Outpatient Hysteroscopy/Biopsy - Pain control and Patient Choice

Katharine Tylko-Hill made this Freedom of Information request to Wye Valley NHS Trust

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The request was partially successful.

Katharine Tylko-Hill

Dear Wye Valley 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

Clark, Susan, Wye Valley NHS Trust

WYE VALLEY NHS TRUST
Trust Headquarters
County Hospital
Union Walk
Hereford
HR1 2ER
Tel: 01432 364000
Fax: 01432 365410

Email: [Wye Valley NHS Trust request email]

21st November 2013

Dear Madam

FREEDOM OF INFORMATION ACT 2000 – INFORMATION REQUEST 3492

Thank you for your request for information received by Wye Valley NHS Trust on 16th November 2013. I am dealing with it under the terms of the Freedom of Information Act 2000.

You will receive the information requested within 20 working days unless the Trust does not hold the information or there is a reason for it to be withheld. I will write to you in any event.

In some circumstances a fee may be payable and if that is the case I will let you know. A fees notice will be issued to you, and you will be required to pay before I will proceed to deal with your request.

If you have any queries or concerns then please contact me, contact details are given at the top of the letter.

Further information about Freedom of Information Act 2000 is also available from the Information Commissioner at:

Information Commissioner’s Office
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF

Telephone: 01625 545 745 www.ico.gov.uk

Yours faithfully

S. Clark
FREEDOM OF INFORMATION CO-ORDINATOR
Wye Valley NHS Trust

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Clark, Susan, Wye Valley NHS Trust

2 Attachments

WYE VALLEY NHS TRUST
Trust Headquarters
County Hospital
Union Walk
Hereford
HR1 2ER
Tel: 01432 364000
Fax: 01432 365410

Email: [Wye Valley NHS Trust request email]

27th December 2013

Dear Madam

FREEDOM OF INFORMATION ACT 2000 – INFORMATION REQUEST 3492

I apologise for the length of time it has taken to respond to your request for information. It has been considered and I am directed to inform you that:

OUTPATIENT HYSTEROSCOPY/BIOPSY – PAIN CONTROL AND PATIENT CHOICE

1. The current patient information leaflet- This is sent automatically with appointment letters and is attached to this email.

2. The current consent form – Wye Valley NHS Trust is currently using Consent Form 3 but an adapted version is being introduced shortly.

3. Does the leaflet advise the patient to ask her GP to prescribe gynae-specific painkillers to be taken BEFORE the procedure - NO

4. What type and dose of painkillers does your Trust advise patients to take before the procedure? Pain killers normally used for headache or bad period pain (this is stated on the leaflet)

5. Are ALL your hysteroscopy/biopsy patients given the following choices BEFORE the procedure is attempted:-
a) General Anaesthesia – Yes
b) Spinal anaesthesia – Yes
c) Conscious sedation – Yes

6. For each of the last 3 financial years, how many of your hysteroscopy/biopsy patients had- Limited data available due to official hysteroscopy clinic commencing 16th October 2013 and Anaesthetic type is not coded electronically in theatres A manual trawl of patient notes would be required to obtain this information. Wye Valley NHS trust does not have the information held electronically.

a) GA with overnight stay?
b) GA day-case?
c) Spinal anaesthesia?
d) Conscious sedation?
e) Local anaesthetic?
f) No anaesthetic?

7. What width hysteroscopes do you use? 2mm and 2.9 mm Rigid

8. For each of the last 3 financial years what % patients DNA outpatient hysteroscopy/biopsy? Limited data available due to official clinic commencing 16th October 2013. No DNAs to date.

9. 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? One since commencement of OP Hysteroscopy clinic on 16/10/13.

10. All audits of adverse events, e.g. infection, perforation during the last 3 financial years Audit planned at 3 months following start of OP clinic 16/10/13

11. All surveys of patients’ experiences during the last 3 financial years -Patient survey due to start December 13

If you have any queries or concerns contact details are given at the top of the letter.

Further information is also available from the Information Commissioner at:

Information Commissioner’s Office
Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF

Telephone: 01625 545 745 www.ico.gov.uk

Yours faithfully

S. Clark
FREEDOM OF INFORMATION CO-ORDINATOR
Wye Valley NHS Trust

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