The level of provision of local health services available to patients, including fertility treatment is a matter for local healthcare commissioners. Clinical commissioning groups (CCGs) have a statutory responsibility to commission healthcare services including fertility services that meet the needs of their whole population. In respect of National Health Service fertility services, the Government has been consistently clear that we expect CCGs to commission fertility services in line with NICE guidelines, so that there is equal access across England.
Ministers have written to CCGs about variations in access to fertility services twice in the last 18 months, most recently in December 2019.
Discussions are continuing with NHS England about how these equity issues can best be addressed.