Hysteroscopy Pathways - FOI Response Register

HYSTEROSCOPY INPATIENT AND OUTPATIENT PATHWAYS

1. Does your Trust currently have both an inpatient (day-case) pathway and an outpatient pathway for hysteroscopy?

No, just inpatient

2. Currently, roughly what percentage of your Trust's hysteroscopies are done with an anaesthetist

1. diagnostic?

 100%

2. operative (e.g. polypectomy, myomectomy, endometrial ablation)?

100%

3. What is the current approximate waiting time in weeks for a patient who asks for a general anaesthetic, spinal anaesthetic or IV sedation with analgesia for hysteroscopy

1. under the 2 week wait as an urgent referral for suspected womb cancer?

 Within 2 weeks

2. not under the 2 week wait?

6 weeks

4. Has your Trust adopted, or is your Trust adopting the NHS Getting It Right First Time (Maternity & Gynaecology Report) targets of

a) 90% diagnostic hysteroscopies to be done in outpatients?

b) 50% operative hysteroscopies to be done in outpatients?

No

5. May I have a copy of the full range of pain scores obtained by your Trust in the BSGE 2019 outpatient hysteroscopy benchmarking survey?

n/a

6. Is entonox or penthrox routinely available to all your outpatient hysteroscopy patients?

n/a

7. Are local anaesthetic paracervical blocks routinely available in outpatients?

n/a

8. Please may I see any audits of hysteroscopic procedures during the last 5 years?

None available. Service previously provided in NHS Grampian. New service set up during

the pandemic. (2020)

9. Are pain scores taken at all your outpatient hysteroscopy clinics?

n/a

10. Does your Trust have a Procedural Sedation Analgesia clinic for 'minor gynae' including hysteroscopy?

n/a