Sunday, 8 January 2017

Consultation on the future of IVF and ICSI in Croydon


Croydon CCG has launched a consultation to ask local people what they think of there proposal to stop the routine provision of some elements of the assisted conception service: IVF and ICSI*.

As you know, this proposal is in the context of the increasing financial challenges we face.  Croydon CCG needs to make savings of almost £30 million next financial year, which is around 6% of the commissioning budget for local health services of £482.3 million.

Now more than ever we need to spend the money we have to commission local healthcare wisely as there is not enough money to keep funding everything we fund now.  We need to focus our limited resources where we can have the biggest impact on people’s health and well-being.

Typically, the CCG funds 150 cycles of IVF each year at a cost of over £800,000 to the local NHS.   Croydon CCG currently offers one cycle of IVF to couples who meet the national criteria, whilst national guidance is to offer three cycles.  Croydon CCG is now in a financial position where we are proposing that we stop routine IVF.  Where there are exceptional clinical circumstances a GP or consultant could still make an application on behalf of a couple to the Individual Funding Request Panel.

We know that these proposals will affect a limited number of couples, but that impact to those couples has the potential to be great.  We need to make sure that we understand and consider the views and needs of the people who may need these services in the future, and we will be working with local community and voluntary groups over the coming weeks to gather views to help us make this decision.

The consultation period starts today and will close on Wednesday 1 March 2017.  We are holding a public meeting to discuss these proposals at 6pm to 8pm on Tuesday 24 January 2017, and you can register here.

To read the full details of our proposal and to have your say please go to our website at www.croydonccg.nhs.uk

Kind regards,

Dr Tony Brzezicki

Clinical Chair, Croydon Clinical Commissioning Group


*In Vitro Fertilisation (IVF) is a technique by which eggs are collected from a woman and fertilised with a man’s sperm outside the body. Usually one or two resulting embryos are then transferred to the womb. If one of them attaches successfully, it results in a pregnancy. One full cycle of IVF with or without ICSI, should comprise of one episode of ovarian

stimulation, egg retrieval, fertilisation and the transfer of any resultant fresh or frozen embryo(s). Intracytoplasmic sperm injection (ICSI) is a variation of IVF in which a single sperm is injected into an egg.

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