Comprehensive Overview of LARC Provision at Blithehale Health Centre

This detailed document provides insights into the various aspects of Long-Acting Reversible Contraception (LARC) provision at Blithehale Health Centre, covering topics such as patient identification, contraceptive methods, promotion strategies, barriers faced, and operational procedures like coil clinic arrangements. The content highlights the clinic's efforts in promoting LARC methods, offering counseling and insertion services, and addressing patient concerns to ensure effective contraceptive care.

• LARC Provision
• Blithehale Health Centre
• Contraception
• Patient Care
• Health Services

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1. LARC PROVISION Dr Barbara Roucayrol Blithehale Health Centre

2. Figures for Blithehale Health Centre IUCD insertion SDI insertion SDI removal 2016 51 20 11 2017 74 20 15 2018 ( until July) 25 11 6

3. Identifying patients Postnatal check appointment letter and examination /antenatal check after 36/40 Routine contraception appointment Receptionists

4. Ad Hoc consultation Any women/ STI screening /unexpected pregnancy Patients with menorrhagia/dysmenorrhoea are offered LARC Perimenopausal symptoms- Mirena offered as part of HRT for contraception Comparison between different methods of contraception (perfect use) Condoms SDI IUS Depot IUD Pills/ring patch 0.3% sterilisation Vasectom y 0.1% 2% 0.05 % 0.2% 0.2% 0.6% 0.5%

5. Promoting Use of Sexwise website- link sent to patient s mobile via AccuRx https://sexwise.fpa.org.uk/ Use of link for IUCD device counselling video https://www.sexualhealth.cnwl.nhs.uk/information-about-intrauterine- contraception/

6. Other ways of promoting LARC Jayex board/Posters/practice leaflet Practice Website Using Patients Participation Group Advocate doing Women s health session in surgery Pharmacy when providing morning after pill

7. Barriers for LARC Patients with dysmenorrhoea/menorrhagia Who don t want hormonal contraception Who want regular cycles (use of kyleena/Jaydess) Patients scared of coil moving in body anatomy shown with risk of perforation explained Internet research Difficult to take time off work to arrange counselling then insertion

8. Coil Clinic IUCD fitter with nurse or HCA Pre-IUCD fitting slip given to patients with following advice : contraception/have breakfast/ bring a pad/ planning to stay in surgery up to 30 mins post insertion Patients booked in coil clinic after telephone consultation with coil fitter Flexibility around patients

9. Post Fitting Post IUD leaflet given with details of IUD used/ sx of infection/ advice on contraception post fitting Advice on self check at 6 weeks Patients are offered to call surgery for a telephone assessment if any issue following IUCD insertion Patients encouraged to write experience on NHS choice website

10. Inter-practice referral Receptionists at Spitafields practice email me directly Albion send referral All patients are called back within 5 days between 12-1 pm Patients are also offered to contact me if any issue post fitting IMPROVING Inter-practice referral : To give our surgery details to patients to arrange telephone consultation and cancel appointment To share video before fitting

11. Useful Contacts Barbara.roucayrol@nhs.net Self referral from patient to contact : Blithehale Health Centre 22 Dunbridge Street E2 6JA 020 7739 5497 Referral can be emailed to : blithehale.healthcentre@nhs.net