Katharine Tylko-Hill

Dear Shetland 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."
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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

foi (NHS SHETLAND), Shetland NHS Board

Dear Sir/Madam

Your FOI request has been received and will be dealt with accordingly and a response collated within 20 working days from original date FoI request was received shown on email below
(within office hours).

Regards

FoI Administrator
NHS Shetland
c/o Gilbert Bain Hospital
Lerwick
Shetland
ZE1 0TB
[NHS Shetland request email]

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foi (NHS SHETLAND), Shetland NHS Board

1 Attachment

Dear Sir/Madam,

Please find attached the response to your recent FoI request.

If you are unhappy with the way we have dealt with your request please be aware that under the Freedom of Information (Scotland) Act 2002 you do have the right to request a review.

A review request can be made in writing to Carolyn Hand, Corporate Services Manager, NHS Shetland, Board Headquarters, Upper Floor Montfield, Burgh Road, Lerwick, Shetland, ZE1 0LA, or these can be e-mailed to [NHS Shetland request email] with the subject header 'FOI Complaint Review'. You must include your name, an address (or email address) for correspondence, details of your original request and the reason why you wish us to undertake the review.

Kind regards

FoI Administrator
NHS Shetland
c/o Gilbert Bain Hospital
Lerwick
Shetland
ZE1 0TB
[NHS Shetland request email]

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