Outpatient hysteroscopy/biopsy - Pain Control and Patient Choice

The request was partially successful.

Katharine Tylko-Hill

Dear Warrington and Halton 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

FOI, Warrington and Halton Hospitals NHS Foundation Trust

1 Attachment

Freedom of Information Act 2000 –Ref No:17-227

 

 

Thank you for your request for Trust information under the provisions of
the Freedom of Information Act 2000. I can confirm that the Information
Governance Team is currently attending to your request. A member of the
team will respond within the statutory timescale which is currently 20
working days.

 

If applicable we will inform you if any of your requested information is
exempt from release along with any fee required. We may require further
detail from you to assist us in searching for the information you have
requested.  You may therefore be contacted in due course if it is
necessary to clarify any part of your request.

 

If you wish to discuss any aspect of your request please do not hesitate
to contact us quoting the reference number above.

 

Sophie Parry

IT Support Officer -IT Department

Warrington and Halton Hospitals NHS Foundation Trust

Kendrick Wing, Warrington Hospital, WA5 1QG

 

ext 5737

[1]www.warringtonandhaltonhospitals.nhs.uk

 

[2]cid:image001.jpg@01D19567.070C45F0

 

 

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Katharine Tylko-Hill

Dear FOI,
Please may I have a reply to my request re OUTPATIENT HYSTEROSCOPY, which I don't appear to have received.
Many thanks,

Yours sincerely,

Katharine Tylko-Hill

Parry, Sophie, Warrington and Halton Hospitals NHS Foundation Trust

1 Attachment

Dear Sir/Madam

 

Freedom of Information Act 2000 – Ref No:17-227

 

Response to request dated 19/10/2017 made under the Freedom of Information
Act 2000

 

Apologies for the delay.

 

1.The patient information leaflet/s  Attached

 

2.The consent form/s 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)

ii. all surveys of patients’ outpatient hysteroscopy experiences. 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. Did your Trust meet the Best
Practice Target % Tariff for each of these years? N/A

 

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

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

 

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

ii. GA? Y/N iii. spinal anaesthesia? Y/N iv. safely monitored IV sedation?
Y/N Routine Hysteroscopy do not require local anaesthetic. Nova sure
patients have local anaesthetic.

 

6. Do you use electro-surgery in any of your outpatients clinics? No

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? Flexible for OP and Rigid for GA

 

 

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

 

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

 

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

If you are dissatisfied with the way your request for information has been
handled you can contact the Patient Experience Team lead to request a
review by writing to:

Patient Experience Team, Kendrick Wing, Warrington Hospital, Lovely Lane,
Warrington, WA5 1QG. 

If you are dissatisfied with the outcome of this internal review you can
submit a complaint to the Information Commissioner’s Office. You can do
this by writing to: 

FOI / EIR Complaints Resolution, Information Commissioner's Office,
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF.

Alternatively you can complete an electronic complaints form and submit it
to the Information Commissioner’s Office via email. I have included a link
below for your convenience which explains how to complain to the
Information Commissioner’s Office.

[1]https://ico.org.uk/

 

Re-use of Public Sector Information Regulations 2005

 

The supply of information under the Freedom of Information Act is intended
to be for personal use only and does not automatically give the recipient
the right to commercially re-use it, for example, the right to publish it
or make it available to a wider audience [SI 2005 No: 1515 4(1)].

 

The Trust provides information under the Freedom of Information Act in
line with the template [2]Open Government Licence for public sector
information. Should you wish to re-use any information in line with this
Licence then you are not required to take any further action.

 

The Open Government Licence allows you to re-use information freely and
flexibly, with only a few conditions. If you wish to re-use information
outside of the Licence terms then please inform the Trust as unauthorised
re-use may be in breach of copyright law.

 

 

FOI Application Satisfaction Survey

 

It is important to the Trust that you are satisfied with the way that your
request was handled. Please find a link to our Freedom of Information
satisfaction survey which we would be grateful if you could complete.

 

[3]http://www.surveymonkey.com/s/2JCP23S

 

 

 

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