IVF Provision

Debate between Alex Davies-Jones and Laurence Robertson

Tuesday 24th October 2023 Westminster Hall

[Alex Davies-Jones (Pontypridd) (Lab)]

It is a privilege to serve under your chairship this morning, Mr Robertson. I thank all colleagues for their contributions, which really have been excellent. This is the best of Parliament. I particularly congratulate my hon. Friend the Member for Jarrow (Kate Osborne) on her fantastic speech and on securing this vital debate.

It is fair to say that we are living in difficult times, with a huge range of issues facing us as parliamentarians, from healthcare to education and from energy prices to job insecurity. They all have an impact on our constituents up and down the country, but there is absolutely no reason why fertility and IVF provision—issues that clearly impact so many people—should not take centre stage.

It has been genuinely fascinating to meet and hear from so many families impacted by infertility and access to fertility treatment, including some who are here today. The brilliant Megan and Whitney Bacon-Evans, Michael Johnson-Ellis from TwoDads UK and Laura-Rose of LGBT Mummies are some of the many who have campaigned hard on this issue for many years.

As we have heard, one in six couples suffer issues related to fertility. My IVF journey began in 2018, and I have been open that I knew right from the start that my road to pregnancy would not be easy. I am certainly one of the lucky ones—I was able to take out a loan and borrow from family to pay for my treatment, and after only one round of IVF I was blessed with my beautiful son Sullivan—but I still had many eye-opening experiences during my fertility journey that have led me to this point today. Ask anyone who has experienced IVF, whether personally or from watching loved ones go through the process, and they will say that IVF is one of the most emotionally, mentally and physically challenging and financially demanding processes that anyone can ever undertake.

We must be clear that the current state of the IVF and fertility treatment offering across the UK is far below what would-be parents deserve. It is vital that we right those wrongs that I am many others have experienced at first hand as IVF patients. The main issue, as has been discussed today, is the sheer lack of consistency across the UK in IVF services and provision. I was incredibly fortunate because I was in a position to pay privately for my IVF and because my partner already had two children from a previous relationship, although that meant that we suffered from what we call the step-parent tax. It should not have to be that way.

As we all know, the NICE fertility guidelines are crystal clear; we have heard them this morning. The NHS should offer women under 40 three full cycles of IVF if they have been trying for a child for more than two years. When policies and cycles offered are so different between integrated care boards, and do not take same-sex provision into account, that means that women and would-be parents across the UK are not being offered IVF services in a fair and transparent manner. That is an incredibly important point, made even more complicated by the huge discrepancies between fertility treatment providers in the data they publish.

Colleagues may be aware of my private Member’s Bill, the Fertility Treatment (Transparency) Bill, which is due to have its Second Reading on 24 November. The Bill will

“require providers of in vitro fertilisation to publish information annually about the number of NHS-funded IVF cycles they carry out and about their provision of certain additional treatments in connection with in vitro fertilisation”.

Those add-on treatments, as we have heard from the hon. Member for Cities of London and Westminster (Nickie Aiken), have been offered to patients who are at their wits’ end and will do absolutely anything to improve their chances of having a child. I know their pain, because I was one of them. That is why I work closely with the HFEA, the Progress Educational Trust, Fertility Network UK and many others in the fertility sector who are concerned that many patients are frequently being offered and charged for optional extras to their treatment that claim to improve their chances of having a healthy baby, but are really exploiting people at their most vulnerable.

I was particularly pleased to see last week that the HFEA launched a new rating system to support patients undergoing fertility treatment. Patients are offered add-ons that claim to increase the success of treatment, but for most fertility patients the evidence to support that is missing or not very reliable. The HFEA add-ons rating will help patients to make better informed decisions about their treatment, although it is still only guidance and clinics have the right to ignore it. There is no right to enforce it: as we have heard, the HFEA as a regulator has very few teeth for enforcement. I urge the Minister to look at the issue more carefully and ensure that the regulations are being adhered to and that clinics are adopting the guidance. The new rating system, developed with patients and professionals in the fertility sector, has five categories giving detailed information for patients on whether add-ons increase the chances of success, along with other outcomes that also have an impact on miscarriage rates.

Although I welcome the progress, the wider issues on accessing IVF persist and we clearly have a long way to go in improving the situation. The Government’s women’s health strategy was a good starting point, but sadly we have still not seen any commitment on concrete action to improve access to IVF and fertility treatment. The strategy was published more than a year ago and was an opportunity for the Government to finally take some direct action, but instead it is once again clear that IVF is not an immediate priority.

I know that the Minister is listening. She has made her position very clear in previous debates on this subject, and I thank her for that engagement, but I sincerely hope that her colleagues in the Department and across Government are also listening and are taking the issue seriously. We have heard the strength of feeling this morning. I know that the Government are listening and that the Minister is listening; I just urge some direct action.

[Mr Laurence Robertson (in the Chair)]

We now come to the Front-Bench speeches.