1. #hfeaconference2014 26 February 2014 HFEA Chief Executive How can we best set standards and protect patients? The HFEA’s regulatory focus Peter Thompson

2. Workshop overview Introduction The Rt Reverend Dr Lee Rayfield, HFEA Authority Member Strategy Overview Peter Thompson, HFEA Chief Executive Discussion: ‘How can we best set standards and protect patients?’ Table discussions on three key areas of focus Patients, donor conception and quality Summary of discussions

3. Introduction The patient We will put patients’ interests and safety first Donor conception We will improve the lifelong experience for donors, donor-conceived people, patients using donor conception, and their wider families Quality We will work with clinics to improve quality of care for the direct benefit of patients Quality HFEA Donor conception The patient

4. Strategy Overview What delivers good quality care? Our quality model describes the ways available to us for influencing quality: We can: Set standards Increase and inform choice Give efficiency, economy and value Quality (of care and of outcomes) Setting standards Increasing and informing choice Efficiency, economy and value

5. We have agreed 3 channels, or areas of focus, for our future strategy: The patient Donor conception Quality We have not yet drafted strategic objectives – first we want to listen. Strategy focus

6. Workshop focus How can we work together to best set standards and protect patients? “ ”

7. Your task today is to discuss the ideas under each of the key areas (the patient, donor conception and quality) and tell us: Which three ideas are most important Which three ideas are least important Suggest an alternative idea to meet our aims Take 15 minutes to discuss each topic and be ready to summarise your table’s discussions at the end of the workshop. Table discussions

8. Three Strategic Areas The Patient We will put patients’ interests and safety first This might mean: Asking patients what they want e.g. expanded information about success rates, more information about treatment options and risks More qualitative user experience information, e.g. publishing feedback, user scores Changing CAFC to facilitate comparisons Increasing support for patients whose treatment is unsuccessful

9. Three Strategic Areas The Patient (continued) We will put patients’ interests and safety first This might mean: More information at primary care level Patient representation on the Authority Patient inspectors Sharing information about clinic performance with NHS commissioners.

10. Donor conception We will improve the lifelong experience for donors, donor- conceived people, patients using donor conception, and their wider families This might mean (in addition to supporting the Lifecycle campaign): Ensuring clinics understand their lifelong importance as information providers Overcoming the barriers to good performance Ensuring donors and those seeking treatment understand legal parenthood issues Three Strategic Areas

11. Donor conception (continued) We will improve the lifelong experience for donors, donor- conceived people, patients using donor conception, and their wider families This might mean (in addition to supporting the Lifecycle campaign): Considering what more we could and should do about the availability of donor gametes Explicitly addressing donation issues experienced by single women, gay and lesbian couples and ethnic minorities. Three Strategic Areas

12. Quality We will work with clinics to improve quality of care for the direct benefit of patients This might mean: Identifying what quality means (what is good treatment, beyond getting pregnant?) Working out the factors behind success rates - quality indicators Working with professional bodies to improve quality Developing a consensus on what constitutes “suitable practices” Enabling clinics to share good practice, peer to peer Three Strategic Areas

13. Quality (continued) We will work with clinics to improve quality of care for the direct benefit of patients This might mean: More data (success rates, incidents, risks) in the public domain Decreasing the effort needed by clinics to submit data Improving access to data for researchers Reducing the admin costs clinics incur in being regulated Improving the quality of our internal processes. Three Strategic Areas

14. Summary of discussions…

15. Thank you. #hfeaconference2014

16. Any questions? #hfeaconference2014

17. Lunch