Consultation on proposed changes to the future provision of specialist fertility treatment in the Cambridgeshire and Peterborough Clinical ...

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

                   The Fleet, Fleet Way,                 12.30pm–1.30pm
    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.