACCREDITED Care Quality Commision

Secure Start is valued by patients

Patients have a right to expect consistency in their plan of care that includes compassion, empathy, kindness, respect and dignity. These are the founding principles for the Secure Start pathway, offering the patient ownership of their care.

It enables the specialist nurse to work with the patient to assess, plan, evaluate and review stoma care on an individual basis, for the lifetime of the patient.

"Patients have a high quality service which impacts positively on their rehabilitation. The readmission of patients has been prevented by this level of community support."

Lead CNS Colorectal Stoma Care
Norfolk and Norwich University Hospitals NHS Trust

100% of patients said that their Secure Start nurse respected their privacy and dignity

"My stoma nurse has given me the confidence to look after my stoma, I could not wish for better support. The help and advice has been first class."

R.W (patient)

Professional Care

Educational resources for healthcare providers

  • Resources for Your Patients
  • eLearning
  • Clinical Evaluations & Case Studies
  • Hollister Leadership Programme
  • Journals
  • Clinical Evaluations & Case Studies
Contact the Secure Start Service Team on 0800 3761310

To discover how you can benefit from The Proven Pathway for Stoma Care contact the Secure Start Service Team on 0800 3761310