Outpatient hysteroscopy/biopsy - Pain Control and Patient Choice

The request was partially successful.

Katharine Tylko-Hill

Dear Barts Health NHS Trust,

Under the FOIA (2000) please would you supply the following information relating to your Trust’s (and its outsourced services’) practice of OUTPATIENT HYSTEROSCOPY/BIOPSY – PAIN CONTROL AND PATIENT CHOICE

1. The patient information leaflet/s
2. The consent form/s
3. For each of the last 3 financial years:
i. all audits of OP hysteroscopy adverse events, (including infection, perforation, pain equal to or above 7/10 on VAS)
ii. all surveys of patients’ outpatient hysteroscopy experiences. Are all your patients allowed to complete the satisfaction survey at home? Y/N
iii. the number of your patients who had a) GA, b) spinal anaesthesia, c) monitored procedural IV sedation, d) local anaesthetic, e) no anaesthetic
iv. the % of your a) diagnostic hysteroscopies, b) operative hysteroscopies that were done in outpatients. Did your Trust meet the Best Practice Target % Tariff for each of these years? Y/N
4. i. Is local anaesthetic available in all your outpatient hysteroscopy clinics? Y/N
ii. Is Entonox available in all your outpatient hysteroscopy clinics? Y/N
5. Are all your hysteroscopy patients (including See & Treat/One Stop Shop/Late Cancellations) offered i. local anaesthetic? Y/N
ii. GA? Y/N
iii. spinal anaesthesia? Y/N
iv. safely monitored IV sedation? Y/N
6. Do you use electro-surgery in any of your outpatients clinics? Y/N If so, do you always use the lowest power setting? Y/N
7. What type and diameter of scopes do you use in a) outpatients, b) for GA patients? Rigid, semi-rigid, flexible?
8. What is the minimum training and accreditation (e.g. RCOG ATSM) that all your NEW hysteroscopists must have?
9. What % diagnostic outpatient hysteroscopy/biopsy patients had an incomplete procedure which was repeated with epidural, GA or sedation?
10. Does your Trust have a psychosexual counselling service for PTSD caused by severe procedural pain?

Yours faithfully,

Katharine Tylko-Hill

Dear Katharine Tylko-Hill,

 

Your Request for Information [FOI-268-17]

 

Thank you for your recent request for information.  This will be processed
in accordance with the requirements of the Freedom of Information Act and
you will receive a response within the stipulated timescale.

 

The FOI Act defines a number of exemptions which may prevent the release
of the information you have requested.    We will assess the material and
if any of the exemption categories apply, then the information may not be
released.  We will tell you if that is so.  If the information you request
refers to a third party then they may be consulted prior to a decision
being taken on whether or not to release the information to you.     We
will let you know if that is the case and give you an indication of the
timescale for providing the information.   There may be a fee payable for
the information you have requested.  The fee must be paid before the
information is released.  We will inform you if this is the case.

 

Information that we may provide in response to the Freedom of Information
Act request will be subject to copyright protection. You may ask if you
can re-use the information, perhaps for commercial purposes.  Without the
necessary permission you can breach our copyright.  To enquire about
re-using Trust information, please write to us at the above address or
e-mail [1][Barts Health NHS Trust request email].

 

If you have any queries then please contact us at
[2][Barts Health NHS Trust request email].

 

If you are dissatisfied on how your request has been handled, you can
complain in writing to The Information Governance Manager, Barts Health
NHS Trust:  E-mail [3][Barts Health NHS Trust request email].

 

Postal address:

The Information Governance Manager,

c/o Archives and Records Centre,

Barts Health NHS Trust,

Lower Ground Floor,

9 Prescot Street,

Aldgate, London E1 8PR

  

If, after  we have addressed your  complaint, you remain dissatisfied with
how we have responded, you are entitled to appeal to the Information
Commissioner (Tel: 01625 545 745).  Details are shown at
[4]www.ico.org.uk.

    

Yours faithfully,

 

D. Scott-Davies

 

Daniel Scott-Davies

Corporate Records Manager

Barts Health NHS Trust

9 Prescot Street

E1 8PR

 

T: 020 7480 4866 / 18 x 4866

Website: [5]www.bartshealth.nhs.uk

[6][email address]

   

Please note our new Records Management email address –
[7][email address]

 

See our Records Management pages on the intranet [8]here.

 

 

 

show quoted sections

Dear Katharine Tylko-Hill,

 

Your Request for Information [FOI-268-17]

 

Thank you for your request for information and our response is below.

 

1.            The patient information leaflet/s-Leaflets are available in
the trust. All patients are given these leaflets to read as per our
policy.

 

2.            The consent form/s- Pre-filled consent forms are available
and all patients undergoing outpatient hysteroscopy +/- endometrial biopsy
give a written informed consent.

 

3. For each of the last 3 financial years:

i. all audits of OP hysteroscopy adverse events, (including infection,
perforation, pain equal to or above 7/10 on VAS)- Yes. If the patient
feels severe pain then the procedure is discontinued.

 

ii. all surveys of patients’ outpatient hysteroscopy experiences.Yes

Are all your patients allowed to complete the satisfaction survey at home?
Yes

iii. the number of your patients who had a) GA, b) spinal anaesthesia, c)
monitored procedural IV sedation, d) local anaesthetic, e) no anaesthetic
iv. the % of your a) diagnostic hysteroscopies, b) operative
hysteroscopies that were done in outpatients.Yes

Did your Trust meet the Best Practice Target % Tariff for each of these
years? N

 

4. i. Is local anaesthetic available in all your outpatient hysteroscopy
clinics? Y

   ii. Is Entonox available in all your outpatient hysteroscopy clinics? N

 

5. Are all your hysteroscopy patients (including See & Treat/One Stop
Shop/Late Cancellations) offered i. local anaesthetic? Y

ii. GA? Y iii. spinal anaesthesia? Y iv. safely monitored IV sedation? Y

 

6. Do you use electro-surgery in any of your outpatients clinics? Y

If so, do you always use the lowest power setting? Y

 

7. What type and diameter of scopes do you use in a) outpatients-
semi-rigid hysteroscope, b) for GA patients? Rigid or semi-rigid.

 

8. What is the minimum training and accreditation (e.g. RCOG ATSM) that
all your NEW hysteroscopists must have?

 

9. What % diagnostic outpatient hysteroscopy/biopsy patients had an
incomplete procedure which was repeated with epidural, GA or sedation? 15%

 

10. Does your Trust have a psychosexual counselling service for PTSD
caused by severe procedural pain? No

 

I hope that the information that we have been able to provide will be of
value to you but please let us know if we can be of further assistance.
([1][Barts Health NHS Trust request email]) .  We would be grateful if you would take a
minute to fill out our FOI Feedback Questionnaire at
[2]www.bartshealth.nhs.uk/foi-feedback.    If you require any further
information about the services provided by Barts Health NHS Trust please
contact the press office on 020 7480 4893 (Monday to Friday 9am-5pm) or
out of hours call Switchboard on 020 7377 7000 and ask to contact the duty
press officer.

 

If you are dissatisfied on how your request has been handled, you can
complain in writing to: The Information Governance Manager, Barts Health
NHS Trust,

Email: [3][Barts Health NHS Trust request email]

 

Postal address:

The Information Governance Manager,

c/o Archives & Records Centre,

Barts Health NHS Trust,

Lower Ground Floor,

9 Prescot St,

Aldgate,

E1 8PR

 

If, after we have addressed your complaint, you remain dissatisfied with
how we have responded, you are entitled to appeal to the Information
Commissioner (Tel: 01625 545 745).   Details are shown at
[4]www.ico.org.uk  

 

Yours sincerely,

 

D. Scott-Davies

 

Daniel Scott-Davies

Corporate Records Manager

Barts Health NHS Trust

9 Prescot Street

E1 8PR

 

T: 020 7480 4866 / 18 x 4866

Website: [5]www.bartshealth.nhs.uk

[6][email address]

   

Please note our new Records Management email address –
[7][email address]

 

See our Records Management pages on the intranet [8]here.

 

 

 

 

show quoted sections

Katharine Tylko-Hill

Dear FOI,
Please would you send me a link to your patient information leaflet for OUTPATIENT HYSTEROSCOPY. This was missing from the response to my recent FOIA request.

Many thanks,

Yours sincerely,

Katharine Tylko-Hill

Dear Katharine

Thank you for your email.

Please see the ink below:

https://www.bartshealth.nhs.uk/search/te...

Yours sincerely,

Samir Kamil
Freedom of Information (FOI) Coordinator
Barts Health NHS Trust
9 Prescot Street
London E1 8PR
Email: [email address]
Website: www.bartshealth.nhs.uk

Katharine Tylko-Hill

Dear FOI,

Thanks very much for your help re OUTPATIENT HYSTEROSCOPY. Please could you possibly clarify whether any audits have been done re OPH. If yes, please could you send me the link/s.

Yours sincerely,

Katharine Tylko-Hill