FOI 5737 - Bowel preparation for colonoscopy

Date: 12 November 2019 to 11 November 2022

All of the questions refer to colonoscopy procedures performed between 1st January 2018 and 1st January 2019.  Please let me know if any of the questions do not appear clear, I am more than happy to further clarify.  Please note this request relates just to colonoscopies, not sigmoidoscopies. 

  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 January 2018- 1st January 2019? 
  4. What were the number of patients receiving each bowel preparation laxative who had inadequate bowel preparation between 1st January 2018- 1st January 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 January 2018- 1st January 2019, what times were patients advised to consume the bowel preparation for a morning colonoscopy appointment? 
  7. During the period of 1st January 2018- 1st January 2019, what times were patients advised to consume the bowel preparation for an afternoon colonoscopy appointment?
  8. During the period of 1st January 2018- 1st January 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?   
  11. What is the criteria for referral to this pre assessment clinic? 
  12. How many patients are seen in this pre assessment clinic between 1st January 2018- 1st January 2019?
  13. How many colonoscopies did you perform in the last year (1st January 2018- 1st January 2019)
  14. During the period of 1st January 2018- 1st January 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?
  15. How many patients had a morning appointment during the period of 1st January 2018- 1st January 2019?
  16. How many patients who had a morning appointment during the period of 1st January 2018- 1st January2019 had inadequate bowel prep?
  17. How many patients had an afternoon appointment during the period of 1st January 2018- 1st January 2019?
  18. How many patients who had an afternoon appointment during the period of 1st January 2018- 1st January 2019 had inadequate bowel prep? 
  19. How many patients had an evening appointment during the period of 1st January 2018- 1st January 2019?
  20. How many patients who had an evening appointment during the period of 1st January 2018- 1st January 2019 had inadequate bowel prep? 
  21. If a patient has a repeat colonoscopy due to inadequate bowel preparation, do you have a specific bowel preparation regime for those patients? 

 

  • Request ID:
    FOI 5737
  • Category:
    Trust - Service Data
  • Response:

    November 2019

    All of the questions refer to colonoscopy procedures performed between 1st January 2018 and 1st January 2019.  Please let me know if any of the questions do not appear clear, I am more than happy to further clarify.  Please note this request relates just to colonoscopies, not sigmoidoscopies. 

    1. What is the first line bowel preparation laxative that is offered to patients undergoing colonoscopy?  Moviprep
    2. Do you offer any alternative bowel preparation laxatives for patients undergoing colonoscopy?  Picolax or a modified prep on the advice of the clinician i.e. Moviprep with Senna
    3. How many patients received each bowel preparation laxative between 1st January 2018- 1st January 2019?  **Please see below
    4. What were the number of patients receiving each bowel preparation laxative who had inadequate bowel preparation between 1st January 2018- 1st January 2019?  **Please see below
    5. Are patients undergoing colonoscopy advised to take the bowel preparation at a single time or split over two different times? The times of the bowel prep depend on the time of the scheduled procedure.
    6. During the period of 1st January 2018- 1st January 2019, what times were patients advised to consume the bowel preparation for a morning colonoscopy appointment?  5pm and 8-9pm the day before the procedure
    7. During the period of 1st January 2018- 1st January 2019, what times were patients advised to consume the bowel preparation for an afternoon colonoscopy appointment? 7pm the evening before and 6am the morning of
    8. During the period of 1st January 2018- 1st January 2019, what times were patients advised to consume the bowel preparation for an evening colonoscopy appointment?  The Trust only offer morning and afternoon TCI’s, patients are not booked past a TCI time of 15.30
    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? All patients referred for Endoscopy are sent a procedure information leaflet, including a low fibre diet in which they must complete for 2 days prior to their bowel preparation starting, they are requested to withhold food from a specific point dependent on AM/PM TCI.
    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?   Patients who require a pre-assessment due to anticoagulation are referred to an Endoscopy Nurse Led pre-assessment, the nurse conducting the appointment explains the information to the patient and also answers any additional questions the patient may have
    11. What is the criteria for referral to this pre assessment clinic?  Colonoscopy patients on Warfarin, therapeutic Endoscopy on anticoagulation that cannot be stopped, patients on Anticoagulants with ICD in situ, patients identified as high risk due to anticoagulation indicated by the referring physician
    12. How many patients are seen in this pre assessment clinic between 1st January 2018- 1st January 2019? **Please see below
    13. How many colonoscopies did you perform in the last year (1st January 2018- 1st January 2019) - 2840 Colonoscopies
    14. During the period of 1st January 2018- 1st January 2019:
      • How many patients were documented as having excellent bowel preparation? **Please see below
      • What was the polyp detection rate in patient with excellent bowel preparation? **Please see below
      • How many patients were documented as having good bowel preparation? **Please see below
      • What was the polyp detection rate in patient with good bowel preparation? **Please see below
      • How many patients were documented as having fair bowel preparation? **Please see below
      • What was the polyp detection rate in patient with fair bowel preparation? **Please see below
      • How many patients were documented as having inadequate bowel preparation? **Please see below
      • What was the polyp detection rate in patient with inadequate bowel preparation? **Please see below
    15. How many patients had a morning appointment during the period of 1st January 2018- 1st January 2019? 1277 Morning Appointments (00:00-11:59)
    16. How many patients who had a morning appointment during the period of 1st January 2018- 1st January2019 had inadequate bowel prep? **Please see below
    17. How many patients had an afternoon appointment during the period of 1st January 2018- 1st January 2019? 1561 Afternoon Appointments (12:00-17:59)
    18. How many patients who had an afternoon appointment during the period of 1st January 2018- 1st January 2019 had inadequate bowel prep?  **Please see below
    19. How many patients had an evening appointment during the period of 1st January 2018- 1st January 2019? 2 Evening Appointments (18:00-23:59)
    20. How many patients who had an evening appointment during the period of 1st January 2018- 1st January 2019 had inadequate bowel prep?  **Please see below
    21. If a patient has a repeat colonoscopy due to inadequate bowel preparation, do you have a specific bowel preparation regime for those patients?  **Please see below

     **Medway NHS Foundation Trust regret that we are not able to answer all of your queries because the data is not recorded separately, or on a system we are able to produce a report from.  In order to produce this data we will need to manually review and extract from each Colonoscopy report and patient medical case notes and this will take us beyond the 18 hour limit.  Under Section 12(1) of the Freedom of Information Act 2000, we are unable to comply with your request as the cost of responding would exceed the limit of £450 for NHS bodies.  The £450 limit is reached by using a standard charge-out rate of £25 an hour, which equates to 18 hours’ work. 

    Under Section 16, I have considered ways in which your request might be narrowed or limited in order to reduce the cost of complying with it.  However, due to the way in which the information is held I do not consider that the Trust  would be able to provide the information without exceeding the cost limit.