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

The request was successful.

Katharine Tylko-Hill

Dear Manchester University 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

FOI (R0A) Manchester University NHS FT, Manchester University NHS Foundation Trust

1 Attachment

Dear Ms Tylko-Hill,

 

We are writing to acknowledge receipt of your request for information
under the Freedom of Information Act 2000. 

 

Your request has been assigned the following reference number FOI 221-19
and we would be grateful if you could quote this reference number in any
future correspondence relating to your request.

 

We will endeavor to respond to your request at the earliest opportunity
and within the statutory 20 working day time limit, subject to the
following constraints:-

 

The Freedom of Information Act 2000 defines a number of exemptions, which
may prevent the release of the information you have requested.  If any of
the exemption categories apply, the information will not be released to
you and we will advise you accordingly, including your rights of appeal.

 

Further information is also available from the Information Commissioner
at:-

Information Commissioner’s Office

Wycliffe House

Water Lane

Wilmslow

SK9 5AF

 

Telephone: 0303 123 1113

Website: [1]www.ico.org.uk

 

If you require any further information regarding your request please do
not hesitate to contact us.

 

Yours sincerely,

 

FOI Team

Informatics

  

Manchester University NHS Foundation Trust

 Stiltz Building,

Ledson Road,

Wythenshawe Hospital

M23 9GP

 

T: 0161 291 3747

 E: [2][MFT request email]

 

[3]cid:image003.png@01D33B54.1A16CD70

 

[4]www.mft.nhs.uk

 

 

 

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

show quoted sections

Katharine Tylko-Hill

Dear FOI (R0A) Manchester University NHS FT,
Please would you send a response to my request re Outpatient hysteroscopy.

Thank you.

Yours sincerely,

Katharine Tylko-Hill

FOI (R0A) Manchester University NHS FT, Manchester University NHS Foundation Trust

1 Attachment

Dear Ms Tylko-Hill,

 

We are currently processing your request, ref FOI 221-19.

 

Your request is currently with the relevant department for response and is
awaiting approval from a senior member of staff before release.

 

We apologise for the delay in our response and any inconvenience this may
have caused.

 

We endeavour to provide your response at the earliest opportunity.

 

Kind regards,

FOI Team

 

FOI Team

Informatics

 

Manchester University NHS Foundation Trust

First Floor, Stiltz Building,

Ledson Road,

Wythenshawe Hospital

M23 9GP

 

T: 0161 291 3747

E: [1][MFT request email]

 

[2]cid:image003.png@01D33B54.1A16CD70

 [3]www.mft.nhs.uk

 

 

 

show quoted sections

Katharine Tylko-Hill

Dear Manchester University NHS Foundation Trust,

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

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

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

Yours faithfully,

Katharine Tylko-Hill

FOI (R0A) Manchester University NHS FT, Manchester University NHS Foundation Trust

1 Attachment

Dear Ms Tylko-Hill,

 

Many thanks for your email.

 

The Trust will address your concerns and respond accordingly.

 

Please note we are processing your FOI request which is unfortunately
taking longer than initially anticipated and we apologise for the delay
that has occurred.

 

If you have any further questions please do not hesitate to contact us.

 

Kind regards,

FOI Team

 

FOI Team

Informatics

 

Manchester University NHS Foundation Trust

First Floor, Stiltz Building,

Ledson Road,

Wythenshawe Hospital

M23 9GP

 

T: 0161 291 3747

E: [1][MFT request email]

 

[2]cid:image003.png@01D33B54.1A16CD70

 [3]www.mft.nhs.uk

 

 

 

show quoted sections

FOI (R0A) Manchester University NHS FT, Manchester University NHS Foundation Trust

2 Attachments

Dear Ms Tylko-Hill,  

 

Please find attached the response to your recent FOI request.

 

Kind regards,

FOI Team

 

FOI Team

Informatics

 

Manchester University NHS Foundation Trust

First Floor, Stiltz Building,

Ledson Road,

Wythenshawe Hospital

M23 9GP

 

T: 0161 291 3747

E: [1][MFT request email]

 

[2]cid:image003.png@01D33B54.1A16CD70

 [3]www.mft.nhs.uk

 

 

Privacy and Confidentiality Notice: The information contained in this
e-mail is intended for the named recipient(s) only. It may contain
privileged and confidential information. If you are not an intended
recipient, you must not copy, distribute or take any action in reliance on
it. If you have received this e-mail in error, we would be grateful if you
would notify us immediately. Thank you for your assistance.

Please note that e-mails sent or received by our staff may be disclosed
under the Freedom of Information Act (unless exempt).

References

Visible links
1. mailto:[MFT request email]
3. http://www.mft.nhs.uk/

Looking for an EU Authority?

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

AskTheEU.org