Consultation on proposed changes to the future provision of specialist fertility treatment in the Cambridgeshire and Peterborough Clinical Commissioning Group area 13 March to 12 June 2017 (extended to 5pm 31 July 2017)
Who we are and what we do • Cambridgeshire and Peterborough Clinical Commissioning Group (the CCG) is a statutory body set up to commission health services on behalf of patients registered at a GP practice in our area. • The CCG is a membership organisation and we currently have 103 GP practices as members. • We have a patient population of over 950,000 people. • We manage a budget of around £1.4billion to spend on healthcare for the whole population of our area. This equates to just over £1,000 per person. • Cambridgeshire and Peterborough CCG has been identified as one of England’s 11 most financially challenged economies.
What are the issues that need to be addressed? • We have already made some difficult decisions about prioritisation of our funding and we need to make more difficult decisions. • The CCG has a statutory duty to deliver services within the level of resources allocated to it. The CCG is not meeting this duty and is under legal directions from NHS England to take steps to address this. • The CCG needs to deliver £46.4million savings in 2017/18 to achieve its agreed financial plan deficit of £15.5million. • We have an underlying deficit of £25.6 million.
What are the issues that need to be addressed? • Specialist fertility services are expensive treatments and we need to consider the value of funding them compared to other treatments and services. • In 2015/16 approximately 200 people accessed IVF services in our area. • This proposal would save us around £700,000 each year. • We are involving the public in making these difficult decisions through consultation and engagement.
What is the purpose of this consultation? • The CCG wishes to hear views on this proposal from a wide range of people. • The CCG wants to begin the process of answering your questions. • To be able to provide the CCG Governing Body with sufficient information and feedback following the consultation to inform the decision-making process.
What is the proposal? To stop routinely commissioning any specialist fertility services other than for two specified exceptions. • The proposed new policy would still allow for patients to be referred from their GP to their local hospital for investigations into their infertility. • It would not allow patients needing IVF treatments to be referred from the local hospital to specialist fertility services for treatments funded by the NHS. • Patients would still receive infertility investigation services. There is a range of services available to people who need help with fertility issues, both in primary care and in our local hospitals.
What are specialist fertility treatments? This term covers the following list of services: one cycle of IVF, with or without Intracytoplasmic Sperm Injection (ICSI), surgical sperm removal up to six cycles of donor sperm insemination with Intrauterine Insemination (IUI) treatment using egg donation egg, sperm, or embryo cryopreservation for men and women undergoing cancer treatment which is likely to cause infertility ICSI with or without sperm washing for men who have a chronic viral infection (primarily HIV) and whose female partner does not.
What are the exceptions? The two exceptions are: • Fertility preservation will be offered to patients undergoing cancer treatment, or who have a disease or a condition requiring medical or surgical treatment that has a significant likelihood of making them infertile. • Sperm washing will be provided to men who have a chronic viral infection (primarily HIV) and whose female partner does not, where intrauterine insemination is being considered. This is to protect the female partner and potential unborn child from potentially contracting the infection.
What are specialist fertility services? Specialist fertility treatments, or IVF services, are sometimes described as ‘assisted conception services’ or ‘infertility treatments’.
Your feedback You can send your feedback to us in many different ways: • Online: https://www.cambridgeshireandpeterboroughccg.nhs.uk/get -involved/consultations/ • By post: Freepost Plus RSCR-GSGK-XSHK Cambridgeshire and Peterborough CCG Lockton House Clarendon Road Cambridge CB2 8FH • By email: capccg.contact@nhs.net • By phone: 01223 725304 • Hand your completed survey to a member of the team here today.
What happens next? • The consultation will close at 5pm on 31 July 2017. • The consultation responses will be pulled together into an end of consultation report. • Our Governing Body will consider the responses and will make a decision about whether to go ahead.
Public meeting dates Date Venue Meeting Time 12.30pm – 1.30pm The Fleet, Fleet Way, 10 July 2017 Peterborough, PE2 8DL. The Fleet, Fleet Way, 6pm-7pm 10 July 2017 Peterborough, PE2 8DL. The Boat House Business Centre, 6pm-7pm 11 July 2017 1 Harbour Square, Wisbech, PE13 3BH . Huntingdon Library, Princes Street, 6pm-7pm 13 July 2017 Huntingdon, PE29 3PA. Ely Cathedral Conference Centre, 6pm-7pm 18 July 2017 Palace Green, Ely, CB7 4EW. Central Library, Lion Yard, 7 Lion 12.30pm-1.30pm 20 July 2017 Yard, Cambridge, CB2 3QD. The Meadows Community Centre, 6pm-7pm 20 July 2017 1 St Catharine's Rd, Cambridge, CB4 3XJ.
Questions or comments? We will take a note of your questions and comments and this will be included in the end of consultation report.
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