Outpatient hysteroscopy/biopsy - RCOG Patient Information Leaflet

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Katharine Tylko-Hill

Dear Royal Cornwall Hospitals NHS Trust,

Outpatient Hysteroscopy/Biopsy – RCOG Patient Information Leaflet

Further to the information your Trust supplied stating that you are not using the RCOG Outpatient Hysteroscopy patient leaflet,

1. Please has your Lead hysteroscopist read the Montgomery v. NHS Lanarkshire ruling on informed consent? [Y/N]

https://www.supremecourt.uk/cases/docs/u...
“The doctor is under a duty to take reasonable care to ensure that the patient is aware of any material risks involved in proposed treatment, and of reasonable alternatives. A risk is “material” if a reasonable person in the patient’s position would be likely to attach significance to it, or if the doctor is or should reasonably be aware that their patient would be likely to attach significance to it.”

2. Please has your Lead Hysteroscopist read the RCOG guidance on consent https://www.rcog.org.uk/globalassets/doc...

“Women should not be given important information or asked to make decisions at the same time as undergoing gynaecological examinations.7
In the modern NHS, efficiencies such as placing patients directly onto waiting lists and admitting patients to hospital on the day of operation require careful attention to the organisation of consent. These initiatives have the potential to shorten or even eliminate the ‘cooling-off’ period during which a woman is able to reflect on her condition and the proposed treatment options. If written consent in the presence of the operating practitioner is to be obtained immediately before the operation, it is vital to ensure that she has been offered the opportunity to further discuss any intervention in a clinic visit or a visit to a preoperative assessment unit. If not, and women are being presented with information anew for the first time or are doubtful, deferral must be retained as an option in the best interests of patient care even if it means that their procedure is postponed. Such women should also be sent detailed information packs with a copy of the appropriate consent form.” [Y/N]

3. Please has your Lead Hysteroscopist read the RCOG Outpatient Hysteroscopy patient information leaflet https://www.rcog.org.uk/en/patients/pati... which warns of the material risk of severe pain; identifies cohorts of patients at high risk of severe pain; and advises women that they may choose to have a general anaesthetic? [Y/N]

“Are there alternatives to having outpatient hysteroscopy? There may be other things to consider when deciding whether OPH is the right choice for you, such as:• if you faint during your periods because of pain• if you have experienced severe pain during a previous vaginal examination• if you have experienced difficult or painful cervical smears• if you have had any previous traumatic experience that might make the procedure difficult for you• if you do not wish to have this examination when awake. You may choose to have your hysteroscopy with either a general or spinal anaesthetic. This will be done in an operating theatre, usually as a daycase procedure. You can discuss this option with your healthcare professional. The risks and complications are lower when hysteroscopy is done as an outpatient procedure rather than under anaesthesia.”

4. Does your Trust now intend to start using the RCOG Outpatient Hysteroscopy patient information leaflet, and if so, when? [Y/N]

5. If the answer to Question 4. is NO, please why is this? Is it because
a) You run a See & Treat clinic and the patient may not need a hysteroscopy [Y/N]

b) You don’t want to mention severe pain and make patients anxious? [Y/N]
c) You don’t want patients to choose GA because it will affect your hysteroscopy Best Practice Tariff? [Y/N]
d) You don’t want to put patients through the higher risk of perforation under GA due to use of wider hysteroscopes? [Y/N]
e) You don’t want to give patients the choice of GA because there is a long waiting-list which will delay cancer diagnosis [Y/N]
f) You don’t have the budget to print out a new, longer leaflet? [Y/N]
Any other reasons ... please specify.

With many thanks for your help in improving the early diagnosis of womb cancer.

Yours faithfully,

Katharine Tylko-Hill

FOI (ROYAL CORNWALL HOSPITALS NHS TRUST), Royal Cornwall Hospitals NHS Trust

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  • Attachment

    FOI Ref 7849 Outpatient hysteroscopy biopsy RCOG Patient Information Leaflet.docx

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Dear  Katharine

FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST Ref:  7849

Thank you for your request for information as detailed attached (if I have
misunderstood any part of your request, please let me know as soon as
possible, otherwise I shall continue to retrieve the information as
outlined):

 

Your request was received on  14^th September 2019    and I am dealing
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In the meantime, please do not hesitate to contact me if you have any
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Jemma Dunstan

Information Governance Team

 

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Katharine Tylko-Hill

Dear FOI (ROYAL CORNWALL HOSPITALS NHS TRUST),

Re Outpatient hysteroscopy/biopsy-RCOG Patient Information Leaflet

Please would you send the missing answers to Questions 4 and 5.

Thank you.

Yours sincerely,

Katharine Tylko-Hill

FOI (ROYAL CORNWALL HOSPITALS NHS TRUST), Royal Cornwall Hospitals NHS Trust

1 Attachment

  • Attachment

    FOI Ref 7849 Outpatient hysteroscopy biopsy RCOG Patient Information Leaflet.pdf

    715K Download View as HTML

The RCHT are always looking to improve the service that we provide and
would welcome any feedback that you wish to give about your experience
dealing with FOI.  Please take a few moments to complete an anonymous
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Dear Ms Tylko-Hill

 

FREEDOM OF INFORMATION ACT 2000 - INFORMATION REQUEST Ref: 7849  

Your request for information has now been considered and the response is
attached.

 

If you have any queries or concerns then please do not hesitate to contact
me (please remember to quote the reference number above in any future
communications).

If you are unhappy with the service you have received in relation to your
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Royal Cornwall Hospital, Truro, Cornwall, TR1 3LJ or
e-mail [2][Royal Cornwall Hospitals NHS Trust request email]

If you are not content with the outcome of your complaint or review, you
may apply directly to the Information Commissioner for a decision.
Generally, the ICO cannot make a decision unless you have exhausted the
complaints procedure provided by the Royal Cornwall Hospital.

 

The Information Commissioner can be contacted at:

Information Commissioner's Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

Telephone: 0303 123 1113 or 01625 54 57 45

[3]www.ico.gov.uk

 

Yours sincerely

Jemma Dunstan 

 

 

 

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