SHEFFIELD, UK: Circumcision funding cut sparks "backstreet" fears

BBC
January 17, 2013

Sheffield circumcision cuts spark backstreet op fear

Funding for male circumcision for non-medical reasons in Sheffield is to be cut, sparking concerns there will be a rise in backstreet operations.

About 200 circumcisions are carried out for religious reasons in Sheffield each year, at a cost of £200,000.

NHS Sheffield's Clinical Commissioning Group (CCG) is looking to make savings and has proposed making families pay for the procedure.

Members of the city's Islamic community have complained about the decision.

Community worker Wahid Nazir said Muslim and Jewish communities would be affected.

"If these proposals go ahead these people that are doing these circumcisions in the backstreets, people that are not medically qualified, are going to become more prominent... and there's going to be more problems and young children are going to be put at risk.

"In Sheffield it was advertised and people were encouraged to go to the NHS and get things done properly and it was very successful. So we're taking a backward step."

The move would bring Sheffield in line with national guidelines from the Department of Health, which say circumcisions should not be funded when they are requested for non-medical reasons.

In a statement, the CCG said: "Nationally, the NHS does not fund routine or religious circumcisions but despite this, Sheffield continues to spend £200,000 a year on these operations.

"As a CCG, we have to review what is the best use of funding for the half a million people who live in our city and as we only carry out around 200 circumcisions a year, we can assume that many parents are already using non-NHS funded services.

"As a CCG we are keen to ensure that all services we fund are medically necessary and appropriate whilst also providing the best value for money for all."

Earlier story

Circumcision in the UK Most circumcisions in the UK are done for non-therapeutic reasons (religious) Currently no formal qualifications are required to perform the operation Jewish boys are circumcised when they are eight-days-old by a Mohel - a Jewish person trained in the practice of brit milah, the covenant of circumcision [So the NHS is not involved.] Most Muslim boys and some Christians are also circumcised as babies. [Circumcision has no place in Christianity] There is no equivalent of a Jewish Mohel in Islam or Christianity with procedures usually carried out by doctors Some medical experts have called for religious circumcision to be offered on the NHS to minimise the risk of post-operative complications

SHEFFIELD, UK: Hospitals plan to charge for circumcision

National Secular Society
January 10, 2013

Sheffield hospitals plan to charge for non-medical circumcision

Hospitals in Sheffield carry out about 200 non-medical male circumcisions a year, costing the Health Authority in the region of £170,000. Now, in an attempt to save money, the NHS Sheffield's Clinical Commissioning Group has proposed to make families who want their sons circumcised pay for the procedure. Each operation costs about £1,000.

But Coun Shaffaq Mohammed, who is a director at the Pakistan Muslim Centre in Sheffield, is worried about the potential knock-on effects.

He told Postcode Gazette: "I'm very concerned. Whilst it may seem like an easy saving, this could lead to a serious increase in backstreet operations. This is a dangerous path to tread and as a result may actually lead to parents seeking emergency treatment and actually increase burden on the NHS."
[This argument is never used to justify state funding of female genital cutting.]

Dr Margaret Ainger, a GP from Page Hall medical practice on Owler Lane and lead for children's services in the NHS Sheffield Clinical Commissioning Group, said: "We understand that for some, circumcisions are an important part of their religion and therefore our doctors are working with our key community groups on how best we could make advice and guidance available to those who need it. Conversations with these groups are planned and we are keen to get people involved in tailoring this advice."

The cut is set to come into force in the 2013/14 financial year. The commissioning group has been in discussions with Sheffield Children's Hospital about the possibility of instead providing a private service at the hospital.

A report to be presented at a council meeting next week states: "(The team is) exploring the potential to develop a service which will provide care under local anaesthetic on a private basis and paid for by the children's parents."

Dr Ainger added: "No decision has been made as of yet but we are exploring what options would be available to the Sheffield public by working in partnership with both the Children's Hospital and local authority to make sure that any family wishing to circumcise their sons have the best possible advice and guidance available."

Male circumcision, which is the surgical removal of the foreskin, is often carried out for non-medical reasons such as religious beliefs or personal preferences. It is common in both the Muslim and Jewish communities.

According to national guidelines from the Department of Health, circumcisions should not be funded when they are requested for non-medical reasons. The proposals bring Sheffield into line with this national guidance.

Dr Ainger said: "Non-therapeutic circumcisions are not clinical interventions and as a group, we would not want anybody to undergo a medical procedure if there was no specific clinical need."

Terry Sanderson, President of the National Secular Society, commented: "This is yet another example of public money being used for religious purposes. There is absolutely no need for children to be subjected to such a procedure – in fact there are plenty of arguments why they shouldn't be. The idea that scarce NHS funding is being used for something that has only religious and no medical significance is scandalous.

"There is however a real danger that those seeking circumcisions will turn to practitioners without medical qualifications. We call on the Government to amend Child protection legislation to make it unlawful for anyone other than qualified medical staff to circumcise minors for any reason. This is just a first step, though. We believe that non-therapeutic circumcision should not be permitted until the boy is old enough to give informed consent.

"Non-therapeutic infant circumcision is a breach of children's rights and it's time legislators reconsidered the current carte blanche afforded to infant circumcision on the basis that the parents' freedom of religion is the only consideration. This approach has already been taken by a Cologne Court and is backed by reputable medical bodies including the Royal Dutch Medical Association."