Tag Archives: continence

As we reported last month, Alex Cole-Hamilton brought a motion calling for a National Continence Strategy to the Scottish Parliament. It was debated yesterday. Here is Alex’s speech. He is pictured here with Elaine Miller, his constituent whose show Gusset Grippers highlighted the issue at this year’s Edinburgh Festival.

If we ask anyone in this chamber or beyond it what their top five fears of age or infirmity might be, we can be sure that the subject of this debate will sit right up there. However, I state from the outset that, if we, as legislators, assume that incontinence is a condition only of the old or infirm, we are mistaken and are part of the problem. I called for the debate because women and men of all ages suffer in silence. It is high time that they are made aware of, and given, treatment, support and—most important—hope.

Incontinence is still taboo. Patients are shy and embarrassed to talk about it or to seek medical help, and many of them assume that nothing can be done for them. This may be the first time that we have debated the problem with such a focus in the Parliament. I am glad that members from all parties are present today and are prepared to put aside our hang-ups on the issue and look collectively towards relatively straightforward solutions.

Here are the facts: one in three women and one in nine men leak urine. A remarkable 30 per cent of women who have given birth vaginally will have damage to their pelvic floor, while those who sustain a third or fourth-degree tear during childbirth are likely to have problems with faecal incontinence. Statistics show that incontinence has a bigger impact on a person’s quality of life than nearly any other condition, and a recent survey of those over the age of 60 and in hospital characterised incontinence as a fate worse than death.

We do not know the true cost to Scotland of incontinence, associated products and the causal impact on physical and mental health. However, in 2010, Australia made a stab at researching the scale of the problem. A study there examined the cost not only of sanitary wear, medication and surgery, but of dealing with the depression and anxiety that can arise from the condition. It amounted to $43 billion dollars annually, which is astronomical. Our two countries have similar societies and face similar health challenges, so we can extrapolate that to around £5,000 for every Scot with the condition every year.