Southend health bosses looking to change rules on IVF

Health bosses looking to change rules on IVF

Health bosses looking to change rules on IVF

First published in News by

WOMEN trying to get pregnant in their twenties and thirties could have less chance after moves were made to limit IVF treatment.

Southend’s Clinical Commissioning Group has launched a consultation over plans to limit woman aged 23 to 39 to just two cycles of IVF treatment on the NHS, so it can offer woman aged between 40 and 42 one round of treatment.

IVF helps couples with fertility problems by fertilising a woman’s egg with sperm in a laboratory before returning the embryo to the woman’s womb to develop.

The group’s plans would go against guidelines set out by the National Institute for Health and Care Excellence, which suggests women aged 23 to 39 should be offered three cycles of IVF treatment.

Susan Seenan, co-chair of the National Infertility Awareness Campaign, said: “Not everybody needs three cycles, but from a patient’s perspective its knowing you have the third cycle option that can make all the difference.

“Knowing the second cycle is your last shot puts extra pressure on you.

“Three chances gives people a reasonable chance of success.

“They can move forward knowing they gave it their best shot.

“If someone can get three cycles and someone else, down the road gets two and they only live a few miles away, it’s not fair.

“The institute has recommended three attempts is the most cost-effective and successful amount of treatment.

“A lot of the public don’t understand the evidence and will make an ill-informed recommendation.

The commissioning group should therefore go with what the institute has recommended.”

According to Nice, women under 40 should be offered three cycles if they have been trying to get pregnant naturally for two years, or if they haven’t been able to get pregnant after 12 cycles of artificial insemination.

Southend’s clinical group wants to reduce the three cycles to two for couples who have been trying to get pregnant for three years.

It would enable it to extend IVF treatment for women aged between 40 and 42 to get one chance, and to couples unable to achieve full sexual intercourse – including those with a disability or same-sex couples.

Bourn Hall Clinic, which has a base in Wickford, said although the national media often reported an influx in older women having treatment it “hadn’t see it to be true”.

Dr Paul Husselbee, clinical chief officer of NHS Southend Clinical Commissioning Group, said: “The proposed changes have been developed as a result of a regional project looking at the clinical effectiveness of treatments for different patients and considering the cost implication of changing the policy.

“We do not expect to spend any more or any less on IVF for Southend patients as a result of the proposed changes. However, more people would be able to access this treatment.

“Wemust make sure we can offer IVF in the most effective way for our local population and ensure we balance the funding for this treatment alongside the many other cost pressures on the local NHS.”

Feedback must be received by August 31, to be discussed at the clinical executive meeting in September 2014.

Visit www.southendccg.nhs.uk/ivfengagement or hard copy versions can be obtained by calling 01702 314276.

SUCCESS RATES AND COSTS

- 32.2 per cent of women under 35 are successful (based on 2010 statistics from NICE)

- 27.7 per cent of women aged 35-37 are successful

- 20.8 per cent of women aged 38-39 are successful

- 13.6 per cent of women aged 40-42 are successful

- Only 5 per cent of women aged 43-44 are successful

- 1.9 per cent for women aged over 44 are successful

- £5,000 – the average cost of one cycle of IVF

- £440,000 the amount NICE recommends spending every year on IVF - £260,000 is about how much it costs Southend CCG every year to fund IVF

WHAT’S INVOLVED IN PROCESS?

IN vitro fertilisation is one of several techniques available to help couples with fertility problems to have a baby.

During the process, a woman’s eggs are surgically removed and fertilised in a lab using sperm.

The fertilised egg, the embryo, is then implanted into the woman’s womb.

According to the NHS about 20-25 per cent of IVF treatment cycles result in a birth, with younger women having a higher chance of success.

Typically, one cycle of IVF takes between four and seven weeks.

The procedure increases a woman’s chance of twins or triplets.

Other risks include Ovarian hyperstimulation syndrome which is caused by drugs used to stimulate the ovaries and can result in blood clots.

Comments (10)

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7:30am Wed 30 Jul 14

abd123 says...

With large numbers of people unable to get a GP appointment I think this is treatment that should have to be done privately only and the money saved used to get more GPs. You have to get the basics first before spending money on things like this.
With large numbers of people unable to get a GP appointment I think this is treatment that should have to be done privately only and the money saved used to get more GPs. You have to get the basics first before spending money on things like this. abd123
  • Score: -5

7:56am Wed 30 Jul 14

pembury53 says...

this treatment should be stopped altogether on the NHS..... scandalous waste of scarce resources when people are sick and dying and the country is littered with unwanted children....
this treatment should be stopped altogether on the NHS..... scandalous waste of scarce resources when people are sick and dying and the country is littered with unwanted children.... pembury53
  • Score: -6

10:11am Wed 30 Jul 14

EC1979 says...

Comments like this make me sick, I myself have been through failed IVF treatment due to medical problems that my GP couldnt even diagnose for 3years. You cannot comment on things like this unless you know all the facts. It is not our fault that there are abandoned children out there, why should we be denied our chance of having children? Do you even know the waiting time on adoption or fostering, The Red tape that is constantly put in front of you for know reason at all. Your comments are hurtful, please do not comment unless you know what you are talking about.
Comments like this make me sick, I myself have been through failed IVF treatment due to medical problems that my GP couldnt even diagnose for 3years. You cannot comment on things like this unless you know all the facts. It is not our fault that there are abandoned children out there, why should we be denied our chance of having children? Do you even know the waiting time on adoption or fostering, The Red tape that is constantly put in front of you for know reason at all. Your comments are hurtful, please do not comment unless you know what you are talking about. EC1979
  • Score: 6

12:31pm Wed 30 Jul 14

Thecountrysgonetopot! says...

Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself!
Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself! Thecountrysgonetopot!
  • Score: 3

12:33pm Wed 30 Jul 14

Thecountrysgonetopot! says...

Thecountrysgonetopot
!
wrote:
Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself!
Apologies this is aimed at pembury53 says and nobody else
[quote][p][bold]Thecountrysgonetopot ![/bold] wrote: Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself![/p][/quote]Apologies this is aimed at pembury53 says and nobody else Thecountrysgonetopot!
  • Score: 1

1:05pm Wed 30 Jul 14

pembury53 says...

Thecountrysgonetopot
!
wrote:
Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself!
"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat
[quote][p][bold]Thecountrysgonetopot ![/bold] wrote: Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself![/p][/quote]"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat pembury53
  • Score: -6

1:32pm Wed 30 Jul 14

Thecountrysgonetopot! says...

pembury53 wrote:
Thecountrysgonetopot ! wrote: Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself!
"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat
Yes there are people who have children who dont want them but then are people like myself who would do anything to get pregnant and we live in a country where i will be lucky enough to go through IVF, whatever the outcome. If you wanted to make a point then quote statistics or talk about your friend and left it at that, dont make fun of people of who cannot have children. Your comments are very hurtful to people like myself, even when i point this out and explain how i feel you continue to make a joke of it by saying i could get a cat?! You are obviously a man as no women would EVER say that to another female, you should be ashamed of yourself
[quote][p][bold]pembury53[/bold] wrote: [quote][p][bold]Thecountrysgonetopot ![/bold] wrote: Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself![/p][/quote]"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat[/p][/quote]Yes there are people who have children who dont want them but then are people like myself who would do anything to get pregnant and we live in a country where i will be lucky enough to go through IVF, whatever the outcome. If you wanted to make a point then quote statistics or talk about your friend and left it at that, dont make fun of people of who cannot have children. Your comments are very hurtful to people like myself, even when i point this out and explain how i feel you continue to make a joke of it by saying i could get a cat?! You are obviously a man as no women would EVER say that to another female, you should be ashamed of yourself Thecountrysgonetopot!
  • Score: 4

1:39pm Wed 30 Jul 14

WendyAustin says...

pembury53 wrote:
Thecountrysgonetopot

!
wrote:
Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself!
"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat
anyway you could always get a cat?....Well, that comment is just plain insulting and cruel

Infertility can cause immense emotional pain that some people cannot live with.... The cost of untreated infertility is huge...The cost of successfully treating infertility is met by the creation of a future tax payer, and the cost of infertility is miniscule in comparison to the cost to the NHS from diet and alcohol consumption related treatment....

As the desire to have children is a lifestyle choice and therefore infertility should not be treated...Should maternity care and education also not be met by the taxpayer... I mean after all they are lifestyle choices?
[quote][p][bold]pembury53[/bold] wrote: [quote][p][bold]Thecountrysgonetopot ![/bold] wrote: Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself![/p][/quote]"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat[/p][/quote]anyway you could always get a cat?....Well, that comment is just plain insulting and cruel Infertility can cause immense emotional pain that some people cannot live with.... The cost of untreated infertility is huge...The cost of successfully treating infertility is met by the creation of a future tax payer, and the cost of infertility is miniscule in comparison to the cost to the NHS from diet and alcohol consumption related treatment.... As the desire to have children is a lifestyle choice and therefore infertility should not be treated...Should maternity care and education also not be met by the taxpayer... I mean after all they are lifestyle choices? WendyAustin
  • Score: 5

1:44pm Wed 30 Jul 14

Thecountrysgonetopot! says...

WendyAustin wrote:
pembury53 wrote:
Thecountrysgonetopot ! wrote: Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself!
"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat
anyway you could always get a cat?....Well, that comment is just plain insulting and cruel Infertility can cause immense emotional pain that some people cannot live with.... The cost of untreated infertility is huge...The cost of successfully treating infertility is met by the creation of a future tax payer, and the cost of infertility is miniscule in comparison to the cost to the NHS from diet and alcohol consumption related treatment.... As the desire to have children is a lifestyle choice and therefore infertility should not be treated...Should maternity care and education also not be met by the taxpayer... I mean after all they are lifestyle choices?
Thank you Wendy, i have never been so upset by somebody's comments on here before. I was trying to explain how seeing other people get pregnant naturally and quickly breaks my heart when we have been trying for over a year, IVF gives us another chance, extends the hope that 1 day i could be a mother. It may not work for me but it gives me another chance....
[quote][p][bold]WendyAustin[/bold] wrote: [quote][p][bold]pembury53[/bold] wrote: [quote][p][bold]Thecountrysgonetopot ![/bold] wrote: Absolutely disgusting comments on here! I have just found out i am unable to have children and that IVF is my only option, you 2 are both MORONS and clearly know nothing about what you are talking about, you dont know how much people like myself WANT a child or the heartache of every month finding out your are not pregnant or watching every single 1 of your friends announce they are pregnant and you are not. Do you understand any of that? DO YOU??? No you dont, keep your vile hurtful comments to yourself![/p][/quote]"watching every single 1 of your friends announce they are pregnant and you are not" and "I WANT a child"...... those comments say it all really, so you think your 'entitlement' is more important than really sick people that are sometimes denied treatment because of the cost ? a friend of mine paid thousands of pounds to have laser spinal surgery that was not funded through the NHS, the alternative to that surgery was to be condemned to a life of daily extreme pain.... there is nothing vile about my comments, the NHS has to make funding decisions and IVF should be about bottom of the list, why should that proportion of my taxes pay for peoples life style choices when it should be relieving pain and suffering ....... anyway you could always get a cat[/p][/quote]anyway you could always get a cat?....Well, that comment is just plain insulting and cruel Infertility can cause immense emotional pain that some people cannot live with.... The cost of untreated infertility is huge...The cost of successfully treating infertility is met by the creation of a future tax payer, and the cost of infertility is miniscule in comparison to the cost to the NHS from diet and alcohol consumption related treatment.... As the desire to have children is a lifestyle choice and therefore infertility should not be treated...Should maternity care and education also not be met by the taxpayer... I mean after all they are lifestyle choices?[/p][/quote]Thank you Wendy, i have never been so upset by somebody's comments on here before. I was trying to explain how seeing other people get pregnant naturally and quickly breaks my heart when we have been trying for over a year, IVF gives us another chance, extends the hope that 1 day i could be a mother. It may not work for me but it gives me another chance.... Thecountrysgonetopot!
  • Score: 5

5:13pm Wed 30 Jul 14

WendyAustin says...

Hi....Thecountrysgon
etopot!

Unless you have been through infertility either directly or been close to someone who has, and are empathetic... I think many people find it difficult to understand. People who are insulting and equate children to having a cat quite clearly have no inclination on the importance of family, and if they themselves have children I would feel very sorry for them. Everyone is entitled to an opinion, but bullying comments designed to hurt vulnerable people should be left in the playground. Bullies get pleasure in hurting people to make themselves feel better about their own inadequacies.

Many people think that when the need to have children is so strong, its me me me, I want, I want!! But, when you go through infertility, its not about having that cute baby.....its about being in a family. Coming home to people who care about you and people that you care about. Everyone deserves the chance to be a part of a family....like I said above, the cost of not treating infertility is likely to be a greater cost to the taxpayer than not treating it...It makes me really angry that infertility is seen as a lifestyle choice and not to be empathised with...

I totally understand your comments. Watching all my friends have their families, whilst I was happy for them it would break my heart ... Peoples with babies getting on the bus on the day you've realised it hasn't worked this month would leave me in tears....

Don't give up....miracles do happen. My husband and I were lucky in that we had enough savings to try ivf. Despite being given a very low probability of success (10-15%), partly because it took so long to persuade my GP to refer us, we went through one self funded cycle earlier this year, only had one embryo to show for it....but I'm now 5 months pregnant with a healthy little girl. We have been incredibly lucky....I don't know how I would have coped and got through if we couldn't have found the money. I am very grateful that all my friends, family and colleagues have been very supportive. If anyone had told me to get a cat instead, I think I would have crumpled further than I already had....

Don't give up and I wish you all the luck in the world that you will one day have the family you dream of....
Hi....Thecountrysgon etopot! Unless you have been through infertility either directly or been close to someone who has, and are empathetic... I think many people find it difficult to understand. People who are insulting and equate children to having a cat quite clearly have no inclination on the importance of family, and if they themselves have children I would feel very sorry for them. Everyone is entitled to an opinion, but bullying comments designed to hurt vulnerable people should be left in the playground. Bullies get pleasure in hurting people to make themselves feel better about their own inadequacies. Many people think that when the need to have children is so strong, its me me me, I want, I want!! But, when you go through infertility, its not about having that cute baby.....its about being in a family. Coming home to people who care about you and people that you care about. Everyone deserves the chance to be a part of a family....like I said above, the cost of not treating infertility is likely to be a greater cost to the taxpayer than not treating it...It makes me really angry that infertility is seen as a lifestyle choice and not to be empathised with... I totally understand your comments. Watching all my friends have their families, whilst I was happy for them it would break my heart ... Peoples with babies getting on the bus on the day you've realised it hasn't worked this month would leave me in tears.... Don't give up....miracles do happen. My husband and I were lucky in that we had enough savings to try ivf. Despite being given a very low probability of success (10-15%), partly because it took so long to persuade my GP to refer us, we went through one self funded cycle earlier this year, only had one embryo to show for it....but I'm now 5 months pregnant with a healthy little girl. We have been incredibly lucky....I don't know how I would have coped and got through if we couldn't have found the money. I am very grateful that all my friends, family and colleagues have been very supportive. If anyone had told me to get a cat instead, I think I would have crumpled further than I already had.... Don't give up and I wish you all the luck in the world that you will one day have the family you dream of.... WendyAustin
  • Score: 2

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