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Human Fertilisation and Embryology Bill [HL]

I am sympathetic to a lot of what the noble Earl, Lord Howe, said and I can see how what he suggested could be more easily deliverable within an NHS set of treatments, where those services tend to be an extension of the primary care trust in terms of its relationship with social services and so forth. However, how would he ensure that counselling was delivered in the 90 per cent or so of cycles that are handled through private clinics? Would it be rather like cosmetic surgeries where a doctor's receptionist does a 10-minute chat and says, ““You can have a tummy tuck but not a facelift””, or vice versa? How would he ensure that it was delivered? I can see how it might work within an NHS framework, where treatment is not paid for by the recipient at the point of use, so to speak, and therefore could be suggested as an implied contract, but how would it work in the private sector?