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

The request was successful.

Katharine Tylko-Hill

Dear Maidstone and Tunbridge Wells 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

FOIadmin (MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST), Maidstone and Tunbridge Wells NHS Trust

1 Attachment

Dear  Ms Tylko-Hill

 

Please see the attached letter.

 

Many thanks.

 

Claire Davison

Freedom of Information Assistant

Email: [1][email address]

 

Completed Freedom of Information requests are published on the Trust
website [2]http://www.mtw.nhs.uk/freedom-of-informa...

 

This transmission is intended for the named recipient only and is
confidential in nature. If received in error, please return it to the
sender and delete any copies.The information contained in this email may
be subject to public disclosure under the NHS Code of Openness or the
Freedom of Information Act 2000 (unless legally exempt from
disclosure).Additionally, any personal information recorded within the
email may be subject to Data Protection legislation.If your email is a
request for information under the Freedom of Information Act 2000, please
forward it to FOI admin who will action your request. Email:
[3][email address]  or write to FOI admin, Trust Management,
Maidstone and Tunbridge Wells NHS Trust, Maidstone Hospital, Hermitage
Lane, Maidstone, ME16 9QQ

 

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Katharine Tylko-Hill

Dear Maidstone and Tunbridge Wells NHS Trust,

Please pass this on to the person who conducts Freedom of Information reviews.

I am writing to request an internal review of Maidstone and Tunbridge Wells NHS Trust's handling of my FOI request 'Outpatient hysteroscopy/biopsy - RCOG/BSGE 2018 statement on Pain Control and Patient Choice'.

My request was made in March.

A full history of my FOI request and all correspondence is available on the Internet at this address: https://www.whatdotheyknow.com/request/o...

Thank you for your help.

Yours faithfully,

Katharine Tylko-Hill

FOIadmin (MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST), Maidstone and Tunbridge Wells NHS Trust

Dear Ms Tylko-Hill

Thank you for your email.

I have chased the department and escalated this to both my Manager and the Divisional Lead for the department concerned.

I am hoping this will mean a timely response from them.

I will of course continue to chase them until the information is received.

Please accept my apologies for the delay in our response to your request.

Many thanks.

On behalf of the Information Governance Department
Email: [email address]

Completed Freedom of Information requests are published on the Trust website http://www.mtw.nhs.uk/freedom-of-informa...

This transmission is intended for the named recipient only and is confidential in nature. If received in error, please return it to the sender and delete any copies.The information contained in this email may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000 (unless legally exempt from disclosure).Additionally, any personal information recorded within the email may be subject to Data Protection legislation.If your email is a request for information under the Freedom of Information Act 2000, please forward it to FOI admin who will action your request. Email: [email address] or write to FOI admin, Trust Management, Maidstone and Tunbridge Wells NHS Trust, Maidstone Hospital, Hermitage Lane, Maidstone, ME16 9QQ

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Katharine Tylko-Hill

Dear FOIadmin (MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST),

Please may I request an internal review into the failure to respond to my request re Outpatient hysteroscopy/biopsy - RCOG/BSGE 2018 statement on Pain Control and Patient Choice.

Yours sincerely,

Katharine Tylko-Hill

FOIadmin (MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST), Maidstone and Tunbridge Wells NHS Trust

Re: ID 5359

Dear Ms Tylko-Hill

Thank you for your email.

I have again chased the department and escalated this again to both my Manager and the Divisional Lead for the department concerned together with the Chief of Service for the department.

I will of course continue to chase them until the information is received.

Again my apologies for the delay in our response to your request.

Many thanks.

On behalf of the Information Governance Department
Email: [email address]

Completed Freedom of Information requests are published on the Trust website http://www.mtw.nhs.uk/freedom-of-informa...

This transmission is intended for the named recipient only and is confidential in nature. If received in error, please return it to the sender and delete any copies.The information contained in this email may be subject to public disclosure under the NHS Code of Openness or the Freedom of Information Act 2000 (unless legally exempt from disclosure).Additionally, any personal information recorded within the email may be subject to Data Protection legislation.If your email is a request for information under the Freedom of Information Act 2000, please forward it to FOI admin who will action your request. Email: [email address] or write to FOI admin, Trust Management, Maidstone and Tunbridge Wells NHS Trust, Maidstone Hospital, Hermitage Lane, Maidstone, ME16 9QQ

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FOIadmin (MAIDSTONE AND TUNBRIDGE WELLS NHS TRUST), Maidstone and Tunbridge Wells NHS Trust

1 Attachment

Dear Ms Tylko-Hill

 

Please see the attached letter.

 

Many thanks.

 

On behalf of the Information Governance Department

Email: [1][email address]

 

Completed Freedom of Information requests are published on the Trust
website [2]http://www.mtw.nhs.uk/freedom-of-informa...

 

This transmission is intended for the named recipient only and is
confidential in nature. If received in error, please return it to the
sender and delete any copies.The information contained in this email may
be subject to public disclosure under the NHS Code of Openness or the
Freedom of Information Act 2000 (unless legally exempt from
disclosure).Additionally, any personal information recorded within the
email may be subject to Data Protection legislation.If your email is a
request for information under the Freedom of Information Act 2000, please
forward it to FOI admin who will action your request. Email:
[3][email address]  or write to FOI admin, Trust Management,
Maidstone and Tunbridge Wells NHS Trust, Maidstone Hospital, Hermitage
Lane, Maidstone, ME16 9QQ

 

 

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