To be totally fed up with the sorry excuse that is the NHS?

if it's not an anaesthetist delivered service then there won't be GA or spinal as an option. Local in that case is usually into the cervix. It might be best to give them a call and clarify exactly what they offer (? is entonox an option too). If you're currently living 50 miles away from the place you're having it done (is that what you meant in your OP?) then having a day case GA or spinal procedure is very unlikely to be an option - it would need to be done either closer to home or as an overnight stay.

They wouldn't give a spinal block in a health centre as again it would need an anaesthetist to administer and monitor. For hysteroscopy it is usually injected into the cervix and sometimes into the uterus depending on what needs to be done.

You can have them done under general anaesthetic or spinal but the waiting lists are longer.

Being a woman really sucks, sorry you are going through this!

If the NHS doesn’t exist any more, who or what has provided for my best friend since December:
GP appointment, out of hours GP appointment, X ray, CT scan, MRI scan, another MRI scan, 3 or 4 appointments with consultants in Respiratory clinic, liver biopsy, overnight stay in hospital, PET scan, 3 appointments with consultants in Haemotology, 4 or 5 appointments with a consultant oncologist who is a specialist in his field, one round of chemo, many phone calls with specialist oncology nurses, 7 nights in hospital following her chemo, fortnightly GP consultations since early December re pain management. Many many blood tests including one very specialised…Drugs including the chemo and many others, all free of charge…aids delivered to her house, care needs assessments, carers 3 times a day since coming out of hospital, provided for up to 6 weeks free of charge.
??
She sure didn’t pay for it.

Just wanted to say that I've had minor gynae procedures carried out under a general several times. Usually it would have been carried out with with a local however, due to personal reasons I wouldn't have managed this. You are entitled to request a general and you should do if you feel that is right for you. They might try and convince you not to despite not being meant to do that, but just stick by it. It is your body so you know what is right for you. Good luck with your procedure and hope all goes well!

Yes we should get an insurance model. It’s completely not fit for purpose. Go the European way

Had one earlier this year, under GA, did an infusion in the back of my hand and a face mask of gas, completely out.
NHS did advise that it would be longer wait, but was only 1 week longer. Felt some disapproval when rejected "2 paracetamol" option, but just rode it out.
Was home as day case.

I had a hysteroscopy done under general anaesthetic through the NHS fairly recently. I would push for that.

I think the funding of the NHS needs an overhaul but I do think some parts of it work. I'm currently receiving cancer treatment and the care I've had has been exceptional. I really can't fault it.

Yes sorry you're quite right. Serves me right for trying to do three things at once. But to the OP's concern, do you agree ahe doesn't need to worry that not being able to have a spinal doesn't mean she can't have a general anaesthetic?

spinals and epidurals are very different techniques.

General anaesthesia are done via a cannula in the back of your hand. Or sometimes initially via a gas mask until you're asleep.

Spinals are for epidurals.

i would have thought the GP would make the transfer
otherwise the hospital would be charged

The NHS is a shitshow that needs total reform instead of endless wasted millions thrown at it. But, until a government does that, it will continue to be less than good. 🙄

The NHS doesn’t exist anymore.

its pure luck if you access treatment.

it needs a complete overhaul. Transformational change.

anaesthetist pov - a general anaesthetic is where you are unconscious. During a spinal block you remain awake but numb to the pain. Both are options for hysteroscopy where simple analgesia/cervical local are not ideal, but the relative pros and cons depend on the individual patient's medical history. Epidural would be a most unusual choice for a hysteroscopy.

Moving and being out of area does make things far more complicated (even though it really shouldn’t). When can you move all the services to your new area.
What makes you think a GA for your hysteroscopy would be a spinal? That indicates it would be an epidural not a GA. I had a hysteroscopy last year and made it clear from the start that I would only have it under general. No way was I willing to try it without. We are entitled to this under NICE guidelines so quote those to them. They have to honour this (though you may wait longer)

Sounds awful op but I’d push for a general anaesthetic as pp says, although ik it might not be easy.

I was in a similar situation last year but it was my arse causing lots of problems. In the end I paid for private consultations and treatment (I don't have insurance) as I was so desperate and in so much pain and missing months of work (self employed). Everything got so much worse because I was mishandled and misdiagnosed due to delays with the NHS. It's a joke. I'm just glad I have enough savings, but I actually told the surgeon I would remortgage my house just to make the pain go away.

I agree that the NHS has sacred cow status but,I tend to find that in my personal experience those who find most fault are those who can opt for private for at least part of a course of care. Those who have no such option are less quick to criticise. Also I had a friend who had private health care who was incredibly snobby about using the NHS until her grand child was born at 26 weeks gestation and needed the highest level of NICU care. Suddenly the NHS was wonderful. It was a bit awkward for her to admit that her private health insurance didn't cover everything.

I think part of the problem your having is that you moved. While I'd love to think the NHS is fully connected it just isn't. I had to be seen at 4 different hospitals for different reasons. Only 2 are technically in my area which seems to make communication with my GP very difficult. GP couldn't see results from one hospital as not in same area. The smoothest care I've had has been with the two hospitals in my area and with them everything has actually been fine. Also the one outside area who deals with the issue I have, that no in area hospital deals with has also been OK, but then my GP doesn't need to coordinate anything with them, I just deal directly with them.

Things are just not very joined up and they all use different computer systems as well so how I get results are totally different. Why we have such a misjointed system in this day and age is anyone's guess. But it does seem to make some things very difficult to deal with.

I am 100% in agreement with you @Carlie97Also your iron infusion should make a difference within 2-3 days. I have had many (not in UK)
Keep taking iron tablets with vitamin c as if you are bleeding you will need to keep your iron up.