A kinder and wiser approach to IVF treatment in Scotland: Meeting targets and reducing mental health complications

Note: This is a heavily recycled piece from May in the light of recent NHS Scotland figures.

From ISD on 28th August 2018:

‘The four IVF centres in Scotland screened 373 eligible patients, compared with 370 in the previous quarter. 100% of patients were screened for IVF treatment within 273 days. The 90% target continues to be met since it was first measured in March 2015.’

https://www.isdscotland.org/Health-Topics/Waiting-Times/Publications/2018-08-28/2018-08-28-IVF-Summary.pdf?35583132506

Meanwhile in Tory-run NHS England, only 12% of boards offer three full cycles in line with official guidance. 61% offer only one cycle of treatment and 4% offer none at all. Private treatment costs between £1 343 and £5 788 per cycle.

http://www.independent.co.uk/news/health/ivf-nhs-treatment-fertility-lists-wait-patients-lottery-budget-cuts-a8028116.html

Reducing associated mental health complications

Also, failing to treat infertility can result in problems and further costs for the NHS in other areas. A Danish study of 98 737 women, between 1973 and 2003, showed that women who were unable to have children were 47% more likely to be hospitalised for schizophrenia and had a significantly higher risk of subsequent drug and alcohol abuse.

https://www.newscientist.com/article/dn22020-infertility-may-increase-risk-of-mental-disorders/

A warning for Scotland’s 100% IVF post-Brexit: How moneygrubbing Tory IVF policies are creating massive distress now in England

How IVF became a licence to print money.

As we tumble toward a hard Brexit and trade deals with the USA allowing the private sector into the heart of the NHS, we can see how things will work out in the already privatised IVF service in England and contrast it with the state-controlled and regulated version, in Scotland. See this from the Guardian:

‘Private fertility clinics routinely try to sell desperate patients add-ons that almost certainly don’t help – why isn’t more done to monitor the industry?  Around three-quarters of all IVF cycles fail. And results vary with age. Figures from the Human Fertilisation and Embryology Authority (HFEA) published in March state the average live birth-rate for each fresh embryo transferred for women of all ages is 21%; for those aged under 35, it is 29% – the highest it has ever been. For older women, the picture is bleaker: 10% for women aged 40-42, for example. IVF is expensive. And what makes it worse, says Hugh Risebrow, the report’s author, is the lack of pricing transparency. “The headline prices quoted may be, say, £3,500, but you end up with a bill of £7,000,” he says. “This is because there are things not included that you need – and then things that are offered but are not evidence-based.”’

https://www.theguardian.com/lifeandstyle/2018/jun/18/how-ivf-became-a-licence-to-print-money

Creating opportunities for the private sector

In Tory-run NHS England, only 12% of boards offer three full cycles in line with official guidance. 61% offer only one cycle of treatment and 4% offer none at all. Private treatment costs between £1 343 and £5 788 per cycle.

http://www.independent.co.uk/news/health/ivf-nhs-treatment-fertility-lists-wait-patients-lottery-budget-cuts-a8028116.html

Why UK politicians would like more privatisation in the NHS

There are 64 Tory and Labour (New) MPs with ‘links’ to private health care. Why would we trust them to protect the NHS? See this:

https://defendournhsyork.wordpress.com/2017/02/14/selling-off-nhs-for-profit-full-list-of-mps-with-links-to-private-healthcare-firms/

 

 

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