Safeguards on private providers of gender affirming surgeries

Michael Thomas made this Freedom of Information request to NHS England

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

The request is waiting for clarification. If you are Michael Thomas, please sign in to send a follow up message.

Dear NHS England,

Media reports suggest that surgeons at St Peter's Andrology Centre have been suspended following carrying out a procedure without patient consent (the incident was in 2016). St Peter's Andrology Centre is the only centre commissioned by NHS England to carry out this type of procedure for trans masculine people, and was very recently recommissioned. Outside the field of gender services, there has also been a high profile case of a breast surgeon repeatedly carrying out unnecessary and inappropriate procedures, affecting several hundred patients, with the inquest afterwards recommending that patients be warned of additional risks from surgeries carried out in private hospitals.

In a previous FOI request dated January 2018 ( https://www.whatdotheyknow.com/request/q... ), you indicated that you undertook no quality monitoring of surgical outcomes for some gender affirming procedures, and had no competency standards for surgeons other than basic standards required to practice as a surgeon in the UK.

I am therefore requesting
I) Details of any quality standards currently in force with regard to outcomes, competency, or basic clinical practice (e.g. consent procedures) in NHS England contracts with private providers of gender affirming procedures.
ii) If no such standards are in force, any planned timescale to introduce such standards
iii) any document considering risk to patients having gender-affirming procedures in private care from 2016-present

Yours faithfully,

Michael Thomas

FOITEAMCRMMAILBOX (NHS ENGLAND & NHS IMPROVEMENT - X24), NHS England

Dear  Michael Thomas ,

Thank you for your communication dated 25 February 2020.

NHS England has assessed your communication as a request under the Freedom
of Information (FOI) Act 2000. As such, please be assured that your
request is being dealt with under the terms of the FOI Act and will be
answered within twenty working days.

For further information regarding the FOI Act, please refer to the
Information Commissioner’s Office (ICO) website. For further information
regarding NHS England and the information it publishes please visit our
website here.

If you have any queries about this request or wish to contact us again,
please email [1][NHS England request email] and the message will be
forwarded appropriately. Please remember to quote the above reference
number in any future communications.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [2][NHS England request email].

Yours sincerely, 

Freedom of Information
Corporate Communications Team
Transformation and Corporate Operations Directorate
NHS England
PO Box 16738
REDDITCH
B97 9PT
Tel: 0300 311 22 33
Email: [3][NHS England request email]

‘High quality care for all, now and for future generations’

 

show quoted sections

FOITEAMCRMMAILBOX (NHS ENGLAND & NHS IMPROVEMENT - X24), NHS England

Dear Michael Thomas,

Re:      Freedom of Information request (Our Ref: FOI-2002-1148642)

Thank you for your Freedom of Information (FOI) request dated 25 February
2020

Your exact request was:-
 

“Media reports suggest that surgeons at St Peter's Andrology Centre have
been suspended following carrying out a procedure without patient consent
(the incident was in 2016). St Peter's Andrology Centre is the only centre
commissioned by NHS England to carry out this type of procedure for trans
masculine people, and was very recently recommissioned. Outside the field
of gender services, there has also been a high profile case of a breast
surgeon repeatedly carrying out unnecessary and inappropriate procedures,
affecting several hundred patients, with the inquest afterwards
recommending that patients be warned of additional risks from surgeries
carried out in private hospitals.

In a previous FOI request dated January 2018 (
https://www.whatdotheyknow.com/request/q...
), you indicated that you undertook no quality monitoring of surgical
outcomes for some gender affirming procedures, and had no competency
standards for surgeons other than basic standards required to practice as
a surgeon in the UK.

I am therefore requesting
I) Details of any quality standards currently in force with regard to
outcomes, competency, or basic clinical practice (e.g. consent procedures)
in NHS England contracts with private providers of gender affirming
procedures.
ii) If no such standards are in force, any planned timescale to introduce
such standards
iii) any document considering risk to patients having gender-affirming
procedures in private care from 2016-present”

 
NHS England may hold recorded information in relation to your request.

However, we are unable to begin processing your request without further
clarification.

Under Section 1(3) of the FOI Act, an authority is not obliged to comply
with an FOI request when it reasonably requires further information in
order to identify and locate the information requested.

In regard to your question iii, we would be grateful if you clarify
whether you are referring to documents: that consider the risk to patients
who are seen at private providers as opposed to, or compared to, the risk
to patients who are seen in NHS providers; or documents that consider the
risk to patients who receive surgery for gender dysphoria regardless of
whether the setting is private or NHS; or that describe something else.

Please be assured we are keen to assist with your enquiry. However, we
cannot guarantee that Section 12 or any other exemptions under the FOI act
will not apply to any further information requested.

Please send your clarified request to [1][NHS England request email] quoting
your reference number as it appears in the subject bar.

Please do not reply to this email. This message has been sent from a
central mailbox. To communicate with NHS England regarding Freedom of
Information (FOI) requests, enquiries or complaints we ask these are sent
directly to NHS England’s customer contact centre. This is to ensure all
communications are progressed correctly. Their postal address, telephone
number and email details are as follows:- PO Box 16738, Redditch, B97 9PT;
0300 3 11 22 33, [2][NHS England request email].

Yours sincerely,

Freedom of Information
Corporate Communications Team
Transformation and Corporate Operations Directorate

NHS England
PO Box 16738
REDDITCH
B97 9PT

Tel: 0300 311 22 33
Email: [NHS England request email]
 

show quoted sections