Regional Fertility CentreRegional Fertility Centre

Joan Couhig

Administration & Quality Co-ordinator

Saturday 27 September 2014

Joan Couhig

Administration & Quality Co-ordinator

Saturday 27 September 2014

Regional Fertility CentreRegional Fertility Centre

Got my first NHS appointment at the Regional Fertility Centre.........

................what happens now?

The JourneyThe Journey

ReferralFirst ConsultationReview ConsultationHFEA & FormsEligibility for NHS treatment Timeframes Starting Treatment After Treatment Patient Information & RFC website

Referral Referral

From GP or other hospital clinicReviewed by RFC doctor (sufficient information?)

Trust Main Appointments Dept

Letter Phone Appointment Target – 9 weeks

RFC Outpatients ClinicRFC Outpatients Clinic

Grove Wellbeing Centre

120 York Road

Belfast

BT15 3HF

First ConsultationRFC Grove Outpatients First ConsultationRFC Grove Outpatients

Both Partners attend

Administration form completed

Address & telephone contact details check

Photographic ID required ( HFEA)

Welfare of the Child questionnaire ( HFEA)

Consultation -history/discussion/investigations

Timeframes for InvestigationsTimeframes for Investigations

Investigations undertaken within RFC:

- Semen analysis - 4 weeks

- Hormone blood tests - 4 weeks

- Testicular biopsy - 4 weeks

Investigations undertaken outside RFC:

- day procedure, X-rays, scans

Review ConsultationRFC Grove Outpatients Review ConsultationRFC Grove Outpatients

When all investigations completed – Investigation results Treatment options Treatment decision/Further

investigations/Discharge

Name placed on list for treatment ( date on list)

HFEAHFEA

The HFEA licence & monitor fertility treatment centres across the UK

Code of Practice – includes guidance/mandatory requirements/legislative regulations

Requirements incorporated into RFC procedures

Welfare of the ChildWelfare of the Child

Must take ‘account ...of the welfare of any child who may be born as a result of the treatment (including the need of that child for supportive parenting), and of any other child who may be affected by the birth

Welfare of the Child questionnaire completed ( both partners) at time of first consultation

Consent to DisclosureConsent to Disclosure

For any patient identifying information to be disclosed to anyone outside the RFC or HFEA, the patient ( both partners) must give consent.

Consent to Disclosure forms are completed prior to commencing treatment

Treatments Provided by RFCTreatments Provided by RFC

NHS funded treatments

Clomid therapy

Ovulation induction

IVF /ICSI

Treatment with donor sperm or eggs

Frozen Embryo Transfer

Criteria for Funded IVF/ICSI Treatment Criteria for Funded IVF/ICSI Treatment

Female under age 40 at time of treatment BMI 35 or less Medical reason for infertility Female patient should have had no more than three

previous unsuccessful treatments (including frozen embryo transfer)

1 IVF/ICSI cycle of treatment plus 1 Frozen embryo transfer

( for patients referred AFTER 1 April 2012)

Private Treatments Provided by RFC

Private Treatments Provided by RFC

IVF

ICSI

Frozen Embryo Transfer

Patients can be on list for NHS funded

treatment while undergoing private treatment

Other services provided– EEVA, Endometrial scratch

Waiting for TreatmentWaiting for Treatment

Name placed on list for

treatment

Treatment planning

appointment

Start treatment

12 months

Start treatment

Organising TreatmentOrganising Treatment

Letter of offer - patients are offered in chronological order

Phone to accept Appointments booked-

Screening blood tests ( if applicable)

Pre-Treatment Consultation fertility nurse Start Treatment

Blood screening Blood screening

Both partners20 minute appointmentHIV,Hepatitis B & CFemale BMI check if required

Pre-Treatment ConsultationPre-Treatment Consultation

Fertility nurse 2 hours Consent & contract forms signed Treatment schedule planned Medication collected Instruction on administering medication Information about the treatment

TimeframeTimeframe

Letter of offer

Phone to accept

Blood screening

Pre-Treatment Consult

Start Treatment

2 weeks

3 weeks

1 – 4 weeks

1-2 weeks

8-12 weeks From letter to Treatment starts

What if the date doesn’t suit us?What if the date doesn’t suit us?

Couple must

be available for 3 months

from next period

Not available? -Don’t accept offer

Can suspend place on list for

up to 3 months

Can’t accept offer?Can’t accept offer?

Unable to accept offer?

eg, pregnant

Congratulations

Patient informed if treatment required in future - new referral

GP informed

After TreatmentAfter Treatment

Treatment successful-

Treatment Outcome form ( HFEA) Pregnancy scan appointment ( 5 weeks after

embryo transfer) Pregnancy outcome details ( HFEA)

After TreatmentAfter Treatment

If treatment is unfortunately unsuccessful- Treatment outcome form (HFEA) Review consultation appointment

-what happened in treatment

-options for further treatment

Timeframe – 12 weeks ( from form received)

Fertility Counselling ServiceFertility Counselling Service

Available to patients before, during & after treatment

Patients can book appointment with counsellor directly

Some treatment options require counselling (HFEA)

Patient InformationPatient Information

RFC Website – Information for patients on:

how to arrange consultation, investigations,

treatments & services

useful information on other websites

Information for clinicians on how to refer patient

www.rfc.hscni.net

Patient InformationPatient Information

At Consultation

Specific investigation/treatment info

Treatment Offer & appointment letters

Forms & appointment info

Pre – Treatment Consultation

Specific treatment plan info

Contacting RFCContacting RFC

NEW phone system

Live from 1st October

028 9063 5888

Option 1 – Administration team

Queuing information system

Keep us informedKeep us informed

Inform us if you ….

Move house

or

Change your phone number