The North Tees NHS Hospital Trust has issued a formal apology and paid £400 in compensation to Dawn Lord, 52, after she experienced a traumatic, unmedicated gynecological procedure at the University of Hartlepool Hospital in May 2023. Ms. Lord, who underwent an unplanned hysteroscopy without adequate explanation or pain relief, has since launched a campaign for patient rights, supported by local MP Jonathan Brash and national health officials.
How Informed Consent Standards Are Changing
Informed consent is not a “box-ticking exercise,” according to Hartlepool MP Jonathan Brash. Following Ms. Lord’s experience, Mr. Brash escalated the issue to government ministers and the Care Quality Commission to demand systemic improvements. The current standard requires that patients be fully briefed on procedures, including the availability of local or general anesthesia, before any physical examination begins.

Baroness Gillian Meron, Parliamentary Under-Secretary of State at the Department of Health and Social Care, confirmed in a letter that failing to provide pain relief or informed consent is “unacceptable.” The government mandate now emphasizes that healthcare professionals must allow patients to request that a procedure be stopped at any time if they find it too painful.
“I was shouting over and over again. Eventually, I was given the gas and air, and I could hear my guttural scream in my head. That scream stayed in my head for months afterwards,” said Dawn Lord regarding her procedure.
Why Patient Advocacy Groups Are Growing
In response to her experience, Ms. Lord established the “Hysteroscopy Trauma” Facebook group. The group provides resources for women to take to medical appointments, ensuring they can advocate for their own comfort and clarity. This shift reflects a broader trend toward patient-led oversight, where individuals use digital communities to share “know-your-rights” templates that force institutional transparency.
While the North Tees NHS Hospital Trust acknowledged it did not meet “the high standard of care” they strive to provide, the incident highlights a gap between official policy and bedside practice. The Trust stated that Ms. Lord’s case has provided an opportunity to “identify learning and make improvements” to their internal protocols.
Pro Tip: If you are scheduled for a medical procedure, you have the right to ask for a full explanation of what will happen, the risks involved, and the specific pain management options available before you sign any consent forms.
Future Trends in Gynecological Care
The medical sector is moving toward a model of “shared decision-making,” as outlined by the Department of Health and Social Care. Future trends suggest that hospitals will increasingly utilize pre-procedure checklists that require both the clinician and the patient to document the discussion of pain relief. This is intended to move away from the “quiet patient” culture that Ms. Lord identified as a primary barrier to receiving adequate care.

Frequently Asked Questions
What is informed consent in a medical setting?
Informed consent means a patient has been fully informed about the risks, benefits, and alternatives of a procedure, including pain relief options, and has agreed to the treatment without coercion.
What should I do if I feel a procedure is too painful?
According to current guidance from the Department of Health and Social Care, you have the right to ask for a procedure to be stopped at any time if it becomes too painful.
Can I bring a support person to a procedure?
Policies vary by hospital, but patients are encouraged to check with their local trust about bringing a chaperone or support person to help navigate stressful or invasive examinations.
Have you or a loved one experienced challenges with informed consent during medical procedures? Share your thoughts in the comments below or subscribe to our newsletter for updates on patient rights legislation.
