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1132765

	registered interest
	date	18/06/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	What recent discussions his Department has had with clinical commissioning groups on the Human Fertilisation and Embryology Authority’s guidance on fertility treatment.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	911423
	answer	answer is ministerial correction date of answer 18/06/2019 answer text <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 Aauthority’s guidance for commissioners is a new tool to help them implement National Institute for Health and Care Excellence (NICE) Fertility guidelines and utilise the benchmark price for In Vitro Fertilisation.</p><p>I have written to all CCGs to promote the guidance and benchmark price, and encourage them to fully implement NICE Fertility Guideline recommendations.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 18/06/2019 15:21:37 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

932172

	registered interest
	date	28/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of multiple births in England in 2017 were a result of IVF treatment which took place outside the UK.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	158661
	answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>The Department has been made aware anecdotally of an increasing number of couples going outside of the regulated sector in the United Kingdom to have fertility treatment, which results in multiple pregnancies. The expectant mothers are returning to the UK to receive their maternity care within the National Health Service.</p><p> </p><p>Multiple births involve higher risks for mothers and babies. Prematurity and low birth weight are the main reason for increased mortality and disability for these children.</p><p> </p><p>The Human Fertilisation and Embryology Authority has worked in partnership with professional stakeholders and UK clinics over the last 10 years to significantly reduce multiple births in UK fertility treatment through a policy of single embryo transfer.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 158662 question first answered 06/07/2018 12:50:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

932173

	registered interest
	date	28/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what was the cost to the NHS of (a) multiple births resulting from IVF treatment outside the UK for mothers who were refused such treatment in the UK and (b) other multiple births resulting from IVF treatment outside the UK in the last period for which figures are available.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	158662
	answer	answer is ministerial correction date of answer 06/07/2018 answer text <p>This information is not collected centrally.</p><p> </p><p>The Department has been made aware anecdotally of an increasing number of couples going outside of the regulated sector in the United Kingdom to have fertility treatment, which results in multiple pregnancies. The expectant mothers are returning to the UK to receive their maternity care within the National Health Service.</p><p> </p><p>Multiple births involve higher risks for mothers and babies. Prematurity and low birth weight are the main reason for increased mortality and disability for these children.</p><p> </p><p>The Human Fertilisation and Embryology Authority has worked in partnership with professional stakeholders and UK clinics over the last 10 years to significantly reduce multiple births in UK fertility treatment through a policy of single embryo transfer.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 158661 question first answered 06/07/2018 12:50:14 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

926532

	registered interest
	date	18/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the value for money of the service provided by clinical commissioning groups that offer only partial cycles of IVF treatment.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	154586
	answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>The evidence reviews and recommendations of the National Institute for Health and Care Excellence (NICE) fertility guidance confirm that fertility problems can be managed cost effectively. Where NICE fertility guidance is not followed and an incomplete cycle of in vitro fertilisation, as defined by the NICE guidance, is offered this reduces the effectiveness, and thereby the value for money of the treatment.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2018 11:29:07 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

924122

	registered interest
	date	14/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, how many clinical commissioning groups (CCGs) in England provide no IVF treatment for people with fertility problems; and what plans he has to ensure better provision of such treatment by CCGs.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	153728
	answer	answer is ministerial correction date of answer 21/06/2018 answer text <p>The Department does not collect official data on this subject matter. However, we understand from data collected by Fertility Fairness from Freedom of Information requests that there are seven clinical commissioning groups in England that do not routinely provide in vitro fertilisation treatment for their local population.</p><p> </p><p>These are Croydon, Cambridge and Peterborough, Basildon and Brentwood, South Norfolk, Mid-Essex, North and East Essex, and Herts Valley.</p><p> </p><p>In the light of these disappointing local decisions, the Government will give further consideration to what might be agreed with NHS England to support National Health Service fertility services being available on a more equitable basis across England for all those with fertility problems.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 21/06/2018 11:25:22 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

924124

	registered interest
	date	14/06/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to standardise the amount the Clinical Commisioning Groups pay providers for the provision of IVF treatment and other fertility services.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	153729
	answer	answer is ministerial correction date of answer 19/06/2018 answer text <p>NHS England and NHS Improvement are jointly undertaking a project to develop a benchmark price for National Health Service fertility treatments. NHS England have advised it is working with the sector to improve their reference costs for in-vitro fertilisation (IVF). It is NHS England’s intention to produce benchmark prices for IVF services by the end of the year.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 19/06/2018 16:17:56 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

894740

	registered interest
	date	30/04/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 31 January to Question 124439 on In Vitro Fertilisation, what assessment he has made of the potential merits on making NICE guidelines mandatory in cases where service provision has been (a) decommissioned and (b) reduced after a majority of views expressed in a public consultation supported the retention of that service.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	139359
	answer	answer is ministerial correction date of answer 03/05/2018 answer text <p>We have made no such assessment. The National Institute for Health and Care Excellence (NICE) is an independent body and its clinical guidelines represent best practice, are based on the best available evidence and developed through wide consultation. NICE clinical guidelines are not mandatory, although National Health Service commissioners are expected to take them into account alongside local priorities in the design of services.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 03/05/2018 13:06:58 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

858565

	registered interest
	date	09/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to reduce the number of clinical commissioning groups that have decommissioned IVF services.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	131820
	answer	answer is ministerial correction date of answer 19/03/2018 answer text <p>The level of provision of infertility treatment is decided by local clinical commissioning groups (CCGs) and will take into account the needs of the population overall. NHS England has advised that it recognises that there is a great deal of interest in the quality and availability of in vitro fertilisation (IVF) services, and is developing a benchmark price that the National Health Service pays for fertility treatments, which will become available for use in 2018/19. NHS England is also working with CCGs and various stakeholders including the Human Fertilisation and Embryology Authority, to understand how best to help them commission IVF services.</p><p> </p><p>NHS England has advised that, because CCGs are responsible for the commissioning of IVF, it is essential that any support that is given is developed in partnership with them. That is why NHS England are now working with NHS clinical commissioners, the national member organisation for CCGs, to identify the best way of supporting CCGs. NHS England have advised that any guidance will be led by NHS clinical commissioners and will contribute to their work as appropriate.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 131821 question first answered 19/03/2018 11:36:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

858566

	registered interest
	date	09/03/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans he has to introduce commissioning guidance on IVF services for clinical commissioning groups.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	131821
	answer	answer is ministerial correction date of answer 19/03/2018 answer text <p>The level of provision of infertility treatment is decided by local clinical commissioning groups (CCGs) and will take into account the needs of the population overall. NHS England has advised that it recognises that there is a great deal of interest in the quality and availability of in vitro fertilisation (IVF) services, and is developing a benchmark price that the National Health Service pays for fertility treatments, which will become available for use in 2018/19. NHS England is also working with CCGs and various stakeholders including the Human Fertilisation and Embryology Authority, to understand how best to help them commission IVF services.</p><p> </p><p>NHS England has advised that, because CCGs are responsible for the commissioning of IVF, it is essential that any support that is given is developed in partnership with them. That is why NHS England are now working with NHS clinical commissioners, the national member organisation for CCGs, to identify the best way of supporting CCGs. NHS England have advised that any guidance will be led by NHS clinical commissioners and will contribute to their work as appropriate.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 131820 question first answered 19/03/2018 11:36:24 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe

828810

	registered interest
	date	23/01/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	IVF
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, pursuant to the Answer of 18 December 2017 to Question 119189, what assessment he has made of the effectiveness of his Department's policy on the provision of and access to IVF treatment in England.
	tabling member constituency	Birmingham, Selly Oak
	tabling member printed	Steve McCabe
	uin	124439
	answer	answer is ministerial correction date of answer 31/01/2018 answer text <p>Clinical commissioning groups 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 guidelines are evidence-based best practice for clinicians but are not mandatory.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 31/01/2018 13:59:45 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	298 label Biography information for Steve McCabe