Outpatient hysteroscopy/biopsy - Pain Control and Patient Choice

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Katharine Tylko-Hill

Dear Lancashire Teaching Hospitals NHS Foundation 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

Freedom of Information (LTHTR), Lancashire Teaching Hospitals NHS Foundation Trust

Dear Katharine Tylko-Hill,

Thank you for your request for information submitted under the Freedom of Information Act.

We can confirm that Lancashire Teaching Hospitals NHS Foundation Trust will reply on or before 23rd May 2017.

Regards.

Freedom of Information Team
Lancashire Teaching Hospitals NHS Foundation Trust
c/o The Medical Director’s Office
Royal Preston Hospital
Sharoe Green Lane
Fulwood, Preston, PR2 9HT
Email : [email address]
www.lancsteachinghospitals.nhs.uk
@LancsHospitals
Excellent care with Compassion
 

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Freedom of Information (LTHTR), Lancashire Teaching Hospitals NHS Foundation Trust

6 Attachments

Dear Katharine Tylko-Hill,

 

Thank you for your request for information submitted under the Freedom of
Information Act. We can confirm that Lancashire Teaching Hospitals NHS
Foundation Trust does hold some of the information requested.

 

Request & Request

 

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. Trust response: See attached

 

2. The consent form/s. Trust response: See attached

 

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)

Trust response: Documents are attached in relation to audits.

 

ii. All surveys of patients’ outpatient hysteroscopy experiences. Are all
your patients allowed to complete the satisfaction survey at home?  Trust
Response: Patients are not allowed to complete the satisfaction survey at
home.

 

iii. The number of your patients who had

a) GA

b) Spinal anaesthesia

c) Monitored procedural IV sedation.

 d) Local anaesthetic. –

e) No anaesthetic –

Trust response: This information is not held centrally.

 

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?

Trust Response: The Trust does not hold this information and therefore is
unable to supply 
it.

 

4. i. Is local anaesthetic available in all your outpatient hysteroscopy
clinics? Trust Response: Yes

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

Trust Response: No.

 

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

i. local anaesthetic?

Trust Response: Yes

ii. GA? Trust Response: Yes

iii. spinal anaesthesia? Trust Response: No

iv. safely monitored IV sedation? Trust Response: No

 

6. Do you use electro-surgery in any of your outpatients clinics? Trust
Response: Yes

If so, do you always use the lowest power setting? Trust Response: Yes

 

7. What type and diameter of scopes do you use in

a) Outpatients – Trust Response: 1.8mm

b) for GA patients – Trust Response: rigid scopes

 

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

 

Trust Response: RCOG ATSM  

 

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

 

Trust Response: 10%

 

10. Does your Trust have a psychosexual counselling service for PTSD
caused by severe procedural pain?

 

Trust Response: Yes

Kind Regards

 

Freedom of Information Team

Lancashire Teaching Hospitals NHS Foundation Trust
c/o The Medical Director’s Office

Royal Preston Hospital

Sharoe Green Lane

Fulwood, Preston, PR2 9HT
Email : [1][email address]

[2]www.lancsteachinghospitals.nhs.uk
[3]Twitter Icon@[4]LancsHospitals
Excellent care with compassion

 

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