Referral Acceptance Criteria (2024)

Home > Hospitals And Services > Services A to Z > Assisted Conception Service > Referral Acceptance Criteria

Information for who is eligible for NHS Funded Treatment in Scotland

Eligible patients who are new referrals from 1st April 2017 may be offered up to three cycles of IVF/ICSI where there is a reasonable expectation of a live birth. Eligible Patients referred before the 1st April 2017 may be offered up to two cycles of IVF/ICSI where there is a reasonable expectation of a live birth.

Referral for treatment can only be made if all access criteria are fulfilled, as noted below. Should the first cycle of treatment be unsuccessful all access criteria must be met before a subsequent cycle can commence.

Definition of infertility for couples

  • Infertility with an appropriate cause, of any duration

OR

  • Unexplained infertility of two years – heterosexual couples
  • Unexplained infertility following six cycles of donor insemination

Sterilisation

Neither partner to have undergone voluntary sterilisation or who have undertaken reversal of sterilisation.

Stable Relationship

Couples must have been cohabiting in a stable relationship for a minimum of two years.

Legal Parenthood

  • Couples where only one partner has legal parenthood of a child (or a biological child) can access NHS funded treatment as long as all other access criteria are met in full.
  • Same sex couples will not be eligible if they already have a child in the home and both have consented to legal parenthood of that child.

Lifestyle

There is a responsibility on patients to fulfil the following access criteria in the interests of the welfare of the child and the effectiveness of treatment. The clinic may conduct tests to ensure that patients adhere to these criteria and, in the event of a positive result, patients will be advised that treatment cannot be started.

Body Mass Index (BMI)

The female partner must have a BMI above 18.5 and below 30. Couples should be aware that a normal BMI is best for both partners.

Smoking

Smoking status must be assessed prior to referral for treatment.

Both partners must be non-smoking for at least three months before treatment and couples must continue to be non-smoking during treatment.

Alcohol and Drugs

  • Both partners must abstain from illegal and abusive substances
  • Both partners must be Methadone free for at least one year prior to treatment
  • Neither partner should drink alcohol prior to or during the period of treatment

NHS Funding for IVF/ ICSI treatment

Definition of One Full Cycle of NHS Funded Treatment

One full cycle includes ovulation induction, egg retrieval, fertilisation, transfer of fresh embryos followed by the freezing of suitable embryos and the subsequent replacement of these, provided the couple still fulfil the access criteria. If suitable embryos are frozen these should be transferred before the next stimulated treatment cycle.

No individual (male or female) can access more than the number of NHS funded IVF treatment cycles supported by NHS Scotland under any circ*mstances, even if they are in a new relationship.

Number of Cycles initiated by the date of the female’s 40th Birthday

Up to three cycles of IVF/ICSI may be undertaken where there is a reasonable expectation of a live birth. Clinical judgement should be applied to determine this, using an assessment of ovarian reserve before the first cycle. If there has been no or a poor response to ovarian stimulation (<3 eggs retrieved) in the first cycle no further IVF/ICSI treatment will be funded.

Fresh treatment cycles must be initiated by the date of the female partner’s 40th birthday and all subsequent frozen embryo transfers must be completed before the woman’s 41st birthday.

Patients should not be placed at the end of the waiting list following an unsuccessful treatment cycle. There could be a gap of 6-11 months between fresh cycles of IVF for patients who remain eligible.

Number of Cycles if aged 40 to 42 years old

One cycle of treatment may be funded for couples if the female has never previously had IVF treatment, if there is no evidence of poor ovarian reserve and if in the treating clinician’s view it is in the patients’ interest.

Discussion regarding the additional implications of IVF and pregnancy at this age should be undertaken.

  • Eligible patients must be screened before the female partners 42nd birthday.
  • Eligible patients must have reached the top of the IVF waiting list (which should not exceed 12 months).
  • Eligible patients should be consented and a cycle of treatment initiated before their 42nd birthday.

NHS Funding for Frozen Embryos

Should circ*mstances change and couples no longer meet the NHS eligibility criteria self funding for any future transfers will be required.

Number of Cycles For Those That Have Previously Self Funded

NHS funding may be given to those patients who have previously paid for IVF treatment, if in the treating clinician’s view, the individual clinical circ*mstances warrant further treatment.

Please also see Access Criteria for NHS Funded IVF Treatments– links below.

Reasons for not offering treatment

  • BMI less than 18.5 or greater than 30
  • smoking
  • we are obliged by law to take into account the welfare of any child likely to be born after fertility treatment. In order to assess this, we may ask your permission to contact other professionals. There may be circ*mstances where treatment cannot be offered if concerns are raised with respect to the welfare of any child born as a result of treatment.
  • certain complex medical issues where pregnancy would carry significant risks
  • Same sex couples will not be eligible if they already have a child in the home and both have consented to legal parenthood of that child.

How is an ‘AMH’ test result used?

  • an AMH test result is used to decide which treatment protocol to use
  • a blood sample will be taken from you to measure the amount of a hormone called AMH
  • the result of that test will help us decide which drug stimulation protocol is best for you during your treatment. Please note that your AMH test result will not be used to decide whether you are offered treatment or not
  • a high AMH level raises the possibility that you may over-respond to your treatment (i.e. too many eggs will be produced), increasing the risk of ovarian hyper stimulation syndrome
  • a low AMH level raises the possibility that you may respond poorly to your treatment, i.e. only a few eggs are produced

How to refer a patient

All patients should be referred by their GP or Doctor at their local hospital. We ask that a number of tests are performed before you are referred. For the female partner these are, an up to date smear (within the last 3 years), a vagin*l swab for Chlamydia, a progesterone check for ovulation and for the female to provide evidence of2 MMR immunisations (German measles). For the male partner this is at least one sperm count. Under certain circ*mstances 2 sperm counts may be required.

Once we have received the referral letter and the results from the investigations required, an appointment will be made for you to attend the ACS Unit to see a Doctor or a Nurse.

Referral to Glasgow Royal Infirmary ACS Unit – self funding patients (Glasgow Royal Fertility Clinic)

Patients may make an appointment to see Professor Nelson or Dr Lyall by contacting the administrator Ruth Simpson on 0141 201 0851. Please bring as much information with you as possible relating to any investigations you may have had performed or any treatment you may have had.

If appropriate, arrangements may be made for a blood test to assess Anti-Mullerian hormone (AMH) and a sperm count prior to your appointment.

Referral Acceptance Criteria (2024)

FAQs

How detailed should acceptance criteria be? ›

Good acceptance criteria should possess specific qualities. Clarity: They should be straightforward and easy to understand for all team members, avoiding any confusion. Conciseness: The criteria should communicate the necessary information without unnecessary detail.

What are the 4 C's acceptance criteria? ›

Standards may differ from lender to lender, but there are four core components — the four C's — that lenders will evaluate in determining whether they will make a loan: capacity, capital, collateral and credit.

How many acceptance criteria is too many? ›

One question that might be asked is “How many criteria is too many?” There is no standard answer…but as a rule of thumb, 3 to 5 acceptance criteria per story seems to be a reasonable range. Any more than that, then you should check manageability. Maybe the story could be broken up into smaller, more manageable stories.

What is an example of a bad acceptance criteria? ›

For instance, a bad acceptance criterion for a login feature of a web application could be simply stating that the user can log in, without considering other factors such as speed, security, design, and compatibility with multiple devices and browsers.

What are the smart acceptance criteria? ›

Other stakeholders, such as designers, testers, and business analysts, may also provide input on the acceptance criteria, based on their areas of expertise. Ultimately, the entire team must work together to create acceptance criteria that are specific, measurable, achievable, relevant, and time-bound (SMART).

What is acceptance criteria checklist? ›

Acceptance criteria are defined as the conditions that must be satisfied for a product, user story, or increment of work to be accepted. While not a part of the Scrum Guide, AC can be a useful tool teams may choose to use to improve the quality of product backlog items.

What are the 2 types of acceptance criteria? ›

Let's dive further into the purpose of writing acceptance criteria in Agile development, and examine two different styles of acceptance criteria -- scenario-based and rule-based -- that development teams can use to shore up requirements gathering efforts.

What is an example of requirements and acceptance criteria? ›

For example, if the user story is “As a user, I want to be able to reset my password,” the acceptance criteria could include: The user should be able to access the password reset page. After entering their email, the user should receive a password reset link.

How to write rule-based acceptance criteria? ›

Use positive language instead of negative language when writing acceptance criteria. Avoid “not” and focus on what the product or feature should do. For example, instead of saying, “The product should not crash,” say, “The product should function without any crashes.”

What is the difference between acceptance criteria and requirements? ›

Requirements are what the client / customer have asked for. Acceptance Criteria, often expressed as tests, are used to illustrate Requirements and to indicate, when the tests pass, that the Requirements have been met.

What is an example of scenario oriented acceptance criteria? ›

Scenario-oriented acceptance criteria

For example, if the development team is working on a new search feature, the scenario-oriented AC might specify that the feature must be able to handle misspellings and return results from different parts of the website.

What is the template for acceptance criteria? ›

The common template for describing acceptance criteria using a scenario-oriented approach is the Given/When/Then format that is derived from behaviour-driven development (BDD). The Given/When/Then format is used for writing acceptance tests that ensure that all the specification requirements are met.

What is a vague acceptance criteria? ›

Acceptance criteria should be clear and concise that every stakeholder / team member should understand it clearly. Vague criteria results in ambiguity, different / assumptions / interpretations which may cause conflicts between teams and finally resulting in delay or bad quality.

Who sets the acceptance criteria? ›

While the product owner writes the acceptance criteria, the process should involve the entire team to create a strong foundation for a quality product.

How do you measure acceptance criteria? ›

Use the INVEST criteria to measure the quality of acceptance criteria. INVEST stands for Independent, Negotiable, Valuable, Estimable, Small, and Testable. These criteria help you evaluate whether your acceptance criteria are well-written and meaningful for the user story.

What is quality acceptance criteria? ›

Acceptance criteria (AC) refers to predefined conditions or requirements that a product must fulfill to gain acceptance from both the customer and the user. Successful development projects require both the end-users and the developers to have a shared understanding of the desired final product.

What is the acceptance criteria level? ›

Acceptance Criteria (AC) are the lowest-level functional requirements that a software product must meet to be accepted by its users or the customer and be compatible with other systems. They are specific to each user story and describe the functionality from the end-user perspective.

How to write BDD acceptance criteria? ›

BDD Format

As a way of writing requirements based on user behavior, the acceptance criteria for BDD follow this specific template: Given: The precondition for the specific scenario of user behavior. When: The action that the user takes. Then: The result of the action.

Top Articles
Latest Posts
Article information

Author: Greg O'Connell

Last Updated:

Views: 5422

Rating: 4.1 / 5 (42 voted)

Reviews: 89% of readers found this page helpful

Author information

Name: Greg O'Connell

Birthday: 1992-01-10

Address: Suite 517 2436 Jefferey Pass, Shanitaside, UT 27519

Phone: +2614651609714

Job: Education Developer

Hobby: Cooking, Gambling, Pottery, Shooting, Baseball, Singing, Snowboarding

Introduction: My name is Greg O'Connell, I am a delightful, colorful, talented, kind, lively, modern, tender person who loves writing and wants to share my knowledge and understanding with you.