A Freedom of Information request conducted by the Spinal Injuries Association (SIA) revealed concerning gaps in spinal cord injury (SCI) bowel care across NHS trusts, with only 54 out of 123 trusts reporting formal policies and 26 trusts having no bowel assessment procedures in place. In response, the RCN’s Bladder and Bowel Forum, in collaboration with the SIA, is working to improve care and knowledge for these vulnerable patients. This session, aimed at all delegates, addresses the importance of appropriate bowel care for people with SCI, following a 2018 Patient Safety Alert that highlighted the need for policies and trained staff. Despite this, a 2024 review showed little progress. The session will challenge misconceptions around manual evacuations, providing health care professionals with the knowledge and confidence to deliver safe, routine care. Key learning outcomes include understanding neurogenic bowel causes, the risks of inadequate care, and how to appropriately manage bowel care for SCI patients.