Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that Integrated Care Boards remove the requirement for self-funded intrauterine insemination for same-sex couples.

The Government recognises that fertility treatment across the National Health Service in England is subject to variation in access. Work continues between the Department and NHS England to better understand the offer around NHS-funded fertility services including the issue for female same sex couples.

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

NICE is currently reviewing the fertility guidelines and will consider whether the current recommendations for access to NHS-funded treatment are still appropriate. A consultation on revised guidelines was published on 10 September 2025, which is available at the following link:

https://www.nice.org.uk/guidance/indevelopment/gid-ng10263/consultation/html-content-2

In light of broader pressures on the National Health Service and ongoing changes within NHS England, we have been looking again at achievable ambitions to improve access to fertility services and fairness for all affected couples.