Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure the psychological impacts of chronic urinary tract infections are recognised.

The Department and NHS England recognise the psychological impact of chronic urinary tract infections (UTIs). NHS England published the Excellence in Continence Care framework on 23 July 2018, which is available at the following link:

https://www.england.nhs.uk/publication/excellence-in-continence-care/

This framework brings together evidence-based resources and research as guidance for commissioners, providers, health and social care staff, and it explicitly acknowledges a range of psychological impacts including loss of self-esteem, depression, loss of independence, and impacts on relationships and employment prospects.

Further, NHS England’s existing system wide clinical messaging around UTIs acknowledges behavioural and cognitive impacts, particularly confusion, agitation, and changes in mental state, indicating institutional recognition of psychological and neuro‑behavioural effects associated with UTIs.

NHS England’s national UTI awareness campaign states that UTIs can cause agitation and confusion in older adults, demonstrating the system’s acknowledgement that infection-related symptoms extend beyond physical pain to include cognitive and psychological changes. This ensures clinicians are prompted to consider psychological and cognitive changes as part of UTI presentations. The awareness campaign can be found at the following link:

https://www.england.nhs.uk/2023/10/new-awareness-campaign-to-help-reduce-hospital-admissions-for-urinary-tract-infections/