{"id":8952,"date":"2019-07-04T17:46:51","date_gmt":"2019-07-04T16:46:51","guid":{"rendered":"https:\/\/pamap.accessfertility.com\/ie\/?p=657"},"modified":"2025-05-14T16:25:33","modified_gmt":"2025-05-14T15:25:33","slug":"nhs-ivf-provision","status":"publish","type":"post","link":"https:\/\/www.accessfertility.com\/ie\/nhs-ivf-provision\/","title":{"rendered":"What I wish I’d known about NHS IVF provision"},"content":{"rendered":"
We love the NHS<\/strong><\/p>\n It almost goes without saying that there is huge support for the NHS. The vast majority of people support the founding principles of a service free at the point of delivery, available to all and funded largely by taxation.<\/p>\n But there\u2019s an argument that our attachment to the NHS means that we don\u2019t demand enough of the NHS. That we sometimes tolerate a level of service that would be unacceptable in other areas of our lives.\u00a0This is the experience of a growing number of people going through fertility treatment.<\/p>\n Although we love the NHS and we are very lucky to be able to receive free fertility treatment, which is for some people their only option, for others it has caused a lot pain and disappointment due to lengthy delays and restrictions.<\/p>\n Many other people have had positive and successful fertility journeys with the NHS too, we are not here to judge. We are NOT talking here about which is \u2018better\u2019 or \u2018worse\u2019 but how private and NHS fertility treatment differs to enable you to make informed decisions about your personal journey.<\/p>\n Patients have told me what they wish they had known about NHS IVF treatment before their journey started to enable others to be better informed. Things people mentioned, included:<\/p>\n Look up the CCG (Clinical Commissioning Group) policy<\/strong>\u00a0on fertility treatments for your council: Every council has a different policy on eligibility, funding, and treatment. You\u2019ll want to ensure that you do nothing to endanger your eligibility which could be, for example, to pay for a cycle privately before you start IVF with NHS. If you are unclear about the policy, discuss it with your IVF clinic. You can find the CCG policy for your council online.<\/p>\n Look up the number of funded cycles available in your area<\/strong>: the success rates for people falling pregnant on their first cycle is up to around 25-30%. The majority of people, and especially those in the older age bracket, are likely to need more than one cycle of IVF. In many places now the NHS only offers one funded cycle so if you may need more than one private treatment might be something to consider as you can look for multi cycle treatment programmes, where you can purchase two or three cycles for a discounted rate.<\/p>\n Many clinics in the UK partner with Access Fertility who offers inclusive multi cycle treatment packages. Access Fertility also offers refund plans where, if you don\u2019t have a baby after your treatment is complete, you can receive a full or partial refund. NHS clinics do not provide these type of options. Find out more about Access Fertility programmes here<\/a>. Read our blog about the cost of private treatment here<\/a>.<\/p>\n Check your eligibility<\/strong>:<\/p>\n One key aspect you need to check is your NHS eligibility<\/a>. You are not eligible for NHS provision if:<\/p>\n Women under 40<\/strong><\/p>\n According to NICE,\u00a0women aged under 40 should be offered 3 cycles of IVF treatment on the NHS if:<\/p>\n If you turn 40 during treatment, the current cycle will be completed, but further cycles shouldn’t be offered.\u00a0If tests show IVF is the only treatment likely to help you get pregnant, you should be referred straight away.<\/p>\n Women aged 40 to 42<\/strong><\/p>\n The NICE guidelines also say women aged 40 to 42 should be offered 1 cycle of IVF on the NHS\u00a0if all of the following criteria are met:<\/p>\n Again,\u00a0if tests show IVF is the only treatment likely to help you get pregnant, you should be referred straight away.<\/p>\n NHS trusts across England and Wales are working to provide the same levels of service. But the provision of IVF treatment varies across the country, and often depends on local\u00a0CCG policies.<\/strong><\/p>\n CCGs may have additional criteria you need to meet before you can have IVF on the NHS, such as:<\/p>\n In some cases, only 1 cycle of IVF may be routinely offered, instead of the 3 recommended by NICE.<\/p>\n Check out any restrictions<\/strong>: you need to check the small print for your CCGs policy in your area as in some areas you will not be entitled to any of the \u2018add-ons\u2019 such as Timelapse technology, Embryoglue or blastocyst. The NHS does not include these additional elements as part of the cycle because it says there is little evidence to prove the effectiveness, which seems fair. Some private clinics offer these treatments but don\u2019t necessarily recommend them for the same reasons but at least you have the option in a private clinic, where\/if the consultant feels that it would be beneficial in your specific case.<\/p>\n Do lots of research<\/strong>: the add-ons mentioned above are available in private clinics but you don\u2019t have to have them. Even if a doctor recommends something you can still say \u2018no\u2019 if you want to. The HFEA is the governing body for fertility clinics and you can find information on there about the effectiveness and risks associated with each procedure. The better informed you are about the process and what is involved\/the options, the more confident you can be in discussions with either your private or NHS consultant about your treatment. You can also research the different clinics and procedures, medications and prices. You can find out more about add-ons on the HFEAs website<\/a>:<\/p>\n Flexibility:<\/strong> the majority of us have experienced the NHS appointment system. We wait for an appointment and do anything we can to drop everything to get there because if you can\u2019t make that slot you might be waiting for another month or more. This can cause havoc with work commitments and getting appointments at the right time, which is key for fertility treatment. Private clinics offer a greater flexibility for appointments and might even be open at weekends or evenings. Work will be disrupted either way but the lack of flexibility with timings in the NHS, and the significant delays in waiting for appointments etc is a major factor to think about.<\/p>\n Ease of contact<\/strong>: in the NHS it is difficult to call your consultant or nurse to ask a question, if you\u2019re lucky enough to have the same doctor each time. This is something which is much easier in a private clinic environment where they provide you with patient portals and dedicated staff who you can call any time. Where you might need to inject yourself in a restaurant toilet at 9.00pm and make a mistake, this is very important.<\/p>\nThings to think about with NHS IVF provision:<\/strong><\/h4>\n
<\/strong>Expect delays, lots of delays<\/strong>: this is important to bear in mind if you are someone who is 35 and above, but especially over 38 and starting out on your fertility journey. Timing is key to the IVF process and, as we all know, the chances of successful treatment fall significantly for those over 40 years old. Therefore, you may need to think about the potential 10-18 month wait to start your treatment on the NHS.<\/span><\/p>\n\n
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Additional criteria<\/strong><\/h4>\n
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