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1138685
unstar this property registered interest false more like this
star this property date less than 2019-07-12more like thismore than 2019-07-12
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
unstar this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, whether his Department has made an assessment of the (a) financial, (b) emotional and (c) medical implications for couples experiencing infertility problems of IVF services being decommissioned by clinical commissioning groups. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 276551 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-07-16more like thismore than 2019-07-16
star this property answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p>
star this property answering member constituency Thurrock more like this
star this property answering member printed Jackie Doyle-Price more like this
star this property grouped question UIN
276552 more like this
276556 more like this
star this property question first answered
less than 2019-07-16T14:53:34.467Zmore like thismore than 2019-07-16T14:53:34.467Z
star this property answering member
4065
star this property label Biography information for Jackie Doyle-Price more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
1138686
unstar this property registered interest false more like this
star this property date less than 2019-07-12more like thismore than 2019-07-12
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
unstar this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what recent steps his Department has take to ensure equity of access to IVF treatment throughout England. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 276552 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-07-16more like thismore than 2019-07-16
star this property answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p>
star this property answering member constituency Thurrock more like this
star this property answering member printed Jackie Doyle-Price more like this
star this property grouped question UIN
276551 more like this
276556 more like this
star this property question first answered
less than 2019-07-16T14:53:34.513Zmore like thismore than 2019-07-16T14:53:34.513Z
star this property answering member
4065
star this property label Biography information for Jackie Doyle-Price more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
1138691
unstar this property registered interest false more like this
star this property date less than 2019-07-12more like thismore than 2019-07-12
star this property answering body
Department of Health and Social Care more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health and Social Care more like this
unstar this property answering dept sort name Health and Social Care more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health and Social Care, what steps his Department has taken to prevent clinical commissioning groups from decommissioning IVF services. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 276556 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2019-07-16more like thismore than 2019-07-16
star this property answer text <p>Infertility is recognised as a disease by all mainstream international health organisations. In the United Kingdom, infertility affects one in seven of all couples of child-bearing age. It can cause great psychological distress for those seeking to start a family, if not addressed. There are effective treatments and the National Institute for Health and Care Excellence (NICE) Fertility Guidelines set out clearly how the treatment can be offered in the most clinically and cost-effective way. The Government recognises that there is variation in the commissioning of National Health Service fertility services across England. Patients with infertility have every right to expect NHS services based on clinical need.</p><p> </p><p>Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services that meet the needs of their whole population, including fertility services. The Human Fertilisation and Embryology Authority’s guidance for commissioners is a new tool to help them implement NICE Fertility Guidelines and use the benchmark price treatments.</p><p> </p><p>I wrote to the Chief Executives of all CCGs in England on 17 June 2019 to promote the guidance and benchmark price, and strongly encourage them to implement fully the NICE Fertility Guidelines.</p><p><strong> </strong></p><p><strong> </strong></p>
star this property answering member constituency Thurrock more like this
star this property answering member printed Jackie Doyle-Price more like this
star this property grouped question UIN
276551 more like this
276552 more like this
star this property question first answered
less than 2019-07-16T14:53:34.563Zmore like thismore than 2019-07-16T14:53:34.563Z
star this property answering member
4065
star this property label Biography information for Jackie Doyle-Price more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
760904
unstar this property registered interest false more like this
star this property date less than 2017-09-14more like thismore than 2017-09-14
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what assessment his Department has made of whether decisions by clinical commissioning groups to decommission fertility services contravene the principle of equality of access to NHS services based on clinical need not ability to pay; and if he will make a statement. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 105428 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-09more like thismore than 2017-10-09
star this property answer text <p>It is the Government's policy that clinical commissioning groups (CCGs) should have regard to the National Institute for Health and Care Excellence (NICE) guideline on the assessment and treatment of people with fertility problems when commissioning services for which they are responsible. This includes the recommendation in the guideline that three cycles of in vitro fertilisation (IVF) be offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p> </p><p>The NICE guideline is evidence based best practice for clinicians but is not mandatory. The availability of National Health Service funded fertility treatment is and always has been a matter for local determination. Decisions on the level of service provision are underpinned by clinical insight and knowledge of local healthcare needs and priorities.</p><p>No such assessment has been made. The impact of fertility problems on patients is included in the NICE fertility guideline. The Government therefore recognises that infertility can and does have a powerful and lasting impact on the quality of life of those affected.</p><p> </p><p>To provide safeguards against CCGs decommissioning IVF services completely, all IVF service changes must meet the four tests for local reconfiguration plans set out in the Government Mandate to NHS England. These are:</p><p>- Support from commissioners;</p><p>- Strong public and patient engagement;</p><p>- Clear clinical evidence base; and</p><p>- Support for patient choice.</p><p>There are no plans to introduce any additional duties in respect of fertility services.</p><p> </p><p>Information about CCGs that have decommissioned IVF services is not collected centrally.</p>
star this property answering member constituency Ludlow more like this
star this property answering member printed Mr Philip Dunne more like this
star this property grouped question UIN
105425 more like this
105426 more like this
105427 more like this
star this property question first answered
less than 2017-10-09T16:14:55.417Zmore like thismore than 2017-10-09T16:14:55.417Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
760906
unstar this property registered interest false more like this
star this property date less than 2017-09-14more like thismore than 2017-09-14
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, whether his Department has made an assessment of the (a) financial, (b) emotional and (c) medical implications for couples experiencing infertility problems of IVF services being decommissioned by clinical commissioning groups. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 105426 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-09more like thismore than 2017-10-09
star this property answer text <p>It is the Government's policy that clinical commissioning groups (CCGs) should have regard to the National Institute for Health and Care Excellence (NICE) guideline on the assessment and treatment of people with fertility problems when commissioning services for which they are responsible. This includes the recommendation in the guideline that three cycles of in vitro fertilisation (IVF) be offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p> </p><p>The NICE guideline is evidence based best practice for clinicians but is not mandatory. The availability of National Health Service funded fertility treatment is and always has been a matter for local determination. Decisions on the level of service provision are underpinned by clinical insight and knowledge of local healthcare needs and priorities.</p><p>No such assessment has been made. The impact of fertility problems on patients is included in the NICE fertility guideline. The Government therefore recognises that infertility can and does have a powerful and lasting impact on the quality of life of those affected.</p><p> </p><p>To provide safeguards against CCGs decommissioning IVF services completely, all IVF service changes must meet the four tests for local reconfiguration plans set out in the Government Mandate to NHS England. These are:</p><p>- Support from commissioners;</p><p>- Strong public and patient engagement;</p><p>- Clear clinical evidence base; and</p><p>- Support for patient choice.</p><p>There are no plans to introduce any additional duties in respect of fertility services.</p><p> </p><p>Information about CCGs that have decommissioned IVF services is not collected centrally.</p>
star this property answering member constituency Ludlow more like this
star this property answering member printed Mr Philip Dunne more like this
star this property grouped question UIN
105425 more like this
105427 more like this
105428 more like this
star this property question first answered
less than 2017-10-09T16:14:55.32Zmore like thismore than 2017-10-09T16:14:55.32Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
760907
unstar this property registered interest false more like this
star this property date less than 2017-09-14more like thismore than 2017-09-14
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what safeguards are in place to prevent clinical commissioning groups from decommissioning IVF services completely. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 105425 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-09more like thismore than 2017-10-09
star this property answer text <p>It is the Government's policy that clinical commissioning groups (CCGs) should have regard to the National Institute for Health and Care Excellence (NICE) guideline on the assessment and treatment of people with fertility problems when commissioning services for which they are responsible. This includes the recommendation in the guideline that three cycles of in vitro fertilisation (IVF) be offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p> </p><p>The NICE guideline is evidence based best practice for clinicians but is not mandatory. The availability of National Health Service funded fertility treatment is and always has been a matter for local determination. Decisions on the level of service provision are underpinned by clinical insight and knowledge of local healthcare needs and priorities.</p><p>No such assessment has been made. The impact of fertility problems on patients is included in the NICE fertility guideline. The Government therefore recognises that infertility can and does have a powerful and lasting impact on the quality of life of those affected.</p><p> </p><p>To provide safeguards against CCGs decommissioning IVF services completely, all IVF service changes must meet the four tests for local reconfiguration plans set out in the Government Mandate to NHS England. These are:</p><p>- Support from commissioners;</p><p>- Strong public and patient engagement;</p><p>- Clear clinical evidence base; and</p><p>- Support for patient choice.</p><p>There are no plans to introduce any additional duties in respect of fertility services.</p><p> </p><p>Information about CCGs that have decommissioned IVF services is not collected centrally.</p>
star this property answering member constituency Ludlow more like this
star this property answering member printed Mr Philip Dunne more like this
star this property grouped question UIN
105426 more like this
105427 more like this
105428 more like this
star this property question first answered
less than 2017-10-09T16:14:55.27Zmore like thismore than 2017-10-09T16:14:55.27Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
760909
unstar this property registered interest false more like this
star this property date less than 2017-09-14more like thismore than 2017-09-14
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many clinical commissioning groups have decommissioned IVF services in each of the last five years. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 105427 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-10-09more like thismore than 2017-10-09
star this property answer text <p>It is the Government's policy that clinical commissioning groups (CCGs) should have regard to the National Institute for Health and Care Excellence (NICE) guideline on the assessment and treatment of people with fertility problems when commissioning services for which they are responsible. This includes the recommendation in the guideline that three cycles of in vitro fertilisation (IVF) be offered to qualifying couples where the woman is under the age of 40 and one cycle where the woman is between the ages of 40 and 42.</p><p> </p><p>The NICE guideline is evidence based best practice for clinicians but is not mandatory. The availability of National Health Service funded fertility treatment is and always has been a matter for local determination. Decisions on the level of service provision are underpinned by clinical insight and knowledge of local healthcare needs and priorities.</p><p>No such assessment has been made. The impact of fertility problems on patients is included in the NICE fertility guideline. The Government therefore recognises that infertility can and does have a powerful and lasting impact on the quality of life of those affected.</p><p> </p><p>To provide safeguards against CCGs decommissioning IVF services completely, all IVF service changes must meet the four tests for local reconfiguration plans set out in the Government Mandate to NHS England. These are:</p><p>- Support from commissioners;</p><p>- Strong public and patient engagement;</p><p>- Clear clinical evidence base; and</p><p>- Support for patient choice.</p><p>There are no plans to introduce any additional duties in respect of fertility services.</p><p> </p><p>Information about CCGs that have decommissioned IVF services is not collected centrally.</p>
star this property answering member constituency Ludlow more like this
star this property answering member printed Mr Philip Dunne more like this
star this property grouped question UIN
105425 more like this
105426 more like this
105428 more like this
star this property question first answered
less than 2017-10-09T16:14:55.367Zmore like thismore than 2017-10-09T16:14:55.367Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
758198
unstar this property registered interest false more like this
star this property date less than 2017-09-06more like thismore than 2017-09-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps his Department is taking to ensure equal access to IVF treatment across the UK. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 8988 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-09-14more like thismore than 2017-09-14
star this property answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. National Institute for Health and Care Excellence (NICE) guidelines are evidence based best practice for clinicians but are not mandatory.</p><p> </p><p>NHS England has advised that the in vitro fertilisation (IVF) benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome based payment approach with a number of CCGs and service providers in 2018/19.</p><p> </p><p>NHS England and professional and stakeholder groups including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p>
star this property answering member constituency Ludlow more like this
star this property answering member printed Mr Philip Dunne more like this
star this property grouped question UIN 8989 more like this
star this property question first answered
less than 2017-09-14T11:07:45.75Zmore like thismore than 2017-09-14T11:07:45.75Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
758199
unstar this property registered interest false more like this
star this property date less than 2017-09-06more like thismore than 2017-09-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, what steps his Department is taking to reduce regional variations in the availability of free-of-charge IVF treatment. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 8989 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-09-14more like thismore than 2017-09-14
star this property answer text <p>Clinical commissioning groups (CCGs) are responsible for commissioning local health services and ensuring the needs of the local health population are met. NHS England is responsible for oversight of the commissioning system. National Institute for Health and Care Excellence (NICE) guidelines are evidence based best practice for clinicians but are not mandatory.</p><p> </p><p>NHS England has advised that the in vitro fertilisation (IVF) benchmark price will be developed during 2017/18 with support from the IVF Expert Advisory Group and all key stakeholders, working towards publishing the IVF benchmark price ready for the financial year 2018/19. It is also planning to develop and test an IVF outcome based payment approach with a number of CCGs and service providers in 2018/19.</p><p> </p><p>NHS England and professional and stakeholder groups including the Human Fertilisation and Embryology Authority, are working together to develop commissioning guidance. This guidance aims to improve the quality of commissioning and further encourage the implementation of the NICE fertility guidelines. NHS England has agreed to disseminate and promote the commissioning guidance to all CCGs in England.</p>
star this property answering member constituency Ludlow more like this
star this property answering member printed Mr Philip Dunne more like this
star this property grouped question UIN 8988 more like this
star this property question first answered
less than 2017-09-14T11:07:45.687Zmore like thismore than 2017-09-14T11:07:45.687Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter
758216
unstar this property registered interest false more like this
star this property date less than 2017-09-06more like thismore than 2017-09-06
star this property answering body
Department of Health more like this
star this property answering dept id 17 more like this
star this property answering dept short name Health more like this
unstar this property answering dept sort name Health more like this
unstar this property hansard heading In Vitro Fertilisation remove filter
star this property house id 1 more like this
star this property legislature
25259
star this property pref label House of Commons more like this
star this property question text To ask the Secretary of State for Health, how many clinical commissioning groups in England follow in full the guidance provided to them by NICE on the provision of IVF treatment. more like this
star this property tabling member constituency Coventry North East more like this
star this property tabling member printed
Colleen Fletcher more like this
star this property uin 9017 more like this
star this property answer
answer
unstar this property is ministerial correction false more like this
star this property date of answer less than 2017-09-11more like thismore than 2017-09-11
star this property answer text <p>This information is not collected centrally.</p> more like this
star this property answering member constituency Ludlow more like this
star this property answering member printed Mr Philip Dunne more like this
star this property question first answered
less than 2017-09-11T13:08:22.69Zmore like thismore than 2017-09-11T13:08:22.69Z
star this property answering member
1542
star this property label Biography information for Mr Philip Dunne more like this
star this property tabling member
4378
unstar this property label Biography information for Colleen Fletcher remove filter