Commons Sense

House of Commons · Westminster Hall

NHS Hysteroscopy Treatment — [Sir Mark Hendrick in the Chair]

31 January 2023 · 5 other contributors · 9,993 words

Opened by Lyn Brown Lab West Ham

Responding minister: Maria Caulfield

NHS

Summarised by AI from the official record, so it can contain mistakes.

At a glance

Lyn Brown raised concerns about nhs hysteroscopy treatment — [sir mark hendrick in the chair] in Westminster Hall. A government minister responded.

Key points

  • Lyn Brown expressed concerns over unnecessary pain and trauma experienced by women during hysteroscopy procedures without adequate pain relief.
  • Lyn Brown called on the Minister to engage personally with the issue and ensure independent oversight and accurate data collection on pain during hysteroscopies.
  • The Minister acknowledged the pain suffered by women and committed to meeting with patient groups and updating NHS information provision to address hysteroscopy concerns.

Key requests to Government

Lyn Brown urges the Minister to engage personally with this issue, ensure accurate data collection on pain during hysteroscopies, and provide independent oversight. She requests that the Minister emphasize the importance of offering women a choice of anaesthetic as part of the consent process from the outset.

How the debate unfolded

MPs spoke in turn to share their views and ask questions. Here's what each person said.

Opened the debate

Lyn Brown Lab West Ham

Lyn Brown is concerned about the unnecessary pain and trauma women experience during hysteroscopies without proper pain relief. She cites specific incidents where patients endured excruciating pain, fell due to dizziness and broken bones, vomited after procedures, experienced severe bleeding, and faced lasting nerve damage. She also highlights that these experiences lead to a lack of trust in the NHS and discourage women from seeking necessary medical procedures.

Other contributors (5)
  • Barbara Keeley Lab Worsley and Eccles South

    I am appalled by the situation where NHS patients are not offered general anaesthesia for hysteroscopy procedures, unlike in private hospitals. A constituent was told local anaesthesia could be given if necessary but was advised against a general anaesthetic despite similar cases being treated differently in private settings. Emphasised the issue based on a constituent's experience, questioning why hysteroscopy is conducted without anaesthetic when other medical procedures cannot be performed under such conditions.

  • Feryal Clark Lab Enfield North

    Ms Clark highlighted the traumatic experiences women undergo during hysteroscopy procedures, stressing that nearly 90% of women surveyed were traumatised by severe pain. She called for improved patient information and access to proper pain relief options before undergoing such critical diagnostic procedures.

  • Jackie Doyle-Price Con Thurrock

    The hon. Member for Thurrock agrees that there is a massive lack of information and different practices between private and public health sectors. She shares an anecdote where a friend was offered general anaesthesia in a London hospital, while the NHS often forces women to undergo painful procedures without proper care. Expressed frustration over the ongoing discussion about hysteroscopy procedures and emphasized the importance of informed consent. Noted that while some women experience less pain, a third face severe discomfort, which is not properly explained to them. Highlighted parallels with mesh implant cases where risks were not adequately communicated. Called for proper protocols and well-understood guidelines regarding pain relief and patient engagement before hysteroscopy procedures. Ms Doyle-Price intervened to highlight the urgency and desperation faced by women seeking medical care during critical times such as when they want to have a child, suggesting that the reported pain levels may be just the tip of the iceberg.

  • Jim Shannon DUP Strangford

    Supporting the debate, Jim Shannon highlighted that many women have experienced issues with hysteroscopy procedures. He noted that 70% of women who underwent hysteroscopies in English NHS hospitals reported extreme pain afterwards. Emphasising his personal connection to the issue, he shared his wife's experience and stressed the importance of ensuring effective pain relief and patient consent.

  • Rachael Maskell Lab Co-op York Central

    Ms Maskell shared a powerful story about her constituent Jan, who experienced severe pain during a hysteroscopy procedure and was not informed of other anaesthesia options. She argued that women's voices are not being heard in healthcare, leading to significant suffering and lack of proper consent. I am grateful for the Minister's response. Will she include women from ethnic minority groups? Their experience of the health system is very different, so it is really important that their voices are heard in this discussion.

Government Response

Maria Caulfield

Acknowledged the pain suffered by women during hysteroscopy procedures, highlighted progress on tariff issues, committed to meeting with patient groups, and discussed plans for better information provision through NHS website updates and women's health hubs. Mentioned a roundtable chaired by Professor Dame Lesley Regan and the Patient Safety Commissioner to address hysteroscopies.

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