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Programme for Government

Dáil Éireann Debate, Tuesday - 27 July 2021

Tuesday, 27 July 2021

Questions (3259)

Holly Cairns

Question:

3259. Deputy Holly Cairns asked the Minister for Health the steps he is taking to fulfil the Programme for Government commitment to introduce a publicly funded model of care for fertility treatment. [41101/21]

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Written answers

As the Deputy is aware, a commitment to introduce the model of care for infertility, which was developed by officials in my Department in conjunction with the HSE’s National Women & Infants Health Programme, is included in the Programme for Government, “Our Shared Future”. This model of care will ensure that infertility issues will be addressed through the public health system at the lowest level of clinical intervention necessary as part of the full range of services available in obstetrics and gynaecology.

Phase One of the roll-out of the model of care has commenced and involves the establishment, at secondary care level, of Regional Fertility Hubs in maternity networks, which will facilitate the management of a significant proportion of patients presenting with infertility issues.

Funding of €2m was provided to the HSE to commence Phase One of the roll-out of the model of care in 2020. This was utilised specifically in respect of the development of the first four Regional Fertility Hubs – namely, Cork Maternity University Hospital, the Rotunda Hospital, the National Maternity Hospital and the Coombe Women & Infants University Hospital.

Additional funding of just over €1m has been made available to enable the continuation of Phase One of the roll-out in 2021, including through the setting-up of the final two Regional Fertility Hubs, one located within the Saolta Hospital Group, at University Hospital Galway, and one within the University of Limerick Hospital Group, at Nenagh General Hospital. Therefore, the completion of Phase One of the roll-out will result in fully operational Regional Fertility Hubs in each of the six Hospital Groups across the country.

Phase Two of the roll-out will see the introduction of advanced infertility interventions including IVF, in the public health system. Phase Two will not commence until such time as infertility services at secondary level have been developed across the country, required resources have been allocated, and the assisted human reproduction (AHR) legislation is commenced. Drafting of the AHR legislation is ongoing, in conjunction with the Office of the Attorney General.

It is intended that, in line with available resources, this model of care for infertility will be rolled out on a phased basis over the course of the coming years. The underlying aim of the policy to provide a model of funding for AHR, within the broader AHR regulatory framework, is to improve accessibility to AHR treatments, while at the same time embedding safe and appropriate clinical practice and ensuring the cost-effective use of public resources.

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