研修感悟-柯医生5

June,20th , 2019 rainy

Cambridge IVF Quality Policy 2018/2019

Our purpose:

To provide a fertility service offering a comprehensive range of treatments to help sub-fertile couples achieve a pregnancy resulting in the delivery of a healthy baby.

Our commitment to Quality in everything we do Cambridge IVF has adopted and maintain the following Quality Policy for all activities, services and procedures it provides to its service users and the public:

We will comply with all relevant statutory and regulatory requirements.

We will engage with all relevant professional guidance and best practice recommendations.

We will set annual objectives designed to ensure continual improvement in quality and performance. These objectives will be subject to regular review.

We will ensure that all staff are kept aware of this policy, and their individual responsibilities within it.  

We will be transparent with and empower the patient in everything that we do.

We will only offer treatments which are based on robust scientific or medical evidence.

We will uphold the CUH core values; to be kind, safe and excellent in everything we do.

In order to achieve these objectives Cambridge IVF has established and maintains an effective quality management system. Within this system we ensure the highest achievable quality of service for our patients, service users, staff and any gametes or embryos under our care at all times by ensuring that we:

Remain up to date with recent technical, legal, ethical and managerial advances which impinges upon the services we provide or the framework in which we provide them.

Monitor the effectiveness of our working practices, procedures and systems to ensure continual improvement of our output and our quality management system.

Encourage suggestions from staff, patients, and other relevant third parties to ensure that the services we deliver to users meet with or exceed their expectations.

Maintain the highest possible standards of health, safety and welfare for staff, patients, donors.

June,21th , 2019 rainy

Lister Hospital, as the reproductive center with the largest number of cycles, has more than 2,000 IVF cycles per year. In addition, it is also known as the best reproductive center in Britain. Here, I met Professor Tan, who introduced to me his research field, the relationship between natural killer cells and repeated embryo implantation failure. He had applied it successfully to clinical practice, and showed me a successful pregnancy case in which the patients had 10 times of IVF failure in many European countries. 

June,24th , 2019 rainy

Professor Tan, He is an overseas Malaysian. He has studied and lived in the UK for nearly 30 years, which enables him to switch freely between English, Putonghua and Cantonese. Tan Ming you has got his degree in medicine from Queen's University of Belfast in Northern Ireland and St. George's College of London University. He currently works in one of the largest private clinics specializing in the treatment of infertility in the UK(Lister). He also serves as a doctoral tutor at Imperial College of Technology. He has worked in reproductive medicine for more than 16 years. As a professional Reproductive Immunology Consultant, he is good at dealing with various complex cases, focusing on clinical treatment, but also funding the establishment of laboratories for frontier therapy research and testing. It is understood that the number of professional reproductive immunization counselors in the UK is only a single digit, and Tan Ming you is the only Chinese expert in that field of medicine in the UK. 

June,25th , 2019 fine  

Environment of Private IVF Clinic in UK 

June,26th , 2019 sunny

I made a preview before going to the clinic. The Zita West Fertility Clinic is the UK’s only clinic offering IVF treatment as well as preconception planning and natural fertility trouble -shooting, all under one roof. They have pioneered a holistic approach to fertility, supporting their clients not just medically but, if needed, physically, nutritionally, emotionally and psychologically as well. Having a baby is a whole-body event and our uniquely comprehensive approach has helped hundreds of couples and single women to have babies each year, many of whom had thought that this may not be possible for them. They believe it can make the difference between failure and success, particularly the older you are. 

They have a particular specialism in helping couples who are 40 or over. And with couples who have had failed IVF cycles elsewhere. Almost twice the NAT. average success rate for women 40-42.Their clinical pregnancy rate per fresh embryo transfer for women 40-42 is 46.9%,  and their CPR per fresh embryo transferred for the same age group is almost twice the national average. Their latest clinical pregnancy rate per fresh embryo transferred for the same age group as well as high rates of success for those above 35.

June,27th , 2019 cloudy

Zita West feels more like a fashionable reproductive clinic. Rober and Anita established this clinic. Today Anita met with us. We had a good chat. She was proud to help so many infertile couples. We saw many happy family smiles on the wall of her consultation room. The most worthy of learning thing of Zita West is its warm propaganda. We are going to visit their collaborative reproductive centre tomorrow under Anita’s recommendation. Many thanks.

June,28th , 2019 cloudy

Care London fertility feels more like a chain instructions which is found in many cities in the UK. Care London in central London left me a very good impression, and the CEO led us look around to introduce the reproductive center, including the laboratory, where I even saw their time-lapse technology. The CEO here is very humorous and young, we talk about everything from the development of reproductive center in Britain to the supervision of the reproductive market ,and to the professional technology, It is a very nice day.

 Why choose CARE?

More than 30,000 CARE babies have been born so far…It’s our approach that sets us apart. Your need for family is always at the heart of everyting we do. It’s not just the groundbreaking techniques that we have pioneered-we understand what uncompromising excellence, determination and truly exceptional patient care can deliver.

July,1st , 2019 sunny

Time-lapse technique in Care London lab.

July,2nd , 2019 cloudy 

The HFEA (Human Fertilisation and Embryology Authority) 

The HFEA provides free, clear and impartial information to all affected by fertility treatment. We are the UK Government's independent regulator overseeing fertility treatment and research. 

Resources for commissioners include: 

• Choose a Fertility Clinic: Explore clinics in your locality by proximity, eligibility criteria, patients’ feedback, inspection reports and the clinic’s birth and multiple birth rates: www.hfea.gov.uk/choose-a-clinic/ 

• Explore fertility treatments: Our website provides information on all the different treatments available: www.hfea.gov.uk 

• Statistics and publications: We produce many publications about the work we do, from our annual fertility treatment report to patient leaflets and corporate publications: www.hfea.gov.uk/about-us/publications 

• Clinic level data for individual CCGs can be provided by the HFEA on request to support evidence-based decision-making. 

l NICE (National Institute for Health and Care Excellence) 

NICE Clinical Guideline 156 covers diagnosing and treating fertility problems. It aims to reduce variation in practice and improve the way fertility problems are investigated and managed. NICE has also produced tools and resources to help you put this guideline into practice: https://www.nice.org.uk/guidance/cg156 and https://www.nice.org.uk/guidance/cg156/resources.

l The NHS 

The NHS provides information on fertility problems, including advice on the causes of fertility problems and lifestyle factors that can contribute to fertility problems, diagnosis and treatment options: https://www.nhs.uk/conditions/infertility/ 

l This Clinical Commissioning Policy (N-SC/037) outlines the pathway and criteria for access to assisted reproduction techniques such as IVF and ICSI for Armed Forces couples: https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2014/11/n-sc037.pdf

l Association of Clinical Embryologists (ACE) 

ACE is the professional body for embryologists www.embryol

July,3rd , 2019 cloudy

How successful is fertility treatment? 

Success rates depend on the age of the patient, the cause of infertility, and other patient-specific factors such as lifestyle ( body weight and smoking status). The most important factor in predicting the success of fertility treatment is age: birth rates from fertility treatment fall with increasing female (or egg donor’s) age. 

National statistics give an indication of success rates across the whole country and are not adjusted based on a patient’s (or donor’s) age or for each specific type of fertility problem.