The Endometriosis Surgery Abroad Interim Scheme (ESAIS) is a scheme to get endometriosis surgery abroad.
It's for patients who are on a public or private waiting list waiting list for endometriosis surgery that a consultant gynaecologist in Ireland recommends for them.
The scheme is running while the HSE puts more endometriosis services in place. It is separate to other schemes such as the Treatment Abroad Scheme and Cross Border Directive Scheme (CBD).
It covers the cost of appointments and surgery abroad and some travel costs. The appointments and surgery must be on our list of approved healthcare centres.
How the ESAIS works
To apply you and your consultant gynaecologist in Ireland must complete the Endometriosis Surgery Abroad Interim Scheme application form (PDF, 260 KB, 16 pages).
Your consultant gynaecologist will also need to provide you with a copy of your referral letter for surgery abroad.
You must apply to the scheme and wait until you get formal approval before you:
- book or pay for travel
- attend any appointment with a consultant abroad
- have surgery abroad
Who can apply for the ESAIS
You can apply if you live in Ireland and are on a waiting list for endometriosis surgery that a consultant in Ireland recommends for you.
Who cannot apply
You cannot apply if you:
- have a date for your surgery in Ireland
- do not have a referral from a consultant gynaecologist employed by the HSE or on the Irish Medical Council’s Specialist Register for Obstetrics and Gynaecology working in Ireland
- plan to have your surgery in a healthcare centre abroad that is not on our approved list
If you are not eligible to apply
If you are not eligible for this scheme you may be able to apply to get healthcare through another scheme.
Other schemes
The ESAIS is different to other schemes to access healthcare outside of Ireland, such as:
- Treatment Abroad Scheme - applies to treatments that are not available in Ireland
- European Health Insurance Card (EHIC) - only applies to necessary or emergency healthcare while abroad
If the treatment you need is publicly available in Ireland, you can access it through the:
- Northern Ireland Planned Healthcare Scheme (NIPHS) – if you plan to have your treatment with a private healthcare provider in Northern Ireland
- CBD - if you plan to have your treatment in an EU or EEA member state
You can access this healthcare in the same way you'd get public healthcare in Ireland.
You can no longer use the CBD to access healthcare in the UK. This is because the UK left the EU on 31 December 2020.
If you are unsure what scheme you may be eligible for, contact us for information.
Costs covered by the ESAIS
If your application is approved, we will cover the costs of your healthcare abroad.
We will pay the healthcare centre directly. You do not need to pay or claim for repayment.
We will cover some of your travel expenses. But we will not cover accommodation, food and other subsistence (living) costs abroad for you or anyone who travels with you.
Travel expenses
The ESAIS covers your basic air and sea fares for:
- 1 'pre-op' appointment before your surgery
- 1 surgery
If your consultant recommends it we will cover these fares for 1 travelling companion age over 18.
By basic air and sea fares we mean the:
- cost of the airline or ferry economy ticket charge
- government and airport or sea port charges
The scheme does not cover costs such as luggage charges, travel agent fees or other transport costs.
Applying for the ESAIS
To apply for the ESAIS:
- You and your consultant gynaecologist in Ireland choose a healthcare centre abroad from our list together and complete the Endometriosis Surgery Abroad Interim Scheme application form (PDF, 260 KB, 16 pages)
- You send us your completed form and copy of your referral letter for surgery abroad - by email or post.
- We review your application and make a decision within 15 working days (about 3 weeks), but we aim to answer you as quickly as possible.
If you will need more than 1 surgery on different dates, you need to apply for these separately.
List of approved healthcare centres for endometriosis surgery
UK
- Aberdeen Royal Infirmary Endometriosis Centre
- Altnagelvin Area Hospital Endometriosis Centre
- Barts and The Royal London Endometriosis Centre
- Basingstoke and Winchester Endometriosis Centre
- Bedfordshire Endometriosis Centre
- Birmingham Endometriosis Centre
- Cambridge Endo Care, Spire Cambridge Lea Hospital
- Cambridge Endometriosis Endoscopic Surgery Unit Endometriosis Centre
- CEMIG at The Runnymede Hospital Endometriosis Centre
- CEMIG London at the Lister Hospital Endometriosis Centre
- Centre for Deep Infiltrative Endometriosis @ Northampton
- Centre for Endometriosis and Minimally Invasive Gynaecology (CEMIG) Endometriosis Centre
- Chelsea and Westminster NHS Trust Endometriosis Centre
- Cleveland EndoCare Endometriosis Centre
- Cornwall Endometriosis Centre
- Countess of Chester Endometriosis Centre
- Croydon University Hospital Endometriosis Centre
- Dartford & Gravesham Endometriosis Centre
- Derby Endometriosis Centre
- Derriford Endometriosis Centre
- EXPPECT Edinburgh Endometriosis Centre
- Endometriosis Care Oxford Endometriosis Centre
- Epsom & St Helier University Hospitals Endometriosis Centre
- Frimley Park Hospital Endometriosis Centre
- Greater Glasgow & Clyde Endometriosis Centre
- The Princess Grace Hospital Endometriosis Centre
- Homerton Endometriosis Centre
- Imperial Endometriosis Centre
- International Centre for Endometriosis
- Kings College Hospital Endometriosis Centre
- Leicester Endometriosis Centre
- Liverpool Women's Hospital Endometriosis Centre
- London Endometriosis and Advanced Pelvic Surgery (LEAPS) Centre
- Guy's & St Thomas' Endometriosis Centre
- Hampshire Endometriosis Centre
- Hull and East Yorkshire Endometriosis Centre
- International Centre for Endometriosis
- James Cook University Hospital Endometriosis Centre
- Kings College Hospital Endometriosis Centre
- Leicester Endometriosis Centre
- Norfolk and Norwich Endometriosis Centre
- University Hospital of Wales Endometriosis Centre
- Royal Free Hospital Endometriosis Centre
- Somerset Endometriosis Centre
- Southern Endometriosis Centre, Portsmouth
- Spire Edinburgh Endometriosis Centre
- Spire Hospital Cardiff Endometriosis Centre
- Sheffield Endometriosis Centre
- University Hospitals Birmingham Endometriosis Centre
- The Royal Stoke University Hospital Endometriosis Centre
- UCLH Endometriosis Centre
- Whipps Cross University Hospital Endometriosis Centre @ Barts Health
- York Teaching Hospital NFT Endometriosis Centre
Other European countries
Germany
- Aachen University Hospital, Aachen
- Klinikum St Marien Amberg, Amberg
- Aschaffenburg-Alzenau Clinic
- Eisenmoorbad Bad Schmiedeberg-Kur-GmbH, Bad Schmiedeberg
- Klinik Am Kurpark, Bad Schwatrau
- Municipal Rehabilitation Clinics Bad Waldsee, Bad Waldsee
- University Womens Hospital Charite, Campus Benjamin Franklin, Berlin
- Berlin DRK Klinikum Westend, Berlin
Czech Republic
- University Hospital Brno, Brno
- Ústav pro péči o matku a dítě, Prague
Austria
- University Hospital Innsbruck, Innsbruck
- Hospital of the Brothers of Mercy, Vienna
- Medical University of Vienna, Vienna
Romania
- Bucharest Regina Maria Bucuresti Enescu, Bucharest
- Timisoara Premiere Hospital, Timisoara
The Netherlands
- Endometriosis in Balens, The Hague
Switzerland
- Aaru Cantonal Hospital, Aaru
- Baden Cantonal Hospital, Baden
- Bern University Hospital, Bern
- Hopiaux Universitaires de Geneve, Geneva
- Women’s Clinic Lugano, Lugano
Completing your ESAIS application form
There are 2 sections on the Endometriosis Surgery Abroad Interim Scheme application form (PDF, 260 KB, 16 pages).
You and your consultant gynaecologist in Ireland need to complete this form in full.
You must complete section A first.
Your consultant gynaecologist in Ireland must complete section B.
You can complete this form by hand or electronically.
By hand
Complete the form in block capitals with a black ballpoint pen.
Electronically
- Download the Endometriosis Surgery Abroad Interim Scheme application form (PDF, 260 KB, 16 pages) and save the form to a computer.
- Complete section A of the form with your details.
- Save the completed form to your computer.
- Email the saved version of the completed form to your consultant gynaecologist to complete section B.
Sending your application form
Your consultant gynaecologist must return the completed form and copy of your referral letter to you so you can send them to us.
What you need to provide
With your completed application form, you also need to provide:
- a copy of your referral letter for surgery abroad - your consultant gynaecologist will provide this to you
Where to send the form
You can send us your completed application form by email or post.
Email your completed application form and copy of your referral letter as attachments to:
Post
Post your completed application form and copy of your referral letter to:
Endometriosis Surgery Abroad Interim Scheme,
HSE,
Model Business Park,
Model Farm Road,
Cork,
T12 HT02
Application decision
We review your application and make a decision within 15 working days (about 3 weeks), but we aim to answer you as quickly as possible.
We send the decision to both you and your consultant gynaecologist - in writing. We do not give decisions over the phone.
If your application is incomplete, we will return it to you, asking for further information.
Approved applications
We will write to you if we approve your application and we will explain the next steps.
Declined applications
We will write to you if we decline your application.
We will explain:
- why we declined your application
- how to appeal the decision
After your surgery abroad
When you are discharged from the healthcare centre abroad, your care returns to your consultant in Ireland.
The hospital abroad will send your consultant a medical report and care plan. Your treatment will continue in Ireland.
If you need to travel abroad again for endometriosis surgery you will need to send us a new application.
Contact
Online: Complete our online enquiry form
Email: endometriosisabroad@hse.ie
Freephone HSE Live on 1800 700 700 or phone 01 240 8787
Monday to Friday, 8am to 8pm
Saturday, 9am to 5pm