Freedom of Information Report
FOI 9206/5208 TL1C
Question (dated: 14/03/2019)
Pennine Acute Response
1. a) Have your hysteroscopists read the following statement issued by the RCOG in
December 2018 –
Yes b) Have your hysteroscopy managers read the following statement –
Yes 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. Please are ALL your hysteroscopy patients from the outset routinely offered the choice of
having hysteroscopy as a day case procedure a) under GA
– Yes? b) under regional
anaesthetic –
Yes c) with IV sedation -
Yes 3. Do your hysteroscopy consent forms contain tick-boxes to enable a patient to choose a)
GA
– Y? b) regional anaesthesia –
Yes c) IV sedation –
Yes 4. Have all your outpatient hysteroscopy teams received written instruction to monitor the
patient throughout the procedure, to ask if she is experiencing pain, and to stop if the
patient asks or is showing signs of severe pain or distress –
Yes 5. Do all your hysteroscopy clinics routinely record ALL patients’ VAS pain-scores a) as
hysteroscope passes through the cervix –
No b) at biopsy –
No 6. Does your hysteroscopy department send all its patients the RCOG’s Patient Information
Leaflet, published on its website -
No 7. Does your hysteroscopy department intend to start using the RCOG leaflet If so, in which
month/year? –
N/A as per Q6
8. If your hysteroscopy department uses its own Patient Information Leaflet, please may I
have a link to it?
www.pat.nhs.uk
Patient and visitor information
9. Does the leaflet include ALL the key points listed (below) by the RCOG
– Yes
Response – SRFT
1. a) Have your hysteroscopists read the following statement issued by the RCOG in
December 2018 –
Yes b) Have your hysteroscopy managers read the following statement –
Yes 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. Please are ALL your hysteroscopy patients from the outset routinely offered the choice of
having hysteroscopy as a day case procedure
a) under GA
– No b) under regional anaesthetic –
No c) with IV sedation – No
3. Do your hysteroscopy consent forms contain tick-boxes to enable a patient to choose
a) GA
– No b) regional anaesthesia –
No c) IV sedation –
No, the Trust uses surgical pathway for GA listing 4. Have all your outpatient hysteroscopy teams received written instruction to monitor the
patient throughout the procedure, to ask if she is experiencing pain, and to stop if the
patient asks or is showing signs of severe pain or distress –
No 5. Do all your hysteroscopy clinics routinely record ALL patients’ VAS pain-scores a) as
hysteroscope passes through the cervix –
No b) at biopsy –
No
6. Does your hysteroscopy department send all its patients the RCOG’s Patient Information
Leaflet, published on its website -
No 7. Does your hysteroscopy department intend to start using the RCOG leaflet If so, in which
month/year? –
No 8. If your hysteroscopy department uses its own Patient Information Leaflet, please may I
have a link to it?
http://www.srft.nhs.uk/EasysiteWeb/getresource.axd?AssetID=3500&type=full&servicetype
=Inline
9. Does the leaflet include ALL the key points listed (below) by the RCOG
– Yes