Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, a) what steps he is taking to support parents to have 3 cycles of free NHS IVF in all areas of the country b) what steps he is taking to help reduce financial barriers to becoming a parent and c) what steps he is taking to combat the disease of infertility as categorised by the WHO.

Funding decisions for health services in England are made by integrated care boards (ICBs) and are based on the clinical needs of their local population. We expect these organisations to commission fertility services in line with National Institute for Health and Care Excellence (NICE) guidelines, to support equitable access to fertility treatment across England.

We expect ICBs to take account of the updated NICE guidance, published 31 March, in their commissioning decisions. The guidance recommends that women under 40 years old, who meet the clinical eligibility criteria, should be offered up to three full cycles of in vitro fertilisation and sets out new and updated recommendations for diagnosing and treating health related fertility problems with the aim of improving how they are investigated and managed. We expect all ICBs to consider and reflect the updated NICE fertility guideline in their commissioning decisions and we are working with NHS England to better understand the offer around National Health Service funded fertility services and support more consistent provision. Reducing unwarranted variation in access to NHS-funded fertility services will help to reduce the financial barriers faced by patients in becoming parents.

We also recognise that there are areas where the fertility evidence base could be strengthened, and we will consider how best to support further research and data collection as work progresses.