How you get referred to NUH Life
The patient journey normally starts with a visit to the GP. This tends to be because you’ve been trying for a baby for more than a year. Alternatively, there might be circumstances which you are already aware of that may prevent you from conceiving. Either way, the GP can start any investigations and refer you to our department.
If you’re outside of Nottingham and your GP is unable or unwilling to send you to our centre, there are a number of options. If you’re NHS funded, you will need to go to a clinic which has the local contract for fertility investigations and treatment. However if you are self-funded, you are free to choose your own clinic – you could still be referred by your GP by letter or you can make an appointment yourself. Click here if you need to ‘self refer’ for private services.
Who gets NHS funding?
Although your GP may refer you directly to NUH fertility services, this does not mean that you will always qualify for NHS funded treatment. This is guided by the criteria set by your local clinical commissioning group (CCG) who decide how NHS money gets spent locally.
Quite often, the initial investigations (semen analysis, blood tests, fallopian tubal testing) will be included within the NHS funding.
Currently, NHS funded treatment is restricted to couples who:
- have no children either together or from previous partners
- where the female partner is <40 years old (extended to <43 for IVF)
- are non-smokers
- are not considered over or under weight, according to body mass index (BMI)
Visitors from overseas and asylum seekers will not be funded for treatment or investigations, unless they have confirmation that full UK residency status is to be granted.
If you don’t qualify for NHS funded treatment, NUH Life can provide fee-paying investigations and some treatments, just like any private centre can. As NUH life doesn’t provide IVF treatment, we can direct you towards one of the local providers if investigations find that you need it.
Waiting for your appointment
While you’re waiting for an appointment, your GP will begin some basic investigations. This will help to speed up the process and make sure your visit to the clinic is valuable. This will include the following:
For regular menstrual cycles:
- FSH/LH (day 1-4) within 6 months
- Serum Progesterone (7 days post ovulation) within 6 months
- Rubella within 5 years/Chlamydia within 6 months
- Semen analysis within 12 months (not necessary if single lady or same-sex couple)
For irregular cycles:
- FSH/LH (Random) within 6 months
- Prolactin/TSH within 6 months
- Rubella within 5 years/Chlamydia within 6 months
- Semen analysis within 12 months (not necessary if single lady or same-sex couple)
Once these baseline investigations are complete, you can be seen by a consultant within Fertility Outpatients.
You’re also likely to be asked to complete a patient/couple questionnaire and Welfare of the Child Assessment at this time, too. This is required by law and must be signed off by the clinic before any patient can receive fertility treatment. Read here for more details on either the patient questionnaire or welfare of the child assessment.
For more information on what you can do while waiting to be seen, click on this link to read our guidance for pre-conceptual care.
Consultation
If possible, we like to provide face to face consultation. However in recent times, this has not always been possible. Instead, we conduct some of our consultations online using one of the commonly used technologies: Doctor Doctor or MSTeams.
Let us know whether you have suitable technology in place to have an online consultation. The consultant will take further details and organise further investigations.
Further fertility investigations
During the first consultation we review the initial results, take a more detailed history and check the welfare of the child assessment.
If necessary, additional investigations may be organised to try to establish why a couple hasn’t conceived yet, and guide the clinic to the most effective fertility treatment. A test to determine whether the Fallopian tubes maybe blocked (tubal infertility) will follow, and this will ultimately determine the course of treatment. For more details on fertility investigations, click here.
If tubal infertility is diagnosed, a referral for IVF (in-vitro fertilisation) treatment is likely to be the recommended treatment. If not, a number of other options may be possible. To learn all about all the main treatment options available, click here.