Eligibility for NHS funding and NHS IVF

The Sussex Downs Fertility Centre provides NHS funded fertility treatment. Your eligibility for this type of funding is dependent on where you live and whether or not you fulfil strict criteria. The criteria is set by your local Clinical Commissioning Group (CCG) and clinics cannot treat anyone who is not eligible under these contracts.

Not all patients are entitled to NHS-funded treatment but we do help those who meet the criteria set by their local Clinical Commissioning Group (CCG).

To find out more, you can speak to one of our team by calling on 01323 410333.

NHS (CCG funding)

We can offer NHS funded fertility treatments for patients living in both East and West Sussex, coastal and surrounding areas. At our centre all patients are treatment the same and receive consultant led-care and offered the same appointment times with no waiting lists. If you require additional information about NHS funding then please call us on 01323 410333 and our funding team will be more than happy to help you.

The criteria you need to meet for NHS funding approval varies between each Clinical Commissioning Group (CCG) around the country. As a first step to secure funding for treatment, you will need to see your GP. They will be able to start the process required before you are referred on, either to specialist GP services (if you live in West Sussex) or specialist consultants (if you live in East Sussex). Once you have completed all your medical investigations, your referral is passed to the CCG for approval.

Access criteria for West Sussex CCGs (Coastal West Sussex, Crawley, Horsham and Mid Sussex):

  • Age 23-39 (must have been referred before the age of 39.5 and have commenced treatment before the age of 40)

  • Body Mass Index (BMI) 19-29

  • No more than one privately funded fresh cycle of IVF/ICSI

  • Neither partner can have living children from this relationship, previous relationships or from adoption

  • Infertility of two years duration

  • No previous sterilisation by either partner

  • Follicle stimulating hormone (FSH) less than 12 IU/l (for Coastal West Sussex CCG) or Anti-Mullerian Hormone (AMH) greater than 4.9pmol for Crawley, Horsham and Mid Sussex CCG

Treatments not funded:

  • Sperm donor insemination or egg donation

  • Freezing of sperm or eggs

  • Fertility preservation

  • Patients who have had a reversal of sterilisation (vasectomy)

  • Crawley, Horsham and Mid-Sussex CCG will also fund surgical sperm retrieval and sperm washing treatment for men with viral illness

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Access criteria for East Sussex CCGs (Brighton & Hove, High Weald Lewes Havens, Eastbourne, Hailsham and Seaford, Hastings and Rother):

  • Age 23-39 (If referred at 39 you must be treated within six months of your 40th birthday)

  • Body Mass Index (BMI) 19-29

  • No more than one privately funded fresh cycle of IVF/ICSI

  • Neither partner can have living children from this relationship, previous relationships or from adoption

  • Infertility of one year duration unless a recognised cause or clinical judgement dictates otherwise

  • Both partners are proven to be non-smokers

  • Anti-Mullerian Hormone (AMH) >4.9pmol

Treatments not funded:

  • Egg donation and egg freezing

  • Treatments involving donor sperm

  • Patients who have had reversal of sterilisation (vasectomy)

GET STARTED

Funding for assisted conception may not be available if:

  • Either you or your partner already has children

  • The female partner is over a certain age or has a BMI over 29

  • You already have had NHS funded treatment

How the referral process works

Your GP or your specialist gynaecologist can refer you for treatment at The Sussex Downs Fertility Centre.

All patients referred by a GP or hospital will be assessed for NHS funding once an initial registration questionnaire has been returned. We’ll apply for the NHS funding on your behalf and work with you to complete the documents that are part of your application.

There are currently no waiting lists for NHS treatment at our centre. If your CCG has a contract with us, you can start the process immediately from referral. The number of cycles funded vary according to CCG. Anything from one cycle to three treatments could be funded on the NHS.

GET STARTED