Referral to Secondary Care

The CCG commissions vasectomy services under local anaesthetic in primary care or through Marie Stopes.

Vasectomy under General Anaesthetic (GA)

NHS Scarborough & Ryedale and Vale of York CCGs do commission vasectomies under General Anaesthetic in secondary care only in the following circumstances:

• Previous documented adverse reaction to LA
• Scarring or deformity from previous scrotal surgery or trauma that makes vasectomy under LA difficult to achieve
• History of coagulation disorder, inguinal scrotal hernia or cryptorchidism
• Large varicocele or hydrocele
• Where patients have previously had vasectomy on the NHS, have subsequently had a reversal of vasectomy (privately or on the NHS) and again wish to undergo vasectomy

Please clearly detail which of these your patient has in order for them to have a secondary care procedure.

Fear of the procedure, or patient choice are not adequate reasons for requesting vasectomy under GA, unless supporting mitigating factors are submitted to the IFR panel by the requesting clinician.

The Vale of York CCG decided (December 2018) that sterilisation should be excluded from the health optimisation policy. The CCG will allow surgeons to consider with patients, risks and benefits of sterilisation procedures where their BMI>30. The Haxby Vasectomy Service are aware of and supportive of this change.

Current Providers of Vasectomy Services:

Haxby Group Practice provide vasectomy services under LA for Vale of York CCG patients. Information on this service can be found here.
To refer: please send the following signed proforma directly to Haxby Group Practice and not through the RSS. They will be contacted directly by the practice with an appointment. The estimated wait time at Haxby Group Practice is 8 – 10 months

Marie Stopes International (MSI) provides vasectomy services in Leeds and Wakefield for Vale of York CCG patients. Click here for more information. Click here for more information. Below is a link to the patient information page and a pdf booklet.
To refer: please send the following signed proforma via the RSS. They will be contacted directly by the service with an appointment.

MSI SystmOne Referral form
MSI EMIS Referral form

Marie Stopes do not have a BMI limit but they do have weight limits for their couches. In Leeds the limit is 25 stone and in Wakefield the limit is 20 stone. The decision to undertake any operation is that of the surgeon on the day. The current estimated wait time is approximately 9 months

Patient Information Letters

To submit an application to the CCG's Individual Funding Request Panel, please click here for further information.

Please click here to view the full Vasectomy Commissioning Statement.  

Policy date: August 2019	Next review date: August 2021
©NHS Vale of York Clinical Commissioning Group

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