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<p>NHS England do not collect data on the number of clinical commissioning groups
(CCGs) that offer in vitro fertilisation (IVF) or their expenditure on this specific
treatment, although it is estimated that the National Health Services spends approximately
£100 million a year on IVF.</p><p>The level of provision of fertility treatment is
decided by CCGs, taking into account the needs of their local population. CCGs have
a legal duty to have regard to National Institute for Health and Care Excellence guidelines
and NHS England and NHS Improvement expects all those involved in commissioning fertility
treatment services to be fully aware of their importance. In taking clinical decisions
about fertility treatment and taking account of their public sector equality duty,
CCGs should make assessments based on clinical infertility and not on relationship
status</p>
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