Katharine Tylko-Hill

Dear Fife 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

FOIREQUESTFIFE (NHS FIFE), Fife NHS Board

Good afternoon

FREEDOM OF INFORMATION REQUEST 5480

OUTPATIENT HYSTEROSCOPY / BIOPSY

I acknowledge receipt of your Freedom of Information Request dated 30 September 2019.

I can confirm that your request is currently being processed and you will receive your response no later than 28 October 2019.

Please allow postage time if applicable.

Thank you

SUSAN FRASER
Interim FOI Lead Officer
NHS Fife

________________________________________
From: Katharine Tylko-Hill <[FOI #608177 email]>
Sent: 30 September 2019 10:53
To: FOIREQUESTFIFE (NHS FIFE)
Subject: Freedom of Information request - Outpatient hysteroscopy/biopsy

Dear Fife 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

-------------------------------------------------------------------

Please use this email address for all replies to this request:
[FOI #608177 email]

Is [NHS Fife request email] the wrong address for Freedom of Information requests to Fife NHS Board? If so, please contact us using this form:
https://www.whatdotheyknow.com/change_re...

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show quoted sections

FOIREQUESTFIFE (NHS FIFE), Fife NHS Board

1 Attachment

Good Morning

Please find our response to your FOI request

NHS FIFE FOI TEAM
________________________________________
From: Katharine Tylko-Hill <[FOI #608177 email]>
Sent: 30 September 2019 10:53
To: FOIREQUESTFIFE (NHS FIFE)
Subject: Freedom of Information request - Outpatient hysteroscopy/biopsy

Dear Fife 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

-------------------------------------------------------------------

Please use this email address for all replies to this request:
[FOI #608177 email]

Is [NHS Fife request email] the wrong address for Freedom of Information requests to Fife NHS Board? If so, please contact us using this form:
https://www.whatdotheyknow.com/change_re...

Disclaimer: This message and any reply that you make will be published on the internet. Our privacy and copyright policies:
https://www.whatdotheyknow.com/help/offi...

For more detailed guidance on safely disclosing information, read the latest advice from the ICO:
https://www.whatdotheyknow.com/help/ico-...

Please note that in some cases publication of requests and responses will be delayed.

If you find this service useful as an FOI officer, please ask your web manager to link to us from your organisation's FOI page.

show quoted sections