Assisted Conception (Fertility) Pathway {Under Review – Remains Valid}

Level 2 Criteria

Level 2 services are available to couples fulfilling the following criteria:

(Please do not refer patients that do not meet these criteria)

• Compliance with level 1 requirements of the NICE CG 156, i.e. initial investigations and management by the primary care team. https:/​/​www​.nice​.org​.uk/​guidance/​cg156
• Referral is appropriate for couples who have had regular unprotected sexual intercourse for 12 months and have failed to conceive, unless earlier investigation is indicated.
• Neither partner should have undergone either sterilisation or reversal of sterilisation in the past.
• Treatment may be denied on other medical grounds not explicitly covered in this document.

It should be noted that the following will NOT be eligible for onward referral to Level 3:

• Women aged 41 years 364 days
• Couples with living children from the current or any previous relationships, including adopted children, regardless of whether the child resides with them or not
• Women with BMI under 19 or over 30
• Patients not registered with a GP in Norfolk and Waveney for at least 12 months