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Nearly 70% of local areas in England fund just one cycle of NHS‑funded in vitro fertilisation (IVF) for women under 40 who have tried to conceive for two years, research from the Progress Educational Trust (PET) shows.
Twenty‑nine of 42 integrated care boards (ICBs) now offer a single round; 19 of those provide only a partial cycle in which not all viable embryos are transferred.
Only two ICBs have policies consistent with National Institute for Health and Care Excellence (NICE) guidance recommending three full cycles.
The whole north‑west region offers a single cycle.
NHS South East London was the sole recent example of improved provision, moving in July 2024 from a partial single to two full cycles.
Fertility rates in England and Wales fell to 1.41 children per woman in 2024 and private IVF can cost about £5,000 per cycle.
Health minister Karin Smyth called the variation “unacceptable”; revised NICE guidance is due this spring.
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Health | The GuardianAlmost 70% of NHS areas in England only offer one cycle of IVF, data shows
Science | The GuardianAlmost 70% of NHS areas in England offer only one cycle of IVF, data shows







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