Q1. What is the first line bowel preparation laxative that is offered to patients undergoing colonoscopy?
A. Moviprep
Q2. Do you offer any alternative bowel preparation laxatives for patients undergoing colonoscopy?
A. Kleanprep
Q3. How many patients received each bowel preparation laxative between 1st January 2018- 1st January 2019?
A. 5745
Q4. What were the number of patients receiving each bowel preparation laxative who had inadequate bowel preparation between 1st January 2018- 1st January 2019?
A. 391
Q5. Are patients undergoing colonoscopy advised to take the bowel preparation at a single time or split over two different times?
A. Moviprep is split into 2 different times
Q6. 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?
A. 5pm and 8-9pm
Q7. 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?
A. 7pm and 6am
Q8. 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?
A. N/A
Q9. 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?
A. Low fibre for 1 week prior to procedure
Q10. 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?
A. Yes
Q11. What is the criteria for referral to this pre assessment clinic?
A. Validation patients only. 2 week referrals and patients on the surveillance list
Q12. How many patients are seen in this pre assessment clinic between 1st January 2018- 1st January 2019?
A. Pre-assessment commenced January 2019 No clinic prior to 1st January 2019
Q13. How many colonoscopies did you perform in the last year (1st January 2018- 1st January 2019)
A. 5775 – Please be advised that patients can have more than one procedure and so the number of procedures performed is often more than the number of patients.
Q14. During the period of 1st January 2018- 1st January 2019:
- How many patients were documented as having excellent bowel preparation? - A) 0
- What was the polyp detection rate in patient with excellent bowel preparation? - A) N/A – No patients had excellent bowel preparation
- How many patients were documented as having good bowel preparation? - A) 3118
- What was the polyp detection rate in patient with good bowel preparation? - A) Please see below
- How many patients were documented as having fair bowel preparation? - A) 2266
- What was the polyp detection rate in patient with fair bowel preparation? - A) Please see below
- How many patients were documented as having inadequate bowel preparation? – A)361
- What was the polyp detection rate in patient with inadequate bowel preparation? A) Please see below
The data extracted from the software does not provide the polyp detection rate in patients by bowel preparation. To obtain this would require a manual search of all patient records which would take longer than 18 hours as stipulated under Section 12 of the Freedom of Information Act. Accordingly, we are unable to answer this part of Question 14.
Q15.
· How many patients had a morning appointment during the period of 1st January 2018- 1st January 2019? – A) 3004
· How many patients who had a morning appointment during the period of 1st January 2018- 1st January2019 had inadequate bowel prep? A) Please see below
· How many patients had an afternoon appointment during the period of 1st January 2018- 1st January 2019? – A) 2707
· How many patients who had an afternoon appointment during the period of 1st January 2018- 1st January 2019 had inadequate bowel prep? A) Please see below
· How many patients had an evening appointment during the period of 1st January 2018- 1st January 2019? – A) Less than 5
· How many patients who had an evening appointment during the period of 1st January 2018- 1st January 2019 had inadequate bowel prep? A) Please see below
· 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?
A) We do not have a specific bowel preparation regime for these patients as it depends on many factors including:
· What bowel preparation they had on the first procedure that didn’t work.
· Had the patient followed the instructions correctly with taking the prep or diet.
· Patients current medical issues e.g. chronic kidney disease.
· Do they suffer from chronic constipation.
· What other combination of bowel could be tried for this patient for the second procedure.
· Does the patient require bowel prep as an inpatient.
Question 15 excludes the number of patients that cancelled or DNA. Please note that we are unable to provide the data for categories where there are less than 5 individuals involved in the question, as the disclosure of data could lead to an individual being identified or personal data being disclosed in breach of the Data Protection Act.
The data extracted from the software only gives summary numbers by bowel preparation and does not give details on the time of day that the patient was booked in for their procedure. To obtain this would require a manual search of all patient records which would take longer than 18 hours as stipulated under Section 12 of the Freedom of Information Act. Accordingly, we are unable to answer this part of Question 15.