FOI Request
- Disclosure ID
- FOI/03329
- Request Date
- September 24, 2019
- Subject
- Bowel Preparation For Colonoscopy
- Description
1). What is the first line bowel preparation laxative that is offered to patients undergoing colonoscopy?
2). Do you offer any alternative bowel preparation laxatives for patients undergoing colonoscopy?
3). How many patients received each bowel preparation laxative between 1st april 2018- 1st april 2019?
4). What were the number of patients receiving each bowel preparation laxative who had inadequate bowel preparation between 1st april 2018- 1st april 2019?
5). Are patients undergoing colonoscopy advised to take the bowel preparation at a single time or split over two different times?
6). During the period of 1st april 2018- 1st april 2019, what times were patients advised to consume the bowel preparation for a morning colonoscopy appointment?
7). During the period of 1st april 2018- 1st april 2019, what times were patients advised to consume the bowel preparation for an afternoon colonoscopy appointment?
8). During the period of 1st april 2018- 1st april 2019, what times were patients advised to consume the bowel preparation for an evening colonoscopy appointment?
9). Are patient’s advised to consume a particular diet prior to their colonoscopy? If so what diet are they advised to consume? How many days are they advised to consume it for?
10). Do any of your patients attend a specific pre assessment clinic after they are referred for colonoscopy, but before they attend on the day of their endoscopy to receive more detailed endoscopy information? What is the criteria for referral to this pre assessment clinic?
11). How many patients are seen in this pre assessment clinic between 1st april 2018- 1st april 2019
12). How many colonoscopies did you perform in the last year (1st april 2018- 1st april 2019
13). During the period of 1st april 2018- 1st april 2019:
- How many patients were documented as having excellent bowel preparation?
- What was the polyp detection rate in patient with excellent bowel preparation?
- How many patients were documented as having good bowel preparation?
- What was the polyp detection rate in patient with good bowel preparation?
- How many patients were documented as having fair bowel preparation?
- What was the polyp detection rate in patient with fair bowel preparation?
- How many patients were documented as having inadequate bowel preparation?
- What was the polyp detection rate in patient with inadequate bowel preparation?
14). How many patients had a morning appointment during the period of 1st april 2018- 1st april 2019?
How many patients who had a morning appointment during the period of 1st april 2018- 1st april 2019 had inadequate bowel prep?
How many patients had an afternoon appointment during the period of 1st april 2018- 1st april 2019?
How many patients who had an afternoon appointment during the period of 1st april 2018- 1st april 2019 had inadequate bowel prep?
How many patients had an evening appointment during the period of 1st april 2018- 1st april 2019?
How many patients who had an evening appointment during the period of 1st april 2018- 1st april 2019 had inadequate bowel prep?
15). If a patient has a repeat colonoscopy due to inadequate bowel preparation, do you have a specific bowel preparation regime for those patients? If so what is it?
- Response
1). Moviprep
2). Yes – Picolax or Kleen Prep
3). Between 1st april 2018 – 1st april 2019,
there were 12221 patients would have received bowel preparation laxative. To provide further detail identifying each product would require a manual trawl of patient case notes which would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
4). We do not routinely record this information, to retrieve it would require a manual trawl of patient case notes which would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
5). Please see accompanying patient information leaflets.
6). Please see accompanying patient information leaflets.
7). Please see accompanying patient information leaflets.
8). Please see accompanying patient information leaflets.
9). Please see accompanying patient information leaflets.
10). No
11). N/A
12). During the period 1st april 2018 – 1st april 2019 3846 colonoscopies non-screening programme and 507 colonoscopies on the screening programme were performed at our Trust.
13). We do not routinely record this information, to retrieve it would require a manual trawl of patient case notes which would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
14). We do not routinely record this information to the level of detail requested, to retrieve it would require a manual trawl of patient case notes which would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
We do not record the level of bowel prep in an easily accessible form, to retrieve it would require a manual trawl of patient case notes which would exceed 18 hours. This information is therefore exempt on the grounds of cost (Section 12(1)).
At our Trust we do not hold Evening Colonoscopy appointments.
15). It is dependent on the patient and the comorbidities. This will be an individualised assessment with a consultant gastroenterologist. Alternative choices are kleen prep and picolax.