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

The request was successful.

Katharine Tylko-Hill

Dear County Durham and Darlington NHS Foundation 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

cddftFOI (COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST), County Durham and Darlington NHS Foundation Trust

1 Attachment

Our reference: 02.19.33

 

 

Dear Ms Tylko-Hill,

 

Freedom of Information Act 2000 – Acknowledgement.

 

I acknowledge your request for information received on 18 February 2019.

 

Your request is being considered and a response will be sent to you
promptly and not later than 20 working days as defined by the Freedom of
Information Act 2000.

 

If appropriate, the information may be provided in electronic medium in
normal font size.  If you require alternative formats such as large print
or paper format, please let me know.

 

If you have any queries or concerns, please contact me at the email
address above.

 

Further information is available from the Office of the Information
Commissioner at:

 

Information Commissioner's Office

Wycliffe House

Water Lane

Wilmslow

Cheshire

SK9 5AF

 

 

 

 

Kind Regards

Linda Wilson

 

For and on behalf of Joanna Tyrrell, FOI Officer

+------------------------------------------------------------------------+
|  |
| |
|County Durham and Darlington NHS Foundation Trust |
|------------------------------------------------------------------------|
|Linda Wilson | |Trust Headquarters |
| | | |
|Corporate Records Assistant | |Darlington Memorial Hospital |
| | |Hollyhurst Road |
|  | |Darlington |
| | |County Durham |
|  | |DL3 6HX |
| | |Switchboard Tel: 01325 380 100|
|  | | |
| | |Direct Ext 43700 |
|  | | |
| | |[2][email address] |
|  | | |
| | |[3]www.cddft.nhs.uk |
|  | | |
| | | |
|[1]Description: Description: | | |
|Description: | | |
|cid:image001.png@01CFD979.6A882050 | | |
+------------------------------------------------------------------------+

 

This email and any files attached to it may be of a confidential nature,
and are only to be opened by the intended recipient. If you receive this
email by error please notify the sender immediately. This email is from
County Durham and Darlington NHS Foundation Trust and any opinions
expressed in it are those of the author and do not necessarily reflect the
opinions of the Trust. The contents of any email even if marked
confidential, may be disclosed in accordance with the Freedom of
Information Act 2000 and Data Protection Act 1998.

 

 

 

 

 

 

 

 

 

show quoted sections

cddftFOI (COUNTY DURHAM AND DARLINGTON NHS FOUNDATION TRUST), County Durham and Darlington NHS Foundation Trust

5 Attachments

Dear Ms Tylko-Hill

 

 

Please find attached the response to your request for information under
the Freedom of Information Act.

 

I have also attached a copy of our client satisfaction survey and would be
most grateful if you could please take two minutes of your time to
complete it and email it back to me.

 

 

 

 

Kind Regards

Linda Wilson

 

For and on behalf of Joanna Tyrrell, FOI Officer

+------------------------------------------------------------------------+
|  |
| |
|County Durham and Darlington NHS Foundation Trust |
|------------------------------------------------------------------------|
|Linda Wilson | |Trust Headquarters |
| | | |
|Corporate Records Assistant | |Darlington Memorial Hospital |
| | |Hollyhurst Road |
|  | |Darlington |
| | |County Durham |
|  | |DL3 6HX |
| |  |Switchboard Tel: 01325 380 100 |
|  | | |
| | |Direct Ext 43700 |
|  | | |
| | |[1][email address] |
|  | | |
| | |[2]www.cddft.nhs.uk |
|  | | |
+------------------------------------------------------------------------+

 

This email and any files attached to it may be of a confidential nature,
and are only to be opened by the intended recipient. If you receive this
email by error please notify the sender immediately. This email is from
County Durham and Darlington NHS Foundation Trust and any opinions
expressed in it are those of the author and do not necessarily reflect the
opinions of the Trust. The contents of any email even if marked
confidential, may be disclosed in accordance with the Freedom of
Information Act 2000 and Data Protection Act 1998.

 

 

 

 

 

 

 

 

show quoted sections

Looking for an EU Authority?

You can request documents directly from EU Institutions at our sister site AskTheEU.org . Find out more .

AskTheEU.org