Specialised Services

Policies on fertility and obesity are a CCG responsibility.

For advice on gender dysphoria, please visit the NHS England website to find out more about referral for gender reassignment.

The majority of ineligible patients should not be referred and adherence to this policy is predominantly the responsibility of the referring clinician.

In a minority of cases it is recognised that a specialist opinion is needed before eligibility can be determined. In these cases it is the responsibility of the receiving clinician to ensure that threshold policies are adhered to and that referring clinicians are informed that they must receive the ineligible patient back into their care.

Patients who do not meet the criteria for treatment may be considered by the Individual Funding Request panel if there  are exceptional circumstances.