Changes to the NHS vasectomy referral process for BOB ICB
We have tried to greatly simplify the referral process for GPs. Find below a link to our most up to date referral form as a Word document. Click here for the current referral form in Word or here for the same form as .pdf.
How can GPs save time referring to TVVS?
Common issues in General Practice
“I did not have the time to take a history” Don’t worry, just attach a printout of the medical history to the referral and we will do the rest. The completion of the referral form questions is appreciated, but not absolutely vital. Our specialist triage nurses will do this work for you
“I only spoke to my patient on the phone and could not examine them”: Dont worry, we will examine them for you. Don’t worry, our doctors will examine your patient for you.
“I am not sure whether or not the patient is suitable, and would like to have a 2nd opinion”: Don’t worry, just refer him to us and we will assess your patient for suitability. However, please let us know your specific concerns in the referral form.
Changes to the referral process in detail
|
Condition |
Now (TVVS) |
Previous (Marie Stopes) |
|
Single Anticoagulant |
Refer to TVVS |
Refer to hospital |
|
Double Antigoagulants |
Wait until patient back on 1 anticoagulant or refer to hospital |
Refer to hospital |
|
Allergy to local anaesthetic |
Point out on referral form, but refer to TVVS |
Refer to hospital |
|
haemophilia, haemoptysis, thalassaemia or Von Willebrand Disease |
Refer to TVVS in first instance for triage. We will talk to the patient and if we cannot carry out the vasectomy we will let you know |
Refer to Hospital |
|
Age < 30 years |
Refer to TVVS – we will put on young patient pathway |
Additional Counselling by GP |
|
Cardiac pacemaker in situ |
Refer, but let us know |
Additional Counselling by GP |
|
Depression or Anxiety |
Refer to TVVS |
Additional Counselling by GP |
|
Scrotal mass under investigation |
Complete investigation, then refer to TVVS with information |
Postpone referral |
|
Current genito-urinary or systemic infection |
Refer to TVVS (we will wait until infection settled) |
Postpone referral |
|
Unstable hypertension |
Refer to TVVS, but get Hypertension sorted out at the same time |
Postpone referral |
|
Unable to isolate the vas |
Refer to TVVS, but let us know on the referral form |
Refer to Urology |
|
Previous scrotal injury |
Refer to TVVS |
Refer to Urology |
|
AIDS / HIV or Hepatitis C |
Refer to TVVS with information on referral form or attached to referral |
Refer to Urology |
|
Large varicocele or large Hydrocele |
Refer to TVVS for assessment |
Refer to Urology |