The campaign group Fertility Fairness has produced a league table of different areas of the country to show how they rank when it comes to fertility treatment. Fertility Fairness has found that 90% of local clinical commissioning groups, who make the decisions about fertility treatment provision, found that nearly 90% were failing to provide the treatment that NICE has deemed to be both clinically effective and cost effective.
The BBC have provided a link to the full table in an article on the subject which shows that the best places to live if you need fertility treatment are Bury, Heywood, Middleton and Rochdale, Oldham and Tameside and Glossop. In some areas couples who are experiencing fertility problems cannot access any treatment. These are Basildon and Brentwood, Cambridgeshire and Peterborough, Croydon, Herts Valleys, Mid Essex, North East Essex and South Norfolk.
Fertility Fairness Co-Chair Sarah Norcross has been doing media interviews this morning calling for the government to take urgent action about the current funding situation. The government has suggested that commissioners should follow NICE guidance but in practice many are still choosing to completely ignore the evidence about best practice and about cost-effectiveness leaving many patients unable to access treatment at all,
Thanks to Carole Bonner, Chair of Croydon Council’s health and social care scrutiny sub-committee, and her fellow members who have called on the government to stop cuts to all funding for IVF in the area. They sent a letter to the Secretary of State for Health, Jeremy Hunt, asking him to look at the decision to cut all funding made by the local Clinical Commissioning Group.
It is the first time that a decision has been challenged in this way and the Committee was concerned that the impact of the decision to remove access to fertility treatment would mean that those in the most deprived, low-income areas will be unable to afford to have IVF. A consultation carried out locally by the Clinical Commissioning Group showed that 77% of almost 800 respondents thought the funding should be retained.
Councillor Carole Bonner said “We’re making this referral because of the potential long-term adverse health effects the removal of IVF will have on Croydon residents. Not only can infertility result in family breakdown and the ending of relationships, it often has an impact on the mental health of those affected. A comprehensive study was carried out by Middlesex University and the Fertility Network that showed a clear correlation between infertility and depression, with 90% experiencing depression. The committee is acutely aware of, and has sympathy for, the CCG’s underfunding and the inconsistencies of the funding formula when compared to similar authorities. However, we feel that the effects of the withdrawal of IVF funding in Croydon are not in the best interests of the borough’s residents.”
Whatever the outcome, it is heartening to see a local Council appreciating the huge impact that cutting fertility services can have for a relatively small saving – so thanks to Croydon and let’s hope that others are inspired to follow their example.