Outpatient hysteroscopy/biopsy - RCOG/BSGE 2018 statement on Pain Control and Patient Choice

Katharine Tylko-Hill made this Freedom of Information request to University Hospitals Coventry and Warwickshire NHS Trust

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request was successful.

Katharine Tylko-Hill

Dear University Hospitals Coventry and Warwickshire NHS Trust,
Under the Freedom of Information Act please may I have answers to the following questions. This request is to audit implementation of the RCOG/BSGE statement about choice and pain-relief in hysteroscopy.

1. a) Have your hysteroscopists read the following statement issued by the RCOG in December 2018 - Y/N?
b) Have your hysteroscopy managers read the following statement – Y/N?
https://www.rcog.org.uk/en/guidelines-re...
The British Society for Gynaecological Endoscopy published this statement in December 2018:
"Diagnostic hysteroscopy is a commonly performed investigation; it is safe and of short duration. Most women are able to have the procedure in an outpatient setting, with or without local anaesthesia, and find it convenient and acceptable. However, it is important that women are offered, from the outset, the choice of having the procedure performed as a day case procedure under general or regional anaesthetic. Some centres are also able to offer a conscious sedation service in a safe and monitored environment. It is important that the procedure is stopped if a woman finds the outpatient experience too painful for it to be continued. This may be at the request of the patient or nursing staff in attendance, or at the discretion of the clinician performing the investigation."
________________________________________

2. Please are ALL your hysteroscopy patients from the outset routinely offered the choice of having hysteroscopy as a day case procedure a) under GA – Y/N? b) under regional anaesthetic – Y/N? c) with IV sedation?

3. Do your hysteroscopy consent forms contain tick-boxes to enable a patient to choose a) GA – Y/N? b) regional anaesthesia – Y/N? c) IV sedation – Y/N?

4. Have all your outpatient hysteroscopy teams received written instruction to monitor the patient throughout the procedure, to ask if she is experiencing pain, and to stop if the patient asks or is showing signs of severe pain or distress – Y/N?

5. Do all your hysteroscopy clinics routinely record ALL patients’ VAS pain-scores a) as hysteroscope passes through the cervix – Y/N, b) at biopsy – Y/N?

6. Does your hysteroscopy department send all its patients the RCOG’s Patient Information Leaflet, published on its website - Y/N? https://www.rcog.org.uk/en/patients/pati...

7. Does your hysteroscopy department intend to start using the RCOG leaflet – Y/N? If so, in which month/year?

8. If your hysteroscopy department uses its own Patient Information Leaflet, please may I have a link to it?

9. Does the leaflet include ALL the key points listed (below) by the RCOG – Y/N?
Key points
• Outpatient hysteroscopy (OPH) is a procedure carried out in the outpatient clinic that involves examination of the inside of your uterus (womb) with a thin telescope.
• There are many reasons why you may be referred for OPH, such as to investigate and/or treat abnormal bleeding, to remove a polyp seen on a scan or to remove a coil with missing threads.
• The actual procedure usually takes 10–15 minutes. It can take longer if you are having any additional procedures.
• You may feel pain or discomfort during OPH. It is recommended that you take pain relief 1–2 hours before the appointment.
• If it is too painful, it is important to let your healthcare professional know as the procedure can be stopped at any time.
• You may choose to have the hysteroscopy under general anaesthetic. This will be done in an operating theatre, usually as a daycase procedure.
• Possible risks with hysteroscopy include pain, feeling faint or sick, bleeding, infection and rarely uterine perforation (damage to the wall of the uterus). The risk of uterine perforation is lower during OPH than during hysteroscopy under general anaesthesia

Yours faithfully,

Katharine Tylko-Hill

Freedom Of Information (RKB), University Hospitals Coventry and Warwickshire NHS Trust

Good afternoon!

We acknowledge receipt of your Freedom of Information request and can confirm that we are currently considering your request and we will respond within 20 working days.

Many thanks,

Regards

Angela Selvam
FOI and Access to Health Records Officer
University Hospitals Coventry & Warwickshire NHS Trust
CSB Room 20018
Clifford Bridge Road
Walsgrave
Coventry
CV2 2DX

Internal 28761
Direct Line 024 76968761

DISCLAIMER: This email and any attachments are confidential and may be privileged or otherwise protected from disclosure. If you are not the intended recipient you must not copy this message or any attachment or disclose the contents to any other person, nor take any action in reliance of its contents: to do so is strictly prohibited and may be unlawful. If you have received this message in error please accept our apologies and contact us at the address below or by email at [email address]
Any files attached to this email will have been checked by us with virus detection software before transmission. You should carry out your own virus checks before opening any attachment. UHCW (University Hospitals Coventry and Warwickshire NHS Trust) accepts no liability for any loss or damage which may be caused by software viruses.
Any views or opinions expressed are those of the author and do not represent the views of the Trust unless explicitly stated.
The information contained in this email may be subject to public disclosure under the Freedom of Information Act 2000. Unless the information is legally exempt from disclosure, the confidentiality of this email and your reply cannot be guaranteed.
Address: UHCW NHS Trust, Executive suite, 3rd Floor Rotunda, University Hospital, Clifford Bridge Road, Coventry, CV2 2DX

show quoted sections

Freedom Of Information (RKB), University Hospitals Coventry and Warwickshire NHS Trust

3 Attachments

Dear Katharine

 

Further to your recent request made under Freedom of Information, please
find attached our response

 

Kind regards

 

Heidi

 

Heidi Ludford

FOI and Access to Health Records Officer

University Hospitals Coventry & Warwickshire NHS Trust

CSB Room 20018

Clifford Bridge Road

Walsgrave

Coventry

CV2 2DX

 

Internal   29140

Direct Line  024 76969140

Email  [1][email address]

 

DISCLAIMER: This email and any attachments are confidential and may be
privileged or otherwise protected from disclosure.

If you are not the intended recipient you must not copy this message or
any attachment or disclose the contents to any other

person, nor take any action in reliance of its contents: to do so is
strictly prohibited and may be unlawful. If you have received

this message in error please accept our apologies and contact us at the
address below or by email at [2][email address]

Any files attached to this email will have been checked by us with virus
detection software before transmission. You should

carry out your own virus checks before opening any attachment. UHCW
(University Hospitals Coventry and Warwickshire NHS Trust)

accepts no liability for any loss or damage which may be caused by
software viruses.

Any views or opinions expressed are those of the author and do not
represent the views of the Trust unless explicitly stated.

The information contained in this email may be subject to public
disclosure under the Freedom of Information Act 2000. Unless

the information is legally exempt from disclosure, the confidentiality of
this email and your reply cannot be guaranteed.

Address: UHCW NHS Trust, Executive suite, 3rd Floor Rotunda, University
Hospital, Clifford Bridge Road, Coventry, CV2 2DX

References

Visible links
1. mailto:[email address]
2. mailto:[email address]