regional fertility centre joan couhig administration & quality co-ordinator saturday 27...
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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
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Regional Fertility CentreRegional Fertility Centre
Got my first NHS appointment at the Regional Fertility Centre.........
................what happens now?
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The JourneyThe Journey
ReferralFirst ConsultationReview ConsultationHFEA & FormsEligibility for NHS treatment Timeframes Starting Treatment After Treatment Patient Information & RFC website
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Referral Referral
From GP or other hospital clinicReviewed by RFC doctor (sufficient information?)
Trust Main Appointments Dept
Letter Phone Appointment Target – 9 weeks
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RFC Outpatients ClinicRFC Outpatients Clinic
Grove Wellbeing Centre
120 York Road
Belfast
BT15 3HF
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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
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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
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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)
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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
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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
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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
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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
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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)
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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
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Waiting for TreatmentWaiting for Treatment
Name placed on list for
treatment
Treatment planning
appointment
Start treatment
12 months
Start treatment
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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
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Blood screening Blood screening
Both partners20 minute appointmentHIV,Hepatitis B & CFemale BMI check if required
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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
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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
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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
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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
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After TreatmentAfter Treatment
Treatment successful-
Treatment Outcome form ( HFEA) Pregnancy scan appointment ( 5 weeks after
embryo transfer) Pregnancy outcome details ( HFEA)
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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)
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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)
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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
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Patient InformationPatient Information
At Consultation
Specific investigation/treatment info
Treatment Offer & appointment letters
Forms & appointment info
Pre – Treatment Consultation
Specific treatment plan info
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Contacting RFCContacting RFC
NEW phone system
Live from 1st October
028 9063 5888
Option 1 – Administration team
Queuing information system
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Keep us informedKeep us informed
Inform us if you ….
Move house
or
Change your phone number