The United Kingdom has one of the most developed legal frameworks for assisted reproduction in the world. The Human Fertilisation and Embryology Act 1990, substantially amended in 2008, governs fertility treatment, donor conception, and the legal parenthood of children born through these methods. The Human Fertilisation and Embryology Authority (HFEA) licences and regulates all fertility clinics and banks, and maintains a central register of all donations and donor-conceived people.
Anonymous donation in the UK was ended in April 2005. All donors who donated from that date must consent to the release of identifying information to donor-conceived individuals who request it upon reaching age 18. Donors are limited to creating ten families from their donations. Donations made before 2005 remain anonymous, though some donors have voluntarily registered their information. The HFEA Donor Sibling Link allows donor-conceived people and their donors to share information voluntarily.
Sperm, egg, and embryo donation is legal and well-regulated. Donors receive fixed-rate compensation (currently £35 per clinic visit for sperm, £750 per cycle for egg donors) — this is reimbursement, not payment. Waiting times for egg donors can be substantial — sometimes over a year — because of the open-identity requirement, which reduces the donor pool compared to anonymous systems.
| Treatment / Access | Available | NHS Funded | Notes |
|---|---|---|---|
| IVF (own eggs) | ✓ Yes | Partial | Criteria and cycles vary by NHS region (ICB) |
| Sperm donation (IUI/IVF) | ✓ Yes | Partial | Open ID since 2005; max 10 families |
| Egg donation | ✓ Yes | Partial | Open ID; long wait (often 6–18 months) |
| Embryo donation | ✓ Yes | Rarely | Legal; HFEA regulated |
| Same-sex female couple — IVF | ✓ Yes | Varies | Both parents if consent forms completed |
| Single woman — IVF | ✓ Yes | Varies | Sole legal parent; access via NHS or private |
| Altruistic surrogacy | ✓ Legal | ✗ No | Unenforceable by contract; parental order needed |
| Commercial surrogacy | ✗ Illegal | ✗ No | Paying a surrogate beyond expenses is illegal |