Services for the provision of intrauterine devices and the intrauterine system for contraception and the management of heavy menstrual bleeding
This commissioning guide provides support for the local implementation of NICE clinical guidelines through commissioning, and is a resource to help health professionals in England to commission effective services for the provision of intrauterine devices (IUDs) and the intrauterine system (IUS; also referred to as levonorgestrel-releasing intrauterine system (LNG-IUS) for long-acting reversible contraception (LARC), and the IUS, which can be used for the care of women with heavy menstrual bleeding (HMB).
This commissioning guide should be read in conjunction with the following NICE guidance:
- NICE clinical guideline CG30 ‘Long-acting reversible contraception'
- NICE clinical guideline CG44 ‘Heavy menstrual bleeding'.
The clinical guidelines cover clinical and cost effectiveness in detail and underpin the content of this guide.
Those involved in the commissioning of services for the care of women with HMB should also read the commissioning guides on hysterectomy and endometrial ablation.
The guide:
- makes the case for commissioning services for the provision of IUDs and the IUS
- specifies service requirements
- helps you determine local service levels
- helps you ensure corporate and quality assurance.
The full text of this commissioning guide is accessed from the navigation menu on the right hand side of the screen. The associated commissioning tool is available until 25 June 2010 to primary care organisations in England who are already registered to use the tool. New registrations for the existing commissioning tool will not be possible after 31 March 2010.
From 1 April 2010 the new freely available commissioning and benchmarking tool can be downloaded here. There is no need to register.
We are keen to improve the commissioning guides in order to better meet the needs of commissioners. Please send us your ideas for future topic-specific guides or other comments.
Read the NICE disclaimer for information on the use and accuracy of content on the NICE website.
This page was last updated: 02 March 2012
- Services for the provision of IUDs and the IUS
- Commissioning a service for the provision of IUDs and the IUS
- Specifying a service for the provision of IUDs and the IUS
- Determining local service levels for the provision of IUDs and the IUS
- Assumptions used in estimating a population benchmark
- The commissioning and benchmarking tool
- Ensuring corporate and quality assurance

