{"id":909,"date":"2012-04-25T07:23:32","date_gmt":"2012-04-25T07:23:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/jfprhc\/?p=909"},"modified":"2012-05-31T07:40:32","modified_gmt":"2012-05-31T07:40:32","slug":"nhs-flouts-national-guidance-on-contraception-as-cuts-bite","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjsrh\/2012\/04\/25\/nhs-flouts-national-guidance-on-contraception-as-cuts-bite\/","title":{"rendered":"NHS flouts national guidance on contraception as cuts bite:"},"content":{"rendered":"<h3><span style=\"color: #333399\">new audit reveals shocking truth as 3.2m women face restrictions in access to contraceptives or services<\/span><\/h3>\n<p>A new audit of the commissioning of contraceptive and abortion services in England has revealed a stark picture of inequality in women\u2019s healthcare, with a third of women of reproductive age unable to choose from the full range of contraceptives or services in their local area.<\/p>\n<p>The audit was carried out by the <strong><span style=\"color: #000080\">Advisory Group on Contraception<\/span><\/strong> \u2013 a coalition of leading experts and advocacy groups interested in sexual and reproductive health \u2013 through Freedom of Information requests made to Primary Care Trusts (PCTs). The report of the audit findings, <strong><span style=\"color: #000080\"><em><a href=\"http:\/\/cleregolfserver.co.uk\/bayer\/sex-lives-and-commissioning\/index.html\" target=\"_blank\">Sex, lives, and commissioning: An audit of the commissioning of contraceptive and abortion services in England<\/a> <\/em><\/span><\/strong>demonstrates that:<\/p>\n<p>As many as <span style=\"color: #ff0000\"><strong>3.2 million women<\/strong><\/span> of reproductive age (15-44) <span style=\"color: #ff0000\">are living in areas where<\/span> fully comprehensive <span style=\"color: #ff0000\">contraceptive services<\/span>, through community and\/or primary care services, <span style=\"color: #ff0000\">are not provided<\/span><\/p>\n<ul>\n<li>Those PCTs restricting access to contraceptives or contraceptive services had a <span style=\"color: #ff0000\"><strong><span style=\"color: #333399\">higher abortion rate<\/span><\/strong><\/span> than the national average<\/li>\n<li>Over a quarter (28%) of PCTs responding to the audit <span style=\"color: #333399\"><strong>did not have a strategy in place<\/strong><\/span> or under development to address unintended pregnancy and the need for abortion or repeat abortion<\/li>\n<\/ul>\n<p>The audit also uncovered <span style=\"color: #333399\"><strong>evidence of PCTs introducing access restrictions<\/strong><\/span> based on cost rather than choice or quality:<\/p>\n<ul>\n<li>NHS North Lancashire confirmed one method of contraception was not prescribed \u201c<em>due to lack of funding\/training for staff\u201d<\/em><\/li>\n<li>NHS Brighton and Hove confirmed that its \u201c<em>GP-led health centre will only prescribe Long Acting Reversible Contraceptive (LARC) methods to residents of Brighton and Hove.\u00a0 Non-residents attending with a filled prescription for LARC will be provided with a fitting\u201d<\/em><\/li>\n<li>NHS Haringey Teaching said that from the 1 October 2011 <em>\u201cwomen aged over 25 do not receive contraception pills from the local CaSH <\/em>[Contraception and Sexual Health]<em> Service; they receive this service from their GP\u201d<\/em><\/li>\n<li>NHS Barnet stated that <em>\u201cIn 2010 the PCT introduced a restriction on over 25\u2019s accessing integrated services for generic contraceptive advice&#8230; Only patients within this age group who have complex needs can be seen by an integrated service\u201d<\/em><\/li>\n<\/ul>\n<p>Dr Connie Smith, Consultant in Sexual and Reproductive Healthcare, said:<\/p>\n<p><em>\u201cContraception is a very personal issue.\u00a0 What is right for one woman may not be right for another.\u00a0 That is why the national NICE guidelines on contraception are built around the importance of choice.\u00a0 <\/em><\/p>\n<p><em>\u00a0\u201cPCTs that are restricting choice are getting worse outcomes.\u00a0 As a result of flouting national guidance, women are paying a big personal cost and the NHS is bearing a huge financial cost.\u00a0 Unintended pregnancy costs the NHS more than \u00a3755 million every year.\u00a0 For every \u00a31 spent on contraception the NHS saves \u00a312.50, so restricting access and choice is a complete false economy, harming women and the NHS.\u00a0 Those PCTs with restrictions in place need to have an urgent rethink.\u201d<\/em><\/p>\n<p>Dr Anne Connolly, a GP with a special interest in sexual health, added:<\/p>\n<p><em>\u201cAs a GP I know how important it is to get contraception right.\u00a0 We must take a personal approach to meeting women\u2019s needs and operating a blanket ban on some services or contraceptives goes completely against this.\u00a0<\/em><\/p>\n<p><em>\u00a0\u201cIt is very concerning that so many PCTs have no strategy in place to address unintended pregnancy and that some are introducing restrictions on contraceptives or services.\u00a0 The Department of Health should urgently publish a sexual health strategy showing how the needs of women of all ages can be met, alongside clear standards about the quality of service women have a right to expect.\u201d<\/em><\/p>\n<p><span style=\"color: #333399\"><strong>The AGC has made a series of recommendations for how sexual health and contraceptive services could be more effectively planned, commissioned and delivered<\/strong><\/span>.\u00a0 These include:<\/p>\n<ul>\n<li>The Department of Health should publish its planned sexual health policy document without further delay and ensure that it sets out clearly the expectation for commissioners to commission comprehensive, open access services that reflect a life-course approach for people of all ages<\/li>\n<li>NICE should prioritise the development of the quality standard on contraceptive services<\/li>\n<li>Contraceptive services must be commissioned based on the principles of the NHS Constitution. Commissioners should remove any policies or contracts in place which limit an individual\u2019s access to contraceptive services based on reasons of age or place of residence<\/li>\n<li>Commissioners should ensure that up-to-date strategies are in place to reduce unintended pregnancy, and the need for abortion and repeat abortions, and these strategies should focus on addressing the needs of women of all ages<\/li>\n<\/ul>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>new audit reveals shocking truth as 3.2m women face restrictions in access to contraceptives or services A new audit of the commissioning of contraceptive and abortion services in England has revealed a stark picture of inequality in women\u2019s healthcare, with a third of women of reproductive age unable to choose from the full range of [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2012\/04\/25\/nhs-flouts-national-guidance-on-contraception-as-cuts-bite\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[367,2599,2600,1141,304,2620],"tags":[7421,307,308,317,2663,2794],"class_list":["post-909","post","type-post","status-publish","format-standard","hentry","category-abortion","category-contraceptive-methods","category-media-reports","category-news","category-public-health","category-standardsclinical-governance","tag-abortion","tag-contraception","tag-population","tag-research","tag-service","tag-service-users"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>NHS flouts national guidance on contraception as cuts bite:  - BMJ Sexual &amp; Reproductive Health blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2012\/04\/25\/nhs-flouts-national-guidance-on-contraception-as-cuts-bite\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"NHS flouts national guidance on contraception as cuts bite:  - BMJ Sexual &amp; Reproductive Health blog\" \/>\n<meta property=\"og:description\" content=\"new audit reveals shocking truth as 3.2m women face restrictions in access to contraceptives or services A new audit of the commissioning of contraceptive and abortion services in England has revealed a stark picture of inequality in women\u2019s healthcare, with a third of women of reproductive age unable to choose from the full range of [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmjsrh\/2012\/04\/25\/nhs-flouts-national-guidance-on-contraception-as-cuts-bite\/\" \/>\n<meta property=\"og:site_name\" content=\"BMJ Sexual &amp; 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