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Summary of Results

Health Topic:   Gynaecology, pregnancy and birth
Guidance:   Long-acting reversible contraception
Description:   The summary of the published clinical guideline on Long-acting reversible contraception. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage
NICE implementation uptake report: LARCs Doubts about or mixed impact in practice 2009 National

External literature

External literature Assessment Coverage

Department of Health Sexual Health and HIV Team (2007) Findings of the baseline review of contraceptive services London: Department of Health

Description: This is the report of a baseline review of contraceptive services in England based on a voluntary collection, 246 PCTs submitted a return, representing an 82% response rate. In relation to LARC uptake and the NICE guidance, only 5% of PCTs had undertaken a comprehensive audit of LARC methods in 2004/2005 with a further 31% indicating they had undertaken a limited or minimal level of audit. Twenty percent of PCTs stated they had local policies in place that could potentially restrict access.

Practice appears not to be in line with guidance National

The Information Centre (2006) NHS Contraceptive Services England 2005-06 HSCIC

Description: This bulletin contains information on NHS community contraception services including services provided by trusts in NHS clinics and as domiciliary visits and brook clinics. Long Acting Reversible Contraception (LARC) accounted for almost 20 per cent of primary method of contraception. LARC includes: IUD, injectable contraception, implants and IUS. It does not include services provided by consultants in out-patient clinics or those provided by General Practitioners.

Not graded National

National Statistics (2006) Omnibus Survey Report No. 30 Contraception and Sexual Health 2005/06 London: National Statistics

Description: This is the National Statistics Omnibus Survey contraception module for 2005/2006, based on 1,329 women respondents. The reported uptake of LARC was 10% of women aged 16-49, compared to 24% for the contraceptive pill. The proportion of women reporting use of LARC in the 2005/2006 sample survey was the highest level recorded.

Doubts about or mixed impact in practice National

NHS Information Centre for Health and Social Care (2008) NHS Contraceptive Services England 2007-08

Description: This bulletin contains information on NHS community contraception services on KT31 returns. Oral contraception remains the most popular form of contraception among women, accounting for 46% of female contraceptive use. Use of Long Acting Reversible Contraceptives (LARCs) continues to increase and now accounts for 23% of primary methods of contraception, compared to 21% the previous year and 18% in 2003-04. LARCs include: IUD, injectable contraception, implants and IUS.

Practice appears to be in line with guidance National

Health and Social Care Information Centre (2012) NHS Contraceptive Services: England, 2011/12. Community Contraceptive Clinics

Description: This annual report presents information on NHS community contraceptive clinics in England. In 2011/12, 1.3 million women attended NHS community contraceptive clinics, an increase of 9% on the previous year. The report found that prescriptions for Long Acting Reversible Contraceptives (LARCs) have increased from 0.7 million in 1997/98 to 1.3 million in 2011/12. Use of LARCs now accounts for 28% of primary methods of contraception among women who attended NHS community contraceptive clinics.

Doubts about or mixed impact in practice National

Health and Social Care Information Centre (2013) NHS Contraceptive Services: England, 2012/13 Community Contraceptive Clinics

Description: This annual report presents information on NHS community contraceptive clinics in England. In 2012/13, 1.2 million women attended NHS community contraceptive clinics, a decrease of 5% on the previous year. The report found that prescriptions for Long Acting Reversible Contraceptives (LARCs) have increased from 0.7 million in 1997/98 to 1.3 million in 2012/13. Use of LARCs now accounts for 30% of primary methods of contraception among women who attended NHS community contraceptive clinics.

Not graded National

Basu, D. et al (2013) How popular is LARC amongst women requesting induced termination of pregnancy? BJOG: An International Journal of Obstetrics and Gynaecology. 2013 Conference (var.pagings) PAGES June -

Description: A retrospective audit was conducted to assess uptake of Long Acting Reversible Contraceptives (LARCs), evaluate the provision of information on LARCs and assess compliance to guidelines. Case notes for 100 consecutive patients attending a pregnancy advisory clinic between 04/11/2012 and 04/01/2013 were reviewed. Results found that 100% of women were given written and verbal information on LARCs, but the uptake of LARC was only 47%.

Practice appears to be in line with guidance Local

This page was last updated: 01 October 2013

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.