Hysteroscopy Inpatient and Outpatient Pathways

Katharine Tylko-Hill made this Freedom of Information request to University Hospitals Coventry and Warwickshire NHS Trust Automatic anti-spam measures are in place for this older request. Please let us know if a further response is expected or if you are having trouble responding.

Response to this request is long overdue. By law, under all circumstances, University Hospitals Coventry and Warwickshire NHS Trust should have responded by now (details). You can complain by requesting an internal review.

Katharine Tylko-Hill

Dear University Hospitals Coventry and Warwickshire NHS Trust,

HYSTEROSCOPY INPATIENT AND OUTPATIENT PATHWAYS

Under the Freedom of Information Act (2000) please may I have answers to the following:

1. Does your Trust currently have both an inpatient (day-case) pathway and an outpatient pathway for hysteroscopy?

2. Currently, roughly what percentage of your Trust's hysteroscopies are done with an anaesthetist

a) diagnostic?
b) operative (e.g. polypectomy, myomectomy, endometrial ablation)?

3. What is the current approximate waiting time in weeks for a patient who asks for a general anaesthetic, spinal anaesthetic or IV sedation with analgesia for hysteroscopy

a) under the 2 week wait as an urgent referral for suspected womb cancer?
b) not under the 2 week wait?

4. Has your Trust adopted, or is your Trust adopting the NHS Getting It Right First Time (Maternity & Gynaecology Report) targets of

a) 90% diagnostic hysteroscopies to be done in outpatients?
b) 50% operative hysteroscopies to be done in outpatients?

5. May I have a copy of the full range of pain scores obtained by your Trust in the BSGE 2019
outpatient hysteroscopy benchmarking survey?

6. Is entonox or penthrox routinely available to all your outpatient hysteroscopy patients?

7. Are local anaesthetic paracervical blocks routinely available in outpatients?

8. Please may I see any audits of hysteroscopic procedures during the last 5 years?

9. Are pain scores taken at all your outpatient hysteroscopy clinics?

10. Does your Trust have a Procedural Sedation Analgesia clinic for 'minor gynae' including hysteroscopy?

Thank you very much for your help.

Yours faithfully,

Katharine Tylko-Hill

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Dear Requester

We acknowledge receipt of your email to UHCW:

Freedom of Information Request Form

If you have submitted a request under the Freedom of Information Act
(FOIA) your request will be considered and you will receive our response
within the statutory timescale of 20 working days.

The reference number for your email is FOI/2961.

Should you have any further inquiries concerning this matter, please reply
to this email leaving the subject line unchanged.

Yours sincerely,
UHCW

uhcw@infreemation.co.uk, University Hospitals Coventry and Warwickshire NHS Trust

2 Attachments

 
University Hospital
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Direct Line: 024 76968771
www.uhcw.nhs.uk

 

Our Ref: FOI/2961
Date: 16th October 2023

By email only

 

Dear Requester

We write further to your request for information under the Freedom of
Information Act received 14th Septemeber 2023.  We have set out your
request, together with our response below. 

1. Does your Trust currently have both an inpatient (day-case) pathway and
an outpatient pathway for hysteroscopy? - Yes, both. 

2. Currently, roughly what percentage of your Trusts hysteroscopies are
done with an anaesthetist

a) diagnostic? - None (0%)
b) operative (e.g. polypectomy, myomectomy, endometrial ablation)? - Very
few, unable to provide exact numbers currently. 

3. What is the current approximate waiting time in weeks for a patient who
asks for a general anaesthetic, spinal anaesthetic or IV sedation with
analgesia for hysteroscopy - 

a) under the 2 week wait as an urgent referral for suspected womb cancer?
b) not under the 2 week wait?
Estimate is between 2-8 weeks depending on the urgency when done under
anaesthetic, this is dependant on the clinical presentation, need for
pre-operative preparations such as prostap before fibroid resection and
the waiting times for the consultant lists. We do not usually offer IV
sedation. 

4. Has your Trust adopted, or is your Trust adopting the NHS Getting It
Right First Time (Maternity & Gynaecology Report) targets of - Yes

a) 90% diagnostic hysteroscopies to be done in outpatients? 
b) 50% operative hysteroscopies to be done in outpatients? 

5. May I have a copy of the full range of pain scores obtained by your
Trust in the BSGE 2019
outpatient hysteroscopy benchmarking survey? -  Not available. 

6. Is entonox or penthrox routinely available to all your outpatient
hysteroscopy patients? - Yes, entonox

7. Are local anaesthetic paracervical blocks routinely available in
outpatients? - Yes

8. Please may I see any audits of hysteroscopic procedures during the last
5 years? - Please see attached.

9. Are pain scores taken at all your outpatient hysteroscopy clinics?
- Not always. The consultants mention the various pain relief options that
were used for each patient. There is a mention of the need for observation
if the patient experiences pain. No formal record is made of the pain
score.

10. Does your Trust have a Procedural Sedation Analgesia clinic for minor
gynae including hysteroscopy? - No

As we have provided the information that we do hold your request is now
closed.  We trust that this is satisfactory but if you are dissatisfied
with the way that it has been handled you have the right to ask for an
internal review.  Internal review requests should be submitted within two
months of the date of receipt of the response to your original letter and
should be addressed to: David Walsh, Director of Corporate Affairs,
University Hospitals Coventry & Warwickshire NHS Trust, Clifford Bridge
Road, Coventry CV2 2DX.

If you are not content with the outcome of the internal review, you have
the right to apply directly to the Information Commissioner for a
decision.  The Information Commissioner can be contacted at: Information
Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9
5AF.

Yours sincerely

 

 

 

Andrea Phillips
FOI & Access to Health Records Manager