Outpatient Hysteroscopy/Biopsy - Pain control and Patient Choice

Katharine Tylko-Hill made this Freedom of Information request to The Royal Wolverhampton NHS Trust

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Katharine Tylko-Hill

Dear The Royal Wolverhampton NHS Trust,

Under the Freedom of Information Act (2000) please would you supply
the following information relating to your Trust’s practice of

OUTPATIENT HYSTEROSCOPY/BIOPSY – PAIN CONTROL AND PATIENT CHOICE

1. The current patient information leaflet

2. The current consent form

3. The current surgical protocol

4. Does the leaflet advise the patient to ask her GP to prescribe
gynae-specific painkillers to be taken BEFORE the procedure - Y/N?

5. What type and dose of painkillers does your Trust advise
patients to take before the procedure?

6. Are ALL your hysteroscopy/biopsy patients given the following
choices BEFORE the procedure is attempted:
a) General Anaesthesia – Y/N?
b) spinal anaesthesia – Y/N?
c) conscious sedation – Y/N?

7. For each of the last 3 financial years, how many of your
hysteroscopy/biopsy patients had
a) GA with overnight stay?
b) GA day-case ?
c) spinal anaesthesia?
d) conscious sedation?
e) local anaesthetic?
f) no anaesthetic?

8. What width hysteroscopes do you use? Rigid or flexible?

9. For each of the last 3 financial years what % patients DNA
outpatient hysteroscopy/biopsy?

10. For each of the last 3 financial years what % OP
hysteroscopy/biopsy patients had a failed procedure that had to be
repeated with epidural, GA or conscious sedation?

11. All audits of adverse events, e.g. infection, perforation
during the last 3 financial years

12. All surveys of patients’ experiences during the last 3
financial years

Yours faithfully,

Katharine Tylko-Hill
Macmillan CancerVOICE

FOI (THE ROYAL WOLVERHAMPTON NHS TRUST), The Royal Wolverhampton NHS Trust

Dear Ms Tylko-Hill

FOI 2124 Re: Hysteroscopy/Biopsy Pain Control

Thank you for your recent Freedom of Information request. Under the terms of the Freedom of Information Act we will expect to respond to this request in 20 working days.

For your Freedom of Information request we are now investigating the nature of the search and the quantity of information requested. There are also a number of exemptions which the Act permits with respect to releasing information. The information will be assessed for these exemptions prior to us releasing the information to you. We will advise you if we are unable to provide the information requested, or if there will be a cost associated to your request in line with section 12 of the Act. In accordance with section 12 of the Freedom of Information Act 2000 where multiple requests for information are received from one person or by different persons who appear to be acting in together in a single campaign the estimated cost of complying with any of the requests is to be taken to be the estimated total cost of complying with all of them. To this effect your requests for information will be dealt with under the single reference number above.

If you have any queries I would be grateful if you would contact me so that we can discuss the issues. Details of the complaints procedure will be sent to you should you wish to see them. Please remember to quote the reference number above in any future communications.

If you are not content with the outcome your complaint, you may apply directly to the Information Commissioner for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the Trust. The Information Commissioner can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.

Yours sincerely

Freedom of Information Co-ordinators | The Royal Wolverhampton NHS Trust
Tel: 01902 307999 | Ext 8124 | Email: [The Royal Wolverhampton NHS Trust request email]

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Sparrow Katie (THE ROYAL WOLVERHAMPTON NHS TRUST), The Royal Wolverhampton NHS Trust

7 Attachments

Dear Ms Tylko-Hill,

 

FOI2124 – Request regarding Outpatient Hysteroscopy/Biopsy – Pain Control
and Patient Choice

 

Thank you for your recent Freedom of Information request on the above
subject.  We have completed our search for information the information is
as follows:

 

1. The current patient information leaflet

2. The current consent form

 

The Trust does have a patient information leaflet and consent form I have
attached a copy of these.

 

3. The current surgical protocol

 

The procedure is described within the attached patient information
leaflet.

 

4. Does the leaflet advise the patient to ask her GP to prescribe
gynae-specific painkillers to be taken BEFORE the procedure - Y/N?

 

I have attached the patient information leaflet which does include
information about taking mild pain relief prior to the procedure.

 

5. What type and dose of painkillers does your Trust advise patients to
take before the procedure?

 

I have attached the patient information leaflet which does include
information about taking mild pain relief prior to the procedure.

 

6. Are ALL your hysteroscopy/biopsy patients given the following choices
BEFORE the procedure is attempted:

a) General Anaesthesia – Y/N?

b) spinal anaesthesia – Y/N?

c) conscious sedation – Y/N?

 

Anaesthesia is discussed within patients and given on consent, information
is available in the patient leaflet about the use of anaesthesia.

 

7. For each of the last 3 financial years, how many of your
hysteroscopy/biopsy patients had

a) GA with overnight stay?

b) GA day-case ?

c) spinal anaesthesia?

d) conscious sedation?

e) local anaesthetic?

f) no anaesthetic?

 

The Trust does not code anaesthesia and so does not hold data in relation
to this.

 

8. What width hysteroscopes do you use? Rigid or flexible?

 

Diameter of flexi = 3.1mm

Diameter of alphascope 1.8mm then versascope sheath added = 3.5mm diameter

 

9. For each of the last 3 financial years what % patients DNA outpatient
hysteroscopy/biopsy?

 

The Trust does not record the procedure in relation to DNAs.

 

10. For each of the last 3 financial years what % OP hysteroscopy/biopsy
patients had a failed procedure that had to be repeated with epidural, GA
or conscious sedation?

 

If a procedure had failed in outpatients, the procedure it wouldn’t have
been recorded; therefore the possible follow-up (which is unflagged)
wouldn’t have the anaesthesia recorded (see point 7 above).

 

11. All audits of adverse events, e.g. infection, perforation during the
last 3 financial years

12. All surveys of patients’ experiences during the last 3 financial years

 

The Trust carried out numerous patient experience surveys, I have attached
some examples.  Please note that these are not specifically related to the
topic that you have requested.

 

The full Freedom of Information Act 2000 is available on the legislation
website via the following link:
[1]http://www.legislation.gov.uk/ukpga/2000... The Trust is
regarding this response as a full and complete discharge of its
responsibilities under the Freedom of Information Act 2000 in relation to
this request. I trust it fulfils your requirements but should you have any
concerns please do not hesitate to contact me and I will attempt to
resolve your issues.

 

If you have any queries I would be grateful if you would contact me so
that we can discuss the issues. Details of the complaints procedure will
be sent to you should you wish to see them. Please remember to quote the
reference number above in any future communications.

 

If you are not content with the outcome your complaint, you may apply
directly to the Information Commissioner for a decision. Generally, the
ICO cannot make a decision unless you have exhausted the complaints
procedure provided by the Trust. The Information Commissioner can be
contacted at: The Information Commissioner’s Office, Wycliffe House, Water
Lane, Wilmslow, Cheshire SK9 5AF.

 

Yours sincerely

 

Katie Sparrow

Information Governance Lead

Tel: 01902 307999 Ext 8124

[2][The Royal Wolverhampton NHS Trust request email]

 

 

 

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References

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1. http://www.legislation.gov.uk/ukpga/2000...
2. mailto:[The Royal Wolverhampton NHS Trust request email]