Dear Greater Glasgow NHS Board,
I am writing to request information under the Freedom of Information Act 2000. In order to assist you with this request, I am outlining my query as specifically as possible.
Could you please tell me the number of women who have been refused IVF treatment through the NHS for reasons including weight or age in the past twelve months (January 2011-February 2012).
Can you specify when this has happened, where, what hospital/ GP surgery, and for what reason.
I would be interested in any information held by your organisation regarding my request. I understand that I do not have to specify particular files or documents and that it is the department's responsibility to provide the information I require. If you need further clarification, please contact me by e-mail.
If my request is denied in whole or in part, I ask that you justify all deletions by reference to specific exemptions of the act. I will also expect you to release all non-exempt material. I reserve the right to appeal your decision to withhold any information or to charge excessive fees. I would be grateful if you could confirm in writing that you have received this request. I look forward to your response within 20 working days, as outlined by the statute.
Dear Ms Evans,
REQUEST FOR INFORMATION 1197A: Acknowledgement
I refer to your request for information below.
We are treating your enquiry under our procedures for responding to
requests for information under the Freedom of Information (Scotland) Act
I am dealing with your request and will endeavour to reply to you within
20 working days or less. Should you have any query about how matters
are proceeding with your request, please make contact with me, quoting
the reference number allocated above in the subject field of any email
Alasdair McNeish | Corporate Administration | Acute Services Division |
NHS Greater Glasgow & Clyde | 0141 201 5379 (X65379)
Dear Ms Evans,
Freedom of Information (Scotland) Act 2002
REQUEST FOR INFORMATION Reference 1197A
Thank you for your request for information as acknowledged below. We are
treating your enquiry under our procedures for responding to requests for
information under the Freedom of Information (Scotland) Act 2002.
In response to your specific question, I must advise you that under the
terms of Section 17 of Freedom of Information (Scotland) Act 2002 this
information is not held by us. We do not collect this information within
the Assisted Conception Unit or at clinic level. Please find attached the
Assisted Conception Services Policy which specifies Access Criteria. For
the avoidance of doubt, this document is headed "Interim" however the
Service have confirmed this is the current policy.
I am advised in this matter by the Clinical Operations Manager for
Gynaecology. She has advised that where a patient does not meet the Access
Criteria they would not be offered IVF which is a tertiary (specialised)
form of treatment. This does not mean that they would not be offered
alternative fertility treatment or advised to come back if they met the
criteria at some point in the future (e.g. regarding their BMI). Fertility
referrals are seen at both General Gynaecology clinics across Greater
Glasgow & Clyde and Infertility clinics within the tertiary centre
(Assisted Conception Services Unit) and will be advised of their
eligibility per the Access Criteria. Frequently at General Gynaecology
Clinics the patient has not been referred in with a fertility problem but
mentions lack of ovulation/fertility issues and queries access to
fertility services but there is no formal mechanism which records this
request and response. We also can not comment on the information which GPs
hold. Our Clinical Director for Obstetrics & Gynaecology has provided
further useful context and advised that in many cases such referrals may
be considered but not actually made (and therefore not refused) if GP's
and/or patients are familiar with the criteria and aware the patient does
not meet them. A similar issue is that rather than "refusal" there will be
patient categories such as overweight patients who are directed to lose
weight before they can be treated. He has explained that in this context
refusal is not the same as deferred treatment. I hope this is useful in
explaining why we are unable to provide a response to your specific
request, beyond provision of the criteria / policy.
In the first instance, should you require any clarification about this
letter please contact me quoting the reference number allocated above in
the subject field of any email correspondence.
If you remain dissatisfied with our response to your request, you have a
right to request a review within 40 working days of receiving this
response. The procedure for consideration of a review is detailed in the
attached note. The note also describes your right to pursue the matter
with the Scottish Information Commissioner if, following a request for
review, you remain dissatisfied with the decision of NHS Greater Glasgow
Corporate Administration Officer
Acute Services Division
Assisted Conception Services Policy
FOI Requirement for Review Procedure
FOI Review Request Form