Specialist Fertility Services.

Descriptions

The specialist fertility services to be provided to patients fulfilling the eligibility criteria include:— In Vitro Fertilisation (IVF),— Intra-cytoplasmic Sperm Injection (ICSI),— Donor insemination in following conditions obstructive azoospermia, non-obstructive azoospermia, severe deficits in semen quality in couples who do not wish to undergo ICSI, where there is a high risk of transmitting a genetic disorder to the offspring, where there is a high risk of transmitting infectious disease to the offspring or woman from the man,— Blood borne viruses (ICSI and sperm washing), as per NICE guidance (section 1.3.9). Do not offer sperm washing not offered as part of fertility treatment for men with hepatitis B,— Egg donation where no other treatment is available. The patient must be able to provide a donor; alternatively the patient can be placed on the waiting list until a donor becomes available. This waiting list will be monitored separately to the general IVF waiting list and will not be subject to an 18-weekmicro-tese maximum waiting time.Surgical sperm retrieval methods including micro-epididymal sperm aspiration (MESA), testicular sperm extraction (TESE) and percutaneous epididymal sperm aspiration (PESA).Other medical conditions that are considered exceptional by the Specialist Consultant be funded for exceptional cases, subject to CCG policies:— Sperm, embryo and male gonadal tissue cryostorage and replacement techniques and other micro-manipulation techniques,— Intra Uterine Insemination (IUI-Unstimulated).The above services are provided in line with NICE clinical guidelines 2013 and HFEA regulations.East and North Hertfordshire Clinical Commissioning Group (the Authority) is the lead Clinical Commissioning Group for contracting and commissioning for SFS on behalf of all the Clinical Commissioning Groups (the CCGs) in the East of England.Contract duration: 3 years with option to extend for a further 2 years.