Seeing sense on IVF funding

Embryo,_8_cellsWe’ve all heard the arguments about the cash-strapped NHS and IVF is a treatment that commissioners in North East Essex have recently decided they can’t afford.  But is this really a sensible financial decision? Whatever you think about the rights and wrongs of cutting funding to one group of patients based on the fact that you’ve decided they aren’t as deserving of treatment as some others, there’s also a question of economics.

In Canada, the funding decisions seem to be going in the opposite direction with more states looking into offering treatment after a very detailed report showed that funding and regulating IVF treatment would actually SAVE money rather than costing money when multiple births were taken into consideration.

This is an issue that was raised with Mid-Essex CCG when they were cutting treatment,a s they were warned that some people would go overseas for cheaper, unregulated treatment. In Mid-Essex, they said this was a risk they were prepared to take, despite the fact that we know that it is the biggest risk to health from fertility treatment – and that one very premature triplet pregnancy could cost more than offering IVF to everyone who needed it in the area. Last year’s Canadian study would back this up as it showed millions of pounds in savings in health care and societal costs over 18 years by offering regulated IVF treatment.

You can read more about what’s happening in Canada here, but it does show that CCG decisions about cutting treatment in this way are unlikely to save any money in the long run and may end up being an expensive mistake.

 

 

The only way is NOT Essex says fertility campaign group

ivf_science-300x168The campaign group Fertility Fairness has warned that the only way is certainly NOT Essex as North East Essex Clinical Commissioning Group (CCG) announced today that they would stop funding fertility treatment.

Essex has become a fertility blackspot, with both North East Essex and Mid Essex deciding to ignore the guidance from NICE which is based on what is clinically and cost effective. They have instead cut all IVF to couples with fertility problems.

North East Essex, making their announcement today, very generously added that couples who can’t conceive will still be able to see their GP for advice about their fertility problems – so you’ll be able to go and see your doctor who will be able to tell you about the treatment you need, but unless you can pay yourself, you won’t be able to access it.

We all know that the NHS doesn’t have limitless funds, what would make sense is for CCGs to find out how much IVF actually costs. A survey from Fertility Fairness last year found that there were huge variations in the prices paid for NHS treatment by different CCGs.  Cutting access to treatment is an easy way to try to reduce budgets, but is often not a wise or thoughtful solution.

Fertility Fairness say North East Essex decision is ‘shameful’

Responding to the decision today, Sarah Norcross, co-chair of Fertility Fairness, said: ‘It is shameful that only the well-off in North East Essex and Mid Essex will be able to access fertility treatment. Fertility services should be available for everyone eligible for treatment; not just the rich. This is a clear example of health inequality in practice. If you have the misfortune to have a fertility problem then the only way is not Essex.’

Fertility Fairness co-chair and chief executive of Infertility Network UK Susan Seenan added: ‘Funding fertility treatment is an investment in the future. Essex’s decision is short-sighted in the extreme. Fertility treatment is proven to be both clinically and cost effective, as recommended by the National Institute for Care and Clinical Excellence.’

Are you affected by this?

If you live in North East or Mid Essex and are no longer able to access the treatment you need, or if you have had a baby after NHS-funded IVF in one of these two areas, the BBC would like to hear from you – contact Claire by email at claire.brennan@bbc.co.uk

Do you live in Essex?

DownloadedFile-1You may have heard that there are proposed cuts to fertility services in North East Essex – that’s the area that goes from Colchester right across to Clacton and Harwich – see here for details. The recommended fertility treatment provision for the NHS is three full cycles of IVF to those of 39 and under who have fertility problems, but North East Essex wants to cut    provision which will mean people who need IVF have to pay privately for any treatment they need.

If you have fertility problems and need IVF treatment, we’d really like to hear from you – you can email katebrian@infertilitynetworkuk.com.  This can be in confidence.

North East Essex – tell them what you think…

So, North East Essex are the latest commissioning group to announce their plans to stop funding fertility treatment. The commissioners claim that in North East Essex there are “substantial numbers of people whose health, including their fertility, is affected by their lifestyle (for instance smoking, excessive drinking, and lack of exercise)”. Are there really huge numbers of smokers who drink to excess trying to access NHS-funded fertility treatment in the Colchester area?  Most people I talk to who have fertility problems lead extraordinarily healthy lifestyles, so I’d be interested know what you think…

They are suggesting that fertility treatment should only be available for people who have had cancer and for couples where the male partner has Hepatitis C or HIV (in these they are proposing to offer ICSI despite the fact that NICE doesn’t recommend this at all).

You can read more about their proposals here. They are arranging a series of consultation “events”, so if you are able to get along to any of these, please do speak up for fertility patients.  You can email neeccg.enquiries@nhs.net to say you’ll be there.

The first is on Tuesday 7 July in Colchester at 6pm at Room 12a, Primary Care Centre, Turner Road, Colchester CO4 5JR.

The next is on Friday 10 July at 2pm in Clacton at Princes Theatre, Town Hall, Station Road, Clacton CO15 1SE

Then on Thursday 16 July at 6.30pm at Clacton at the Princes Theatre, Town Hall, Station Road, Clacton CO15 1SE

And finally on Tuesday 21 July at 10am at Walton on the Naze at Columbine Centre, Prince’s Esplanade, Walton on the Naze CO14 8PZ

 

IVF under threat in North East Essex

Embryo,_8_cells
If you live in North East Essex and need fertility treatment, you should be aware that your local commissioners are considering cutting IVF funding altogether – apparently because they have concluded that it “does not provide sufficient benefit to the overall health economy”…

Cost-cutting proposals

The plans to cut IVF funding are part of a range of cost-cutting measures by North East Essex Clinical Commissioning Group aimed at saving £22 million pounds – although no longer providing IVF is a drop in the ocean which may not prove to be cost-effective anyway.

If you live anywhere near Colchester and would like to have your say, you may want to go along to the CCG meeting today (May 26) at 2.30pm at the Colchester Primary Care Centre in Turner Road which is open to the public and where you will be able to ask questions. You can find out more here