Hi Lemongrove & Raechi I've got some information from our policy team about this: With regards to implementing NICE guidelines, it depends whether it is part of a technology appraisal or clinical guidelines. The NICE Guide to the methods of technology appraisal states that “The Secretary of State for Health has directed that the NHS provides funding and resources for technologies that have been recommended through the NICE technology appraisals programme normally within 3 months from the date that the guidance is published.” However, this only applies to recommendations coming out of technology appraisals (for example an appraisal of a breast cancer drug). The NICE fertility guideline is not a technology appraisal (it is rather part of the NICE Clinical Guidelines), so you would have to look at the wording in this particular guideline to see how NHS bodies should take the recommendations within it forward (this may be different for different recommendations within this document) See http://publications.nice.org.uk/fertility-cg156/about-this-guideline for more information on this guideline. The recommendation to extend treatment to women aged 40-42 does appear in the "key priorities for implementation" section http://publications.nice.org.uk/fertility-cg156/key-priorities-for-implementation#criteria-for-referral-for-ivf And this is what it says about implementation: "This guidance represents the view of NICE, which was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer, and informed by the summaries of product characteristics of any drugs. Implementation of this guidance is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties." With regards to charity campaigning, here is the Charity Commission guidance on the subject: http://www.charity-commission.gov.uk/Publications/cc9.aspx Some key points: "Charities can campaign for a change in the law, policy or decisions (as detailed in this guidance in section C4) where such change would support the charity’s purposes. Charities can also campaign to ensure that existing laws are observed." "In the political arena, a charity must stress its independence and ensure that any involvement it has with political parties is balanced. A charity must not give support or funding to a political party, nor to a candidate or politician." "A charity may give its support to specific policies advocated by political parties if it would help achieve its charitable purposes." "Can a charity organise demonstrations? The short answer: yes - a charity may in principle organise different kinds of direct action in support of charitable campaign activity." More info http://www.charity-commission.gov.uk/Publications/cc9.aspx#35 Hope that information helps. Leah
... View more