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26 February 2014

26 February 2014. Anthony Rutherford. Multiple Births Stakeholder Group member . 100% committed to 10%. Still One at a Time. Where it all started… . Year by year… . ‘Year’ 1: Jan 2009 – end March 2010: 24 % Year 2: April 2010 – end March 2011: 20%

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26 February 2014

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  1. 26 February 2014 • Anthony Rutherford • Multiple Births Stakeholder Group member • 100% committed to 10% • Still One at a Time

  2. Where it all started…

  3. Year by year… • ‘Year’ 1: Jan 2009 – end March 2010: 24% • Year 2: April 2010 – end March 2011: 20% • ‘Year’ 3: April 2011- end September 2012: 15% • Year 4: October 2012 – end September 2013: 10%

  4. Multiple Births Stakeholder Group

  5. Multiple Births Stakeholder Group continued • Good progress, but we’re not quite there yet • 100% committed to the policy • Work together to share best practice • Continue to educate patients, public & commissioners • HFEA continues to take regulatory action with non-compliant clinics

  6. Workshop overview Overview of national trends and sector progress • Hannah Verdin, Interim Head of Policy & Communications, HFEA Key factors of a successful strategy • Andrew Riddle, Medical Director & Person Responsible, Nuffield Health Woking Hospital (Surrey IVF) Discussion Have we got patients on board? • Valerie Peddie, Honorary Research Fellow, Aberdeen Maternity Hospital Discussion

  7. 26 February 2014 • Hannah Verdin • Interim Head of Policy and Communications, HFEA • Overview of national trends & sector progress

  8. Overview of national trends

  9. Pregnancy rates eSET vs DET: Year 4

  10. Preg. rates blastocyst eSET vs. DET: Year 4

  11. Focus on blastocyst transfer

  12. Key trends • Multiple birth rate continues to decrease • Overall pregnancy and live birth rates remain steady • eSET rate & blastocyst rate continue to rapidly increase • Multiple pregnancy rates following DET slightly reduced, although • still high: 23-40% depending on age & stage of embryo • Any cause for concern? • Slight increase in proportion of double blastocyst transfers • Moving on to individual centre performance...

  13. Year 3 centre performance: funnel plot • Multiple live birth rate by live birth, for all IVF, ICSI and FET cycles • For period: Apr 2011 – Sep 2012 (as of 09/01/14) at 15% • Number of births

  14. Year 4 centre performance: funnel plot • Multiple live birth rate by live birth, for all IVF, ICSI and FET cycles • For period: Oct 2012 – Sep 2013 (as of 09/01/14) at 10% • Number of births

  15. Next steps • Continue to convene Multiple Births Stakeholder Group: sharing • best practice • Continue to update One at a Time website: educating patients, • public & commissioners • Relevant wider work: CAFCand website review, dataset review, • corporate strategy, communications & information for commissioners • Continue to work with you and monitor performance

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