Clinical Threshold Policy
Policy and Referral Proforma:
Couples who do not meet the criteria and consider they have exceptional circumstances, which suggests that they are likely to gain significantly more benefit than might generally be expected, can be referred to the Exceptional Cases Team by secure email to cpccge-ifr@nhs.net, using the Exceptional/IFR funding request form, to obtain funding approval before referral.
Treatments excluded from the Assisted Conception Policy:
Egg, sperm and oocyte storage is available for adolescent/adult men and women preparing for medical treatment or other conditions known to cause premature infertility. Following cancer treatment, couples seeking fertility treatment must meet the defined eligibility criteria.
Cryopreserved material will be stored for an initial period of 10 years in line with recommendations in The Royal College of Physicians Working Party Report: 'The effects of cancer treatments on reproductive functions'. Guidance on management, 2007, and the Human Fertilisation and Embryology Authority (HFEA), Code of Practice, January 2019 guidance. Extensions to the initial period will be by exceptional funding request to the Exceptional Cases Panel. See Assisted Conception Policy for further information.
Sperm washing will be provided to men who have a chronic viral infection (primarily HIV), and whose female partner does not, where intrauterine insemination is being considered. This is a risk reduction measure to limit the transmission of a serious, pre-existing viral conditions such as HIV to the woman and, therefore, potentially her unborn baby.
For further information about the above interventions and conditions please go to the NHS.UK website.