Reference 2017-232

REF:            2017-232

Subject:        Outpatient hysteroscopy/biopsy – Pain Control and Patient Choice




  1. The patient information leaflet/s
  2. The consent form/s

For each of the last 3 financial years:

  1. All audits of OP hysteroscopy adverse events, (including infection, perforation, pain equal to or above 7/10 on VAS)
  2. All surveys of patients’ outpatient hysteroscopy experiences. Are all your patients allowed to complete the satisfaction survey at home? Y/N

iii.        The number of your patients who had a) GA, b) spinal anaesthesia, c) monitored procedural

  1. Sedation, d) local anaesthetic, e) no anaesthetic iv. the % of your a) diagnostic hysteroscopies, b) operative hysteroscopies that were done in outpatients. Did your Trust meet the Best Practice Target % Tariff for each of these years? Y/N
  2. Is local anaesthetic available in all your outpatient hysteroscopy clinics? Y/N
  3. Is Entonox available in all your outpatient hysteroscopy clinics? Y/N
  4. Are all your hysteroscopy patients (including See & Treat/One Stop Shop/Late Cancellations) offered
  5. local anaesthetic? Y/N ii. GA? Y/N

iii. spinal anaesthesia? Y/N

  1. safely monitored

V sedation? Y/N

  1. Do you use electro-surgery in any of your outpatients clinics? Y/N

If so, do you always use the lowest power setting? Y/N

  1. What type and diameter of scopes do you use in
  2. a) outpatients,
  3. b) for GA patients? Rigid, semi-rigid, flexible?
  4. What is the minimum training and accreditation (e.g. RCOG ATSM) that all your NEW hysteroscopists must have?
  5. What % diagnostic outpatient hysteroscopy/biopsy patients had an incomplete procedure which was repeated with epidural, GA or sedation?

Does your Trust have a psychosexual counselling service for PTSD caused by severe procedural pain?




Thank you for your email dated 07 April 2017 where you requested information about Outpatient hysteroscopy/biopsy – Pain Control and Patient Choice


From our preliminary assessment, it is clear that we will not be able to answer your request without further clarification.


We estimate that it will take us in excess of 2.5 working days to determine appropriate material and locate, retrieve and extract the information in reference to your request. Therefore, your request will not be processed further.


Section 12 of the Act makes provision for public authorities to refuse requests for information where the cost of dealing with them would exceed the appropriate limit, which for Bolton NHS Foundation Trust is set at £450. This represents the estimated cost of one person spending 2.5 working days in determining whether the department holds the information, locating, retrieving and extracting the information.



You may wish to refine your request by narrowing its scope by being more specific about what information you particularly wish to obtain, including any dates or period of time relevant to the information required.


If you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Internal review requests should be submitted within two months of the date of receipt of the response to your original letter and should be addressed to: Chief Executive, Bolton NHS Foundation Trust, The Royal Bolton Hospital, Minerva Road, Farnworth, Bolton. BL4 0JR


Please remember to quote the reference number above in any future communications.


If you are not content with the outcome of the internal review, you have the right to apply directly to the Information Commissioner for a decision. The Information Commissioner can be contacted at: Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF.


The information supplied to you continues to be protected by the Copyright Design and Patents Act 1998. You are free to use it for your own purposes, including any non-commercial research you are doing and for the purposes of news reporting. Any other reuse, for example commercial publication requires the permission of the Trust. You must ensure you gain the Trust permission before reproducing any third party information.