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 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>
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>
NHS England is currently undertaking a project to develop a benchmark price for NHS in-vitro fertilisation. This will help CCGs improve value for money in their commissioning. The Human Fertilisation and Embryology Authority are finalising some good practice advice for CCGs about the commissioning of fertility services, which should help improve the quality of commissioning decisions.<\/p>"} , "answeringMember" : {"_about" : "http://data.parliament.uk/members/4065", "label" : {"_value" : "Biography information for Dame Jackie Doyle-Price"} } , "answeringMemberConstituency" : {"_value" : "Thurrock"} , "answeringMemberPrinted" : {"_value" : "Jackie Doyle-Price"} , "dateOfAnswer" : {"_value" : "2018-11-06", "_datatype" : "dateTime"} , "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"} , "questionFirstAnswered" : [{"_value" : "2018-11-06T11:11:00.473Z", "_datatype" : "dateTime"} ]} , "answeringDeptId" : {"_value" : "17"} , "answeringDeptShortName" : {"_value" : "Health and Social Care"} , "answeringDeptSortName" : {"_value" : "Health and Social Care"} , "date" : {"_value" : "2018-10-30", "_datatype" : "dateTime"} , "hansardHeading" : {"_value" : "Fertility: Medical Treatments"} , "houseId" : {"_value" : "1"} , "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"} } ], "questionText" : "To ask the Secretary of State for Health and Social Care, what steps his Department takes to (a) support fertility treatment in the NHS and (b) ensure NHS England and Clinical Commissioning Groups deliver fertility treatments in line with NICE guidelines.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"} , "tablingMember" : {"_about" : "http://data.parliament.uk/members/4056", "label" : {"_value" : "Biography information for Nic Dakin"} } , "tablingMemberConstituency" : {"_value" : "Scunthorpe"} , "tablingMemberPrinted" : [{"_value" : "Nic Dakin"} ], "uin" : "185587"} , {"_about" : "http://data.parliament.uk/resources/997553", "AnsweringBody" : [{"_value" : "Ministry of Justice"} ], "answer" : {"_about" : "http://data.parliament.uk/resources/997553/answer", "answerText" : {"_value" : "
As set out on the 26 June at the Justice Select Committee and in the 2017 manifesto, we remain committed to building up to 10,000 modern and decent prison places to replace old, expensive and unsuitable accommodation.<\/p>
<\/p>
In the Budget 2018 it was announced that we now intend to build the second prison at Glen Parva through public capital. This will enable the prison to open earlier than originally planned to meet the needs of the growing and complex prison population. The redevelopment will be subject to value for money and affordability tests. While we cannot comment at this stage on the anticipated cost, the newest prison in the estate, HMP Berwyn in North Wales, cost £220 million when it was built in 2015-16. Only PF2 is being retired. We will continue to explore funding routes for the delivery of the remainder of the new places, including through private investment.<\/p>
<\/p>
The average cost per prisoner, costs per prison place and overall prison unit costs for each private and public sector prison in England and Wales are routinely published by Her Majesty\u2019s Prison and Probation Service. This information is produced on an annual basis and is published after the end of each financial year in the Prison and Probation Performance Statistics pages on the www.gov.uk<\/a> website.<\/p> <\/p> We are investing tens of millions extra in prisons to ensure they remain places of rehabilitation and safe for prisoners and staff. A breakdown on cost details per prison place in respect of public sector prisons and those operated under contract (which includes privately financed prisons) can be found within the link under the file named: Costs per prison place and cost per prisoner 2017-18: supplementary information. Our investment includes the recruitment and training of over 3,500 new prison officers in the last two years which has increased our spending on prisons. This investment ensures prisoners have a genuine chance to turn their lives around and ultimately protects the public from crime.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4137", "label" : {"_value" : "Biography information for Rory Stewart"}
}
, "answeringMemberConstituency" : {"_value" : "Penrith and The Border"}
, "answeringMemberPrinted" : {"_value" : "Rory Stewart"}
, "dateOfAnswer" : {"_value" : "2018-11-05", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : [{"_value" : "185677"}
, {"_value" : "185685"}
, {"_value" : "185686"}
], "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2018-11-05T17:06:57.747Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "54"}
, "answeringDeptShortName" : {"_value" : "Justice"}
, "answeringDeptSortName" : {"_value" : "Justice"}
, "date" : {"_value" : "2018-10-30", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Prisoners: Per Capita Costs"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Justice, what estimate his Department has made of the cost per prison place of a prison built with (a) with private finance and (b) funds from the public purse.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4493", "label" : {"_value" : "Biography information for Richard Burgon"}
}
, "tablingMemberConstituency" : {"_value" : "Leeds East"}
, "tablingMemberPrinted" : [{"_value" : "Richard Burgon"}
], "uin" : "185675"}
, {"_about" : "http://data.parliament.uk/resources/997555", "AnsweringBody" : [{"_value" : "Department for Work and Pensions"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/997555/answer", "answerText" : {"_value" : " The Agency Agreement between the Department for Work and Pensions and Scottish Ministers for the continued payment of Carer\u2019s Allowance is the first agreement made under the Scotland Act 1998 (Agency Arrangements) (Specification) Order 2018.<\/p> <\/p> The need for further agency arrangements will be considered on a case by case basis and will be subject to UK and Scottish Government agreement. This will be dependent on Scottish Government plans for taking over benefits once executive competence transfers in April 2020.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4014", "label" : {"_value" : "Biography information for Sir Alok Sharma"}
}
, "answeringMemberConstituency" : {"_value" : "Reading West"}
, "answeringMemberPrinted" : {"_value" : "Alok Sharma"}
, "dateOfAnswer" : {"_value" : "2018-11-05", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2018-11-05T18:13:20.953Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "29"}
, "answeringDeptShortName" : {"_value" : "Work and Pensions"}
, "answeringDeptSortName" : {"_value" : "Work and Pensions"}
, "date" : {"_value" : "2018-10-30", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Scotland Act 1998 (Agency Arrangements) (Specification) Order 2018"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Work and Pensions, pursuant to the Answer of 9 October 2018 to Question 173561, what other agreements have been made under the Scotland Act 1998 (Agency Arrangements) (Specification) Order 2018; and whether the Scottish Government has advised it will ask for further agreements.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/3966", "label" : {"_value" : "Biography information for Ian Murray"}
}
, "tablingMemberConstituency" : {"_value" : "Edinburgh South"}
, "tablingMemberPrinted" : [{"_value" : "Ian Murray"}
], "uin" : "185566"}
, {"_about" : "http://data.parliament.uk/resources/997566", "AnsweringBody" : [{"_value" : "Treasury"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/997566/answer", "answerText" : {"_value" : "If the UK leaves the EU next year without a deal, HM Treasury will make additional funding available to departments to cover projects under the HMG Guarantee, which includes Horizon 2020. Relevant departments will then be responsible for allocating this funding to UK organisations."}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4097", "label" : {"_value" : "Biography information for Elizabeth Truss"}
}
, "answeringMemberConstituency" : {"_value" : "South West Norfolk"}
, "answeringMemberPrinted" : {"_value" : "Elizabeth Truss"}
, "dateOfAnswer" : {"_value" : "2018-11-06", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2018-11-06T15:43:03.107Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "14"}
, "answeringDeptShortName" : {"_value" : "Treasury"}
, "answeringDeptSortName" : {"_value" : "Treasury"}
, "date" : {"_value" : "2018-10-30", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "EU Grants and Loans"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Chancellor of the Exchequer, whether the funding allocated by the EU to underwrite successful bids by UK organisations to competitive EU grant programmes, including Horizon2020, will be funded from (a) UKRI\u2019s annual budget allocation or (b) additional funding allocated by his Department in the event that the UK leaves the EU without a deal.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4382", "label" : {"_value" : "Biography information for Daniel Zeichner"}
}
, "tablingMemberConstituency" : {"_value" : "Cambridge"}
, "tablingMemberPrinted" : [{"_value" : "Daniel Zeichner"}
], "uin" : "185619"}
, {"_about" : "http://data.parliament.uk/resources/997572", "AnsweringBody" : [{"_value" : "Ministry of Justice"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/997572/answer", "answerText" : {"_value" : " Information on the annual cost to the public purse of legal aid for bereaved families for inquests under the exceptional case funding scheme in the last five years could only be obtained at disproportionate cost.<\/p> Costs for inquests under the exceptional case funding scheme in the last five years:<\/strong><\/p> <\/p><\/td> Value (£'000)<\/p><\/td><\/tr> 2013-14<\/p><\/td> 43<\/p><\/td><\/tr> 2014-15<\/p><\/td> 224<\/p><\/td><\/tr> 2015-16<\/p><\/td> 570<\/p><\/td><\/tr> 2016-17<\/p><\/td> 869<\/p><\/td><\/tr> 2017-18<\/p><\/td> 761<\/p><\/td><\/tr><\/tbody><\/table> Applications and grants for ECF inquest over the last 5 years:<\/strong><\/p> <\/p><\/td> Applications<\/p><\/td> Applications granted<\/p><\/td><\/tr> 2013-14<\/p><\/td> 201<\/p><\/td> 54<\/p><\/td><\/tr> 2014-15<\/p><\/td> 225<\/p><\/td> 110<\/p><\/td><\/tr> 2015-16<\/p><\/td> 240<\/p><\/td> 165<\/p><\/td><\/tr> 2016-17<\/p><\/td> 288<\/p><\/td> 165<\/p><\/td><\/tr> 2017-18<\/p><\/td> 419<\/p><\/td> 222<\/p><\/td><\/tr><\/tbody><\/table> Breakdown of refused and rejected ECF inquests applications, over the last five years<\/strong><\/p> <\/p><\/td> Refused<\/strong><\/p><\/td><\/tr> <\/p><\/td> Costs increase refusal<\/p><\/td> ECF Merits<\/p><\/td> Means<\/p><\/td> Means & ECF Merits<\/p><\/td> Means & Merits (both)<\/p><\/td> Normal & ECF Merits<\/p><\/td> Normal Merits<\/p><\/td> Other<\/p><\/td><\/tr> 2013-14<\/p><\/td> <\/p><\/td> 39<\/p><\/td> 3<\/p><\/td> <\/p><\/td> 1<\/p><\/td> 38<\/p><\/td> 1<\/p><\/td> 5<\/p><\/td><\/tr> 2014-15<\/p><\/td> <\/p><\/td> 24<\/p><\/td> <\/p><\/td> 6<\/p><\/td> 5<\/p><\/td> 27<\/p><\/td> 11<\/p><\/td> 7<\/p><\/td><\/tr> 2015-16<\/p><\/td> <\/p><\/td> 27<\/p><\/td> <\/p><\/td> <\/p><\/td> <\/p><\/td> 4<\/p><\/td> 17<\/p><\/td> 1<\/p><\/td><\/tr> 2016-17<\/p><\/td> <\/p><\/td> 50<\/p><\/td> 1<\/p><\/td> <\/p><\/td> <\/p><\/td> 2<\/p><\/td> 11<\/p><\/td> 15<\/p><\/td><\/tr> 2017-18<\/p><\/td> 1<\/p><\/td> 99<\/p><\/td> 5<\/p><\/td> <\/p><\/td> <\/p><\/td> 1<\/p><\/td> 17<\/p><\/td> 30<\/p><\/td><\/tr><\/tbody><\/table> <\/p> Rejected<\/p><\/td><\/tr> <\/p><\/td> In Scope<\/p><\/td> Incomplete<\/p><\/td> Other<\/p><\/td> Premature<\/p><\/td><\/tr> 2013-14<\/p><\/td> <\/p><\/td> 22<\/p><\/td> 37<\/p><\/td> <\/p><\/td><\/tr> 2014-15<\/p><\/td> 4<\/p><\/td> 21<\/p><\/td> 10<\/p><\/td> <\/p><\/td><\/tr> 2015-16<\/p><\/td> 1<\/p><\/td> 15<\/p><\/td> 4<\/p><\/td> 1<\/p><\/td><\/tr> 2016-17<\/p><\/td> <\/p><\/td> 23<\/p><\/td> 16<\/p><\/td> 1<\/p><\/td><\/tr> 2017-18<\/p><\/td> 1<\/p><\/td> 21<\/p><\/td> 8<\/p><\/td> 1<\/p><\/td><\/tr><\/tbody><\/table>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4517", "label" : {"_value" : "Biography information for Lucy Frazer"}
}
, "answeringMemberConstituency" : {"_value" : "South East Cambridgeshire"}
, "answeringMemberPrinted" : {"_value" : "Lucy Frazer"}
, "dateOfAnswer" : {"_value" : "2018-11-07", "_datatype" : "dateTime"}
, "groupedQuestionUIN" : {"_value" : "185678"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2018-11-07T14:56:22.79Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "54"}
, "answeringDeptShortName" : {"_value" : "Justice"}
, "answeringDeptSortName" : {"_value" : "Justice"}
, "date" : {"_value" : "2018-10-30", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Coroners: Legal Aid Scheme"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Justice, what the cost to the public purse was for legal aid funding for inquests under the exceptional case funding scheme in the last five years was; and how many applications for that funding were (a) made, (b) granted and (c) denied broken down by reason for refusal in the same period.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4493", "label" : {"_value" : "Biography information for Richard Burgon"}
}
, "tablingMemberConstituency" : {"_value" : "Leeds East"}
, "tablingMemberPrinted" : [{"_value" : "Richard Burgon"}
], "uin" : "185679"}
, {"_about" : "http://data.parliament.uk/resources/997576", "AnsweringBody" : [{"_value" : "Ministry of Justice"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/997576/answer", "answerText" : {"_value" : " The sums spent on legal representation for Her Majesty's Prison and Probation Service (HMPPS) at inquests into deaths in prison custody in each of the last five calendar years are set out below.<\/p> 2013<\/p><\/td> £2,826,566.02<\/p><\/td><\/tr> 2014<\/p><\/td> £2,734,183.67<\/p><\/td><\/tr> 2015<\/p><\/td> £2,874,906.17<\/p><\/td><\/tr> 2016<\/p><\/td> £3,591,634.26<\/p><\/td><\/tr> 2017<\/p><\/td> £4,198,893.32<\/p><\/td><\/tr><\/tbody><\/table> <\/p> These are the costs of representation for both HMPPS and its staff. In the vast majority of cases the legal representatives are acting for both the agency and all members of its staff called as witnesses, and the respective costs cannot therefore be separated. In a very small number of cases separate representation is provided for one or more members of staff.<\/p> <\/p> These costs relate to the representation provided for public-sector prisons and their staff, and, since its creation in April 2014, the National Probation Service and its staff. The costs of representation for contracted prisons and their staff are met by the provider. Before April 2014 each Probation Trust met its own representation costs, and since then each Community Rehabilitation Company has done likewise.<\/p>"}
, "answeringMember" : {"_about" : "http://data.parliament.uk/members/4137", "label" : {"_value" : "Biography information for Rory Stewart"}
}
, "answeringMemberConstituency" : {"_value" : "Penrith and The Border"}
, "answeringMemberPrinted" : {"_value" : "Rory Stewart"}
, "dateOfAnswer" : {"_value" : "2018-11-08", "_datatype" : "dateTime"}
, "isMinisterialCorrection" : {"_value" : "false", "_datatype" : "boolean"}
, "questionFirstAnswered" : [{"_value" : "2018-11-08T16:54:30.84Z", "_datatype" : "dateTime"}
]}
, "answeringDeptId" : {"_value" : "54"}
, "answeringDeptShortName" : {"_value" : "Justice"}
, "answeringDeptSortName" : {"_value" : "Justice"}
, "date" : {"_value" : "2018-10-30", "_datatype" : "dateTime"}
, "hansardHeading" : {"_value" : "Coroners: Legal Representation"}
, "houseId" : {"_value" : "1"}
, "legislature" : [{"_about" : "http://data.parliament.uk/terms/25259", "prefLabel" : {"_value" : "House of Commons"}
}
], "questionText" : "To ask the Secretary of State for Justice, what estimate he has made of his Department's annual spend on legal representation for prisons and probation staff at inquests on deaths in prison in each of the last five years.", "registeredInterest" : {"_value" : "false", "_datatype" : "boolean"}
, "tablingMember" : {"_about" : "http://data.parliament.uk/members/4493", "label" : {"_value" : "Biography information for Richard Burgon"}
}
, "tablingMemberConstituency" : {"_value" : "Leeds East"}
, "tablingMemberPrinted" : [{"_value" : "Richard Burgon"}
], "uin" : "185683"}
, {"_about" : "http://data.parliament.uk/resources/997580", "AnsweringBody" : [{"_value" : "Department for Education"}
], "answer" : {"_about" : "http://data.parliament.uk/resources/997580/answer", "answerText" : {"_value" : " The consultation on the draft guidance and regulations for Relationships Education, Relationships and Sex Education and Health Education closes on 7 November 2018. The draft statutory guidance sets out the core content that primary and secondary schools should teach.<\/p> The Department is also seeking views through the consultation on what support schools will need to deliver these subjects. In addition, the Department is working with stakeholders, including unions and expert organisations to help determine the appropriate school support.<\/p>