Fertility Services – IFR Commissioning Statement

Status

  • This procedure/treatment is not routinely commissioned by the CCG
  • Criteria has been agreed across the Yorkshire and Humber - see Appendix 7 of YH Fertility Policy for further information
  • The CCGs arrangements are in line with the above policy but the CCGs will only fund one full cycle where the eligibility criteria are met.

Eligibility Criteria

Criteria has been agreed across the Yorkshire and Humber - see Appendix 7 of YH Fertility Policy for further information

The CCGs arrangements are in line with the above policy but the CCGs will only fund one full cycle where the eligibility criteria are met.

Lifestyle Factors - Best Practice

Obesity

  • Patients with a BMI >30 should be encouraged by their Clinician to lose weight prior to surgery and signposted to appropriate support to address lifestyle factors that would improve their fitness for surgery and recovery afterwards.
  • There is a clinical balance between risk of surgical complications with obesity and the risk to delaying any surgery.
  • See Weight Management Care Pathways

Smoking

  • In line with 'Healthy Lives, Healthy People; a tobacco control plan for England', local authorities and health professionals are committed to encourage more smokers to quit.
  • Smoking remains the leading cause of preventable morbidity and premature death in England.
  • There is sufficient evidence to suggest that people who smoke have a considerably increased risk of intra- and post-operative complications such as chest infections, lung disorders, wound complications and impaired healing.
  • See Smoking Cessation Care Pathways
Please Note: The life style factors above are not a restriction to the commissioning statements unless otherwise stated

Assurance & Governance

  • This policy was developed on: 05.2017
  • This policy was approved by: Clinical Strategy Group (NK) and Clinical Cabinet (WK)
  • Date approved: 05.2017
  • Publication Date: 05.2017
  • Last Updated: 12.2017
  • Review Date: 04.2018
  • Ref No: IFR26 - 05.2017
Any feedback or suggestions to improve this guidance should be sent to: oscaradmin@this.nhs.uk
Only the electronic version is maintained, once printed this is no longer a controlled document

 

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