MSI Reproductive Choices Vasectomy Services

Updated 24 October 2022

MSI Reproductive Choices Vasectomy Services provides vasectomy services and consultation. Their registered provider is MSI Reproductive Choices. They are a Doctors' treatment service registered with CQC on 20 March 2018 to provide Diagnostic and screening procedures and added regulated activities of Surgical procedures and treatment of disease, disorder or injury from 1 April 2018.

The service is located at Zeta House, Axis 4/5, Woodlands, Bradley Stoke, Bristol, BS32 4JT. That is the main location and main administration address. Regulated activities are not provided at this location.

MSI Reproductive Choices Vasectomy Services provides its services from 22 community treatment centres across the United Kingdom and 29 centres in total in Bedford, Frimley Green, Woking, Dagenham, Hartlepool, Isle of Wight, Medway, Middlesbrough, Nuneaton, Oxford, Stroud, Stockton on Tees, Stratford-upon-Avon, Swindon, South Shields, Toddington, Ipswich, Sheffield, Hammersmith, Hemsworth, Paulton, Huddersfield, Hemel Hempstead, Waterloo, Lewisham, Colchester, Pontefract, Central London. These community treatment centres operate as satellites. Satellites are not separate locations, clients from the same registered list can be seen or treated at satellites. All satellites have been listed in the provider’s statement of purpose. Hammersmith, Huddersfield, Hemel Hempstead, Waterloo, Lewisham, and Colchester are all LARC Only clinics

The service is also provided from seven MSIUK treatment centres: Bristol, West London, South London, Essex, Maidstone, Manchester and Leeds. These treatment centres have separate CQC locations.

The opening hours vary by location. Most vasectomy clinics are open one or two times a month, from Monday to Sunday from 9 am to 4 pm.

The service provides a 24/7 post-operative advice phone line and there’s always a clinician on-call and callbacks are provided if needed.

Website: https://www.msichoices.org.uk/other-services/vasectomy

As part of this inspection we have visited the main location address at Zeta House, Axis 4/5, Woodlands, Bradley Stoke, Bristol, BS32 4JT and Stroud Vasectomy Community Treatment Centre at Stroud General Hospital, Trinity Road Stroud, Gloucestershire, GL5 2HY.

How we inspected this service

This inspection was carried out in a way which enabled us to spend a minimum amount of time on site. We gathered and reviewed information before the inspection by asking the provider to send us a provider information return (PIR) and conducting staff interviews using video conferencing.

We then conducted a short site visit to the administration's main address and clinical site separately. We reviewed samples of client records and observed the service being provided.

To get to the heart of clients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?
• Is it effective?
• Is it caring?
• Is it responsive to people’s needs?
• Is it well-led?

These questions, therefore, formed the framework for the areas we looked at during the inspection.

Updated 24 October 2022

This service is rated as Good overall.

The key questions are rated as:

Are services safe? – Good

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Outstanding

We carried out an announced comprehensive inspection at MSI Reproductive Choices Vasectomy Services. It was the first inspection since the registration in 2018.

MSI Reproductive Choices Vasectomy Services provides vasectomy consultation, procedure and post-operative care to private and NHS-funded clients.

The Head of Contraception Services for MSI Reproductive Choices is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found the service to be Good overall.

Our key findings were:

• The service provided care in a way that kept clients safe and protected them from avoidable harm.
• Clients received effective care and treatment that met their needs.
• Staff dealt with clients with kindness and respect and involved them in decisions about their care.
• Clients had access to timely care and treatment.
• The way the service was led and managed promoted the delivery of high-quality, person-centred care.

We saw the following outstanding practice:

• The service adopted a comprehensive safeguarding process, including a Safeguarding Proforma, which gave clients a safe space and time before the procedure to raise any concerns.
• A counselling service was available to both clients and staff, additionally, it was the services’ policy that every client under 25 years old had at least one counselling session before going ahead with the procedure. This service had no time limitation.
• The service adopted an organisational and local risk register. All risks were assessed, monitored and managed by a risk owner and known to all staff.
• There was a compliance monitoring programme in place that took all risks into account and consisted of a number of comprehensive audits and additional checks.
• An external consultant who had expert knowledge in vasectomy and was a member of the Association of Surgeons in Primary Care (ASPM) was commissioned by the service and offered them advice and challenge in regard to the service’s policies, procedures and processes.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Hospitals and Interim Chief Inspector of Primary Medical Services