Archived: MSI Reproductive Choices Vasectomy Services

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