REMEDY : BNSSG referral pathways

Female Genitalia Surgery

Checked: 01-10-2018 by Rob.Adams Next Review: 01-10-2019

Overview

Female Genetalia Surgery is not routinely available and is subject to the Female Genetalia Surgery Individual Funding Policy. Funding will only be given in exceptional circumstances and requires approval by the individual funding panel.

This applies to requests for:

  • Labiaplasty
  • Vaginoplasty
  • Hymenorrhaphy
  • Episiotomy scar revision (see section below for exceptions)

Please note the CCG will not approve funding for patients below 18 years of age and all requests for funding, where appropriate, will be shared with the designated CCG Safeguarding Lead.

Surgery following childbirth

The policy above also states:

'Immediate vaginal repair following delivery or revisions post childbirth where there is evidence of pain or discomfort is routinely commissioned as part of obstetric care and therefore not part of this policy.'

In these cases funding is not required and patients can be referred as long as this is within 1 year of delivery. After this time the Female Genetalia Surgery Policy will apply.

Referral for women post childbirth

Local clinicians have advised that women who need an opinion on pain or discomfort relating to tears or episiotomies following childbirth can be referred as below to the centre where they delivered or had antenatal care:

St Michaels

For women who have delivered within the previous 12 weeks referral is to the obstetric service. This is now available via eRS as a RAS. If more immediate review is required the please refer to the emergency gynaecology clinic (via on call team).

For women over 12 weeks and under 1 year following delivery - referral should be to gynaecology via eRS (prior approval not required).

 

Southmead

For women who have delivered within the previous 6 weeks referral is to the obstetric service via the on call obstetrics registrar (not available on eRS)

For women over 6 weeks and under 1 year following delivery - referral should be to gynaecology via eRS (prior approval not required) or if urgent review required then refer to the emergency gynae clinic via the gynae on call team.