Outpatient hysteroscopy/biopsy

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Katharine Tylko-Hill

Dear Ayrshire and Arran NHS Board,

Under the Freedom of Information Act please may I have answers to the following questions.
1. a) Have your hysteroscopists read the following statement issued by the RCOG in December 2018 - Y/N?

b) Have your hysteroscopy managers read the following statement – Y/N?

https://www.rcog.org.uk/en/guidelines-re...
The British Society for Gynaecological Endoscopy published this statement in December 2018:
"Diagnostic hysteroscopy is a commonly performed investigation; it is safe and of short duration. Most women are able to have the procedure in an outpatient setting, with or without local anaesthesia, and find it convenient and acceptable. However, it is important that women are offered, from the outset, the choice of having the procedure performed as a day case procedure under general or regional anaesthetic. Some centres are also able to offer a conscious sedation service in a safe and monitored environment. It is important that the procedure is stopped if a woman finds the outpatient experience too painful for it to be continued. This may be at the request of the patient or nursing staff in attendance, or at the discretion of the clinician performing the investigation."
________________________________________
2. Are ALL your hysteroscopy patients from the outset routinely offered the choice of having hysteroscopy as a day case procedure a) under GA – Y/N? b) with epidural - Y/N? c) with IV sedation - Y/N?

3. Please may I have a link to all the audits of outpatient hysteroscopy that your hospital Trust has undertaken within the last 10 years.

4. Do all your hysteroscopy clinics routinely record ALL patients’ VAS pain-scores a) as hysteroscope passes through the cervix – Y/N, b) at biopsy – Y/N?

5. Does your hysteroscopy department send all its patients the RCOG’s Patient Information Leaflet, published on its website - Y/N? https://www.rcog.org.uk/en/patients/pati...

6. Does your hysteroscopy department intend to start using the RCOG leaflet – Y/N? If so, in which month/year?

7. If your hysteroscopy department uses its own Patient Information Leaflet, please may I have a link to it?

8. Does the leaflet include ALL the key points listed (below) by the RCOG – Y/N?
Key points
• Outpatient hysteroscopy (OPH) is a procedure carried out in the outpatient clinic that involves examination of the inside of your uterus (womb) with a thin telescope.
• There are many reasons why you may be referred for OPH, such as to investigate and/or treat abnormal bleeding, to remove a polyp seen on a scan or to remove a coil with missing threads.
• The actual procedure usually takes 10–15 minutes. It can take longer if you are having any additional procedures.
• You may feel pain or discomfort during OPH. It is recommended that you take pain relief 1–2 hours before the appointment.
• If it is too painful, it is important to let your healthcare professional know, as the procedure can be stopped at any time.
• You may choose to have the hysteroscopy under general anaesthetic. This will be done in an operating theatre, usually as a daycase procedure.
• Possible risks with hysteroscopy include pain, feeling faint or sick, bleeding, infection and rarely uterine perforation (damage to the wall of the uterus). The risk of uterine perforation is lower during OPH than during hysteroscopy under general anaesthesia

Thank you

Yours faithfully,

Katharine Tylko-Hill

Freedom of Information, Ayrshire and Arran NHS Board

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Regards

Rhona Bell,
Information Governance Administrative Assistant to
Jillian Neilson, Head of Information Governance & Data Protection Officer
Natali Higgins, Information Governance Manager (Corporate Records)
Tara Palmer, Freedom of Information Officer

NHS Ayrshire & Arran
14 Lister Street | University Hospital Crosshouse | Kilmarnock | KA2 0BE
Tel: 01563 826282 (Ext 26282)
Email: [email address]

 

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Freedom of Information, Ayrshire and Arran NHS Board

3 Attachments

Good Afternoon,

 

Request for Information under the Freedom of Information (Scotland) Act
2002

 

Thank-you for your Freedom of Information request, please see the partial
response to your request attached.  I am still waiting for information
from the service for question 3 and will forward to you as soon as I
receive it.  Please accept my apologies for the delay in receiving the
complete information.

 

Please do not hesitate to contact me should you require any further advice
or assistance.

 

Kind Regards

 

Tara Palmer

Freedom of Information Officer | NHS Ayrshire & Arran | Information
Governance | 14 Lister Street | University Hospital Crosshouse |
Kilmarnock | KA2 0BE

Telephone: 01563 826112 | Email: [1][NHS Ayrshire and Arran request email]

 

[2]www.nhsaaa.net

 

 

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[4]Information Governance on AthenA

 

The information contained within this email is confidential and is
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Freedom of Information, Ayrshire and Arran NHS Board

5 Attachments

Good Morning,

 

Request for Information under the Freedom of Information (Scotland) Act
2002

 

Thank-you for your Freedom of Information request, please see the complete
response to your request attached.  Once again please accept my apologies
for the delay in receiving the complete information.

 

Please do not hesitate to contact me should you require any further advice
or assistance.

 

Kind Regards

 

Tara Palmer

Freedom of Information Officer | NHS Ayrshire & Arran | Information
Governance | 14 Lister Street | University Hospital Crosshouse |
Kilmarnock | KA2 0BE

Telephone: 01563 826112 | Email: [1][NHS Ayrshire and Arran request email]

 

[2]www.nhsaaa.net

 

 

[3]MIS18-212-CC Information Governance Team logo

 

[4]Information Governance on AthenA

 

The information contained within this email is confidential and is
intended only for the named recipient(s). If you are not the intended
recipient you must not copy, distribute, or take any action or reliance on
it. If you have received this email in error, please notify the sender.
Any unauthorised disclosure of the information contained in this email is
strictly prohibited.

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