Folder A proposed change in policy for specialist fertility services (June 2014)


During 2014, Mid Essex Clinical Commissioning Group (CCG) held a public consultation seeking views on a proposed change in policy for specialist fertility services.

A change in policy would affect anyone registered with a GP in the districts of Braintree, Chelmsford or Maldon who might be looking to receive specialist fertility services free of charge on the NHS.

The consultation, which will run until September 8th, is seeking views from the public and patients alongside clinical and fertility experts on three options:

  • Option 1 – No change to the existing policy
  • Option 2 – Tighten restrictions from three cycles to one cycle of IVF
  • Option 3 – Restrict specialist fertility treatment to two groups:
    • cancer patients who wish to preserve fertility before treatment
    • men who are HIV positive and where there is a high risk of viral transmission to their female partner

Online surveys, written feedback and comments, meetings and open workshops all formed part of the consultation over the coming months.

Feedback was independently collated, analysed and summarised into a report which, together with commissioning and financial information, was considered and a final decision on policy made by the Mid Essex CCG Board during its public meeting on September 25th.

Donald McGeachy, Medical Director for Mid Essex CCG, said: “There was a view raised during consultative discussions in Autumn 2012, that we should consider reducing expenditure on specialist fertility services. Finding other ways to make savings, we continued to stay in line with NICE guidelines on fertility for as long as possible.

“Since then, healthcare demands have continued to rise. The pressure on funds is even greater. We need to face these difficult decisions to cut spending in the short term, while we transform and improve healthcare for the long term. It’s important that local people know the position and have the opportunity to say what they think.”

To view the consultation document and the outcomes to the consultation please view the documents section below.

Update: October 2017

At the September 2017 public board meeting, it was agreed that the CCG’s Service Restriction Policies (SRPs), including In Vitro Fertilisation (IVF) treatment, would remain in place until the next formal review in September 2018 or until there was an agreed common set of SRPs covering Mid and South Essex CCGs (anticipated date April 2018).


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pdf Fertility Services Consultation Document ( pdf, 778 KB ) (2413 downloads) Popular
pdf Fertility Services Survey (paper version) ( pdf, 343 KB ) (1795 downloads) Popular
pdf Outcome of IVF consultation ( pdf, 861 KB ) (2504 downloads) Popular