Sterilisation Male and Female

 

Sterilisation Male & Female
Proposal
Basildon and Brentwood CCG is proposing to stop all male and female sterilisation. For males this comprises of both conventional and no-scalpel vasectomy and for females this relates to blocking or sealing of fallopian tubes.
Rationale for change:
Since 1 April 2013, local authorities have had the responsibility for ensuring the commissioning and delivery of all community and pharmacy contraceptive services (apart from services provided by GPs).

The Local Authorities (Public Health Functions and Entry to Premises by Local Healthwatch Representatives) Regulations 2013 (HM Government 2013) states that services should include advice on, and reasonable access to, a broad range of contraceptive substances and appliances as well as advice on preventing unintended pregnancy. When the regulations mention 'contraception' they are referring to both regular and emergency contraception.

Local Authorities are also responsible for: sexual health promotion, sexual health education and training for staff in community services, human immunodeficiency virus (HIV) prevention, testing and treating sexually transmitted infections (STIs) and partner notification.

The vasectomy and female sterilisation services are considered to be one of many forms of contraception and are deemed to have no or limited clinical value.

Impact:
As there are numerous methods of contraception available locally (both free and paid for) and with the clinical rationale deeming sterilisation to have no or limited clinical value the CCG believes this to be an appropriate restriction that would have minimal impact on both male and female patients.

For further information:

Download the Service Restriction Policy Review document here

Download the Equality Impact Assessment - restricting male sterilisation document here

Download the Equality Impact Assessment - stopping female sterilisation document

See our information on Have your say on the Service Restriction Policy Review

Download our current Service Restriction Policy here

Find more information on existing local services at http://www.nhs.uk/service-search