NHS Oldham CCG

IVF Consultation - supporting documentation

Consultation overview 

NHS Oldham Clinical Commissioning Group IVF (In-Vitro Fertiliziation) Service Provision Consultation

This consultation has now closed.

Patients and the public are invited to share their views on NHS Oldham Clinical Commissioning Group’s proposal to change the number of IVF (In Vitro Fertilisation) Cycles available to patients.

The consultation will run for six weeks from Friday 12 October to Saturday 8 December 2018

What is IVF?

IVF (in vitro fertilization) is one of several methods available to help a woman to have a baby.  In IVF an egg is removed from a woman’s ovaries and fertilized with sperm in a laboratory.  The fertilized egg (embryo) is then replaced into the womb to grow and develop.  In IVF, the couple’s own eggs and sperm can be used, or eggs or sperm from donors.

A full cycle of IVF includes one episode of ovarian stimulation, egg recovery, insemination, and embryo replacement into the womb.  The cycle ends with the final transfer of all resultant fresh and frozen embryos or a successful live birth occurring during the cycle.  

How many cycles of IVF are currently offered in Oldham?

The current offer in Oldham is up to 3 cycles (the maximum funded by any CCG) to eligible couples where at least one partner has no children. This provision is in line with NICE (National Institute of Clinical Excellence) guidance on fertility. You can learn more about this here (External Link).  The Greater Manchester Assisted Conception Policy, which applies to Oldham, sets out a common eligibility framework for IVF treatment across Greater Manchester CCG’s to reduce the differences in IVF Service provided, this policy allows CCG’s to decide how many cycles they will fund. Read more about this here

What does provision look like in the rest of Greater Manchester?

CCG

Number of Cycles

NHS Heywood, Middleton and Rochdale CCG

3

NHS Oldham CCG

3

NHS Tameside and Glossop CCG

3

NHS Salford CCG

2

NHS Stockport CCG

2

NHS Wigan CCG

2

NHS Bury CCG

1

NHS Bolton CCG

1

NHS Trafford CCG

1

NHS Manchester CCG

1

 

Oldham CCG would like to reduce the ‘postcode lottery’ experienced by many patients across Greater Manchester by bringing the service provision in line with many of the other Greater Manchester areas and protecting the resource from ‘Health Tourism’ which could lead to huge financial impacts on the service, making it unsustainable for all. The CCG feels that reducing the service to zero cycles unfairly disadvantages the people of Oldham. The Governing Body Board paper outlining the proposals for consideration can be found here.

Who provides IVF services to Oldham patients?

The two main providers of the service to the people of Oldham are: Central Manchester University Hospital (NHS) and Care Manchester (non NHS private provider) Other NHS and private providers also receive payments from Oldham CCG to deliver IVF services to Oldham residents under the Patient Choice Model (see https://www.england.nhs.uk/patient-choice/  (External Link) for more information re: patient choice model).

How much does IVF cost?

During 2017-18, NHS Oldham funded 195 cycles of IVF. Out of these, the CCG spent approximately 70% of the IVF spend on cycle 1, which is all patients, and the remaining 30% of the spend on cycle 2 and 3. This is shown in figures for 2017/18 below:

Cycles

Type

No of cycles

Average Price per cycle

Cost

Cycle 1

NHS Patients

134

£2,698

£361,088

Cycle 1

Private Patients

9

£4,269

£36,370

Cycle 2

NHS Patients

39

£2,698

£105,010

Cycle 2

Private Patients

3

£4,269

£11,782

Cycle 3

NHS Patients

10

£2,698

£27,634

Cycle 3

Private Patients

1

£4,269

£3,074

 

Total Cycles

195

 

£544,958

 

NHS Oldham CCG wants to provide a number of cycles which is more consistent with other boroughs. Balancing the small number of people potentially affected, but notwithstanding the large impact of childlessness on individuals, the CCG’s preferred option is to fund 1 cycle only going forward  (Option C) which would save the local NHS an estimated £147,500 per year.

Consultation options

Option

IVF cycle offer

Potential cost saving (based on 16/17 spending)

A

Continue to offer 3 cycles of IVF

No cost saving

B

Offer 2 cycles of IVF

£30,708

C

Offer 1 cycle of IVF (CCG preferred option)

£147,500

D

Do not offer any cycles of IVF (0 cycles)

£544,958

 

How we will consult with you

Our consultation period runs for 8 weeks, starting today; 12 October until Saturday 8 December.  

During this time there will be an online survey Survey now closed which anyone can fill in, opportunity to attend a drop in session to fill in a paper survey and discuss your views with the engagement team and if you are a group that would prefer a presentation; we are happy visit you to discuss the proposals.

You may also wish to email us your thoughts on the consultation, the following email address is advised: oldccg.hello@nhs.net  *Please note, the email address is only monitored during working hours

 What will happen after the consultation period?

Feedback from the consultation period will help to inform the Governing Body to make a decision on the future provision of IVF in Oldham at its meeting on Thursday 17 January 2018.  The Governing Body meets in public and will publish the outcome of the consultation on its website, through social media and via the press and media.