Christmas Adjournment — House of Commons, 2016-12-20
Topic: Health
Lyn Carol Brown (Labour, Centre-left): I am honoured to follow the hon. Member for Filton and Bradley Stoke (Jack Lopresti). I agreed with much of what he said I am going to speak about three issues that have come up in community casework in my constituency. I have previously raised the issue of how hysteroscopies and uterine biopsies are conducted in the NHS. I have drawn to the attention of the House the serious pain and distress suffered by far too many women, who are not well served by the advice and support—or, frankly, the lack of support and empathy—that they receive from clinicians and the NHS As the House will, I know, be aware, in the hysteroscopy procedure a small camera is passed through the cervix to examine, and often take a sample from, the lining of the womb. Yes, that means cutting out a piece of the lining of the womb. The procedure is useful in the diagnosis of cancer and other womb conditions, as well as to investigate fertility issues and to perform minor operations. For most women, it is a significantly uncomfortable procedure, but for a sizeable number it can be unbearably painful, leading to significant blood loss, loss of consciousness and, in some cases, hospitalisation. Such procedures are usually carried out as outpatient appointments, and often without any kind of anaesthesia The NHS website helpfully says of the procedure: "You may experience some discomfort similar to period cramps while it’s carried out, but it shouldn’t be painful." To say that that advice is misleading is something of an understatement. The problem is that for some women, the procedure is unacceptably painful. Hysteroscopy Action estimates that up to a quarter of UK hysteroscopy patients have reported severe pain. I know that you will agree with me, Mr Deputy Speaker, that it is not acceptable to be led to presume that the worst that can happen is that, as the NHS website says, women will experience some discomfort, given that the reality is very different. All women need to be offered proper anaesthesia at the appropriate moment so that the sizeable minority who experience significant pain can be supported. To do anything else is nothing short of barbaric This is the third time that I have raised this matter in an Adjournment debate, so I have decided not to read out the cases that individuals have mailed to me, trusting that their stories will get action. Today, I ask the Deputy Leader of the House whether he will raise the matter on my behalf with the Department of Health and get a statement from the Department about pain management with hysteroscopy We need better systems to be put in place to ensure appropriate triage, rather than trial and error. More information about what may happen needs to be made available to patients beforehand, accompanied by the support required to ensure that women understand the risks and can make real choices about the best method of treatment for them. It is not acceptable for women to be told by a male doctor that they must have a low pain threshold when they are begging for the procedure to be stopped Given that this is the third time I have raised the issue and that I have received warm and comforting words from Health Ministers in the past, I fail to understand what is preventing such action. Frankly, I wonder whether it is because of money—the cost of an anaesthetic being available to women. I look forward to receiving a written response from the Department of Health. I am not an unreasonable woman, in the main—