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The CCG have agreed to implement restrictions to a number of clinical services. Of course, nobody within the CCG wants to make these restrictions but  are having to do so in light of extremely challenging financial circumstances.

Gluten free

The CCG is restricting the prescribing of gluten free foods to young people, pregnant women and breastfeeding mothers and stopping prescribing these products altogether to all other adults.  These products are now available in shops and there is a variety of alternatives widely available. Please see more details under further information, point 1.



There are certain groups of patients that would still be able to access IVF:


 Those individuals and couples who commenced IVF prior to the implementation date (to be agreed) will have their care continued as advised at the start of their course of treatment.

 Fertility preservation will be offered to patients undergoing cancer treatments or who have a disease or a condition requiring medical or surgical treatment that has a significant likelihood of making them infertile.

Couples who meet current eligibility criteria in which the male partner has a chronic viral infection where there is high risk of viral transmission to the female partner and potentially any unborn child (such as HIV or Hepatitis C), would also be offered ICSI.


Couples experiencing difficulties in conceiving could still seek medical advice through their GP in the first instance. 


Treshold for elective procedures


All patients being referred for non-urgent elective surgery and who are smokers should be referred to smoking cessation services at the initial referral/assessment/appointment.  Overweight and obese patients should be strongly encouraged to lose weight before their operation.  Failure to attend smoking cessation or weight loss programmes may have an impact on whether individuals can undergo their procedure. 


Vasectomy and female sterilisation


The community vasectomy and female sterilisation services are considered as one of many forms of contraception and are deemed to have no or limited clinical value.  Anyone who wishes to go forward with a private self referral for a vasectomy can contact The Tollgate Clinic on 01206 216990 or contac M Rix's secretary on 01206 753248 at The Oaks.

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