Is NHS funded IVF ‘coming home’ to Cambridgeshire?
30 Jun 2021
Bourn Hall’s Cambridge clinic was the world’s first IVF clinic and previously treated NHS patients from across Cambridgeshire until NHS funding was halted in 2017.
NHS funded IVF treatment is available in Hertfordshire, Luton, Bedfordshire, Norfolk, Suffolk and parts of Essex – but not in Cambridgeshire or Peterborough. This postcode lottery is unfair and seven Cambridgeshire MPs have called on the Cambridgeshire and Peterborough Clinical Commissioning Group (CCG) to reconsider its position and reinstate NHS funded IVF in Cambridgeshire.
A meeting of the CCG is to be held on 6th July 2021 and IVF is on the agenda – follow governing body meetings item 3 (strategy) 16.10 – 17.00 twitter @CambsPboroCCG
Bourn Hall provides NHS fertility treatment including IVF across the east of England. Chief Executive Dr Mike Macnamee says the World Health Organisation formally recognises infertility as a disease meriting medical treatment.
He comments: “Infertility has a severe impact on mental health and can cause depression and relationship breakdown. Being unable to afford access to treatment causes psychological distress.
“Other CCGs across the country manage to fund a fertility service and the ‘right to try’ is so important. Even if people are not successful, they have the knowledge that they have done everything they could and can then move on with their lives.
“Without access to a fertility diagnosis and appropriate treatment, these people are left in limbo and this feeling of grief and loss can last a lifetime.”
The CCG last reviewed IVF funding in August 2019 and decided against reinstating funding on grounds of financial cost.
In Cambridgeshire about 150 patients a year would be eligible for NHS-funded IVF (this is the level of those funded in previous years) and Bourn Hall’s experience in Norfolk suggests that improvements in the current fertility pathway could help off-set those costs.
A fully integrated fertility service, such as the one that Bourn Hall provides across Norfolk, would enable more people to become pregnant with minimal intervention and the opportunity for IVF for those that need it.
Devastating – impact of IVF cuts
The devastating impact of IVF cuts was revealed in a survey that was sent to 4,000 people who had responded to a petition organised during the original consultation process in 2017.
Interestingly, a third of those that answered did not require fertility treatment themselves but had a friend or loved one who did and had seen the impact of infertility.
The biggest impacts of withdrawing funding for those completing the survey were:
- Severe impact on mental health – resulting in medication, depression, low self-worth, suicidal thoughts, hospital admissions, inability to work
- Stress on relationships – isolation, withdrawal from friends and family, destroyed marriages
- Devastating impact on lives – loss of meaning, financial stress
Summary of responses: ‘How has infertility affected you, your relationships and your health (or those of someone you care about)?’
Improving patient experience
Currently over 50% of patients who completed the survey and were diagnosed with some form of infertility are left without resolution.
Fertility declines for both men and women as they age, particularly for women after the age of 35, so it is important that people seek advice about infertility if they have been unsuccessful after two years of trying for a pregnancy.
A consultation with a Bourn Hall fertility nurse specialist is free of charge and this is an opportunity to review all aspects of your health and provide advice that can help you to get fertility fit or to answer questions that are concerning you.
In Norfolk, Bourn Hall provides Level 2 services (diagnosis and Ovulation Induction treatment) and through its expertise in fertility has helped 30% of the patients that it sees become pregnant – reducing the requirement for more invasive treatment.
“Improving the patient experience from GP referral through to resolution would improve patient outcomes. Even for those ultimately unsuccessful, it allows closure, the opportunity to explore other options and move on with their lives,” Dr Macnamee concludes.
“We see daily both the heartbreak caused by infertility as well as the joy when a much-wanted baby arrives after successful treatment. Funding for IVF treatment gives the message that infertility matters, and that help is available – the importance of this cannot be overstated.”
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“We went to an open evening at Bourn Hall Wickford and came away feeling really positive about the place. The staff were really friendly and the presentation was clear about the statistics regarding success rates and live birth rates; their data was very transparent. We came away feeling like we would really be looked after.”
Katy and Leigh are parents to Charlie after IVF
Patient 2023
“We chose to make an appointment at Bourn Hall Wickford because of the favourable reviews. When we got there and met the staff they were just so lovely, making us feel welcome and explaining to us what tests would need to be done and what our options were; we just thought ‘yes, let’s get the ball rolling!”
Jess and Fran are mums to Nathan after IVF with donor sperm
Patient 2023