Beacons of Good Practice
West Yorkshire Integrated Care Board Bradford District and Craven
South Tees North East and North Cumbria
York and Scarborough Teaching Hospital Humber and North Yorkshire
Manchester University NHS Foundation Trust (MFT) Greater Manchester
Sheffield Teaching Hospitals South Yorkshire
Nottingham University Hospital Nottingham and Nottinghamshire
Liverpool Women’s Hospital and Axess Sexual Health; Wirral University Teaching Hospital NHS Foundation Trust Cheshire and Merseyside
Norfolk and Waveney
Bedfordshire Hospitals NHS Foundation Trust Luton and Milton Keynes Integrated Care Board
University Hospital of Derby and Burton/Royal Derby Hospital Derby and Derbyshire
East and North Hertfordshire Trust Herts and West Essex
Cardiff and Vale University Health Board Cardiff
London Northwest University Healthcare NHS Trust Northwest London
University Hospitals Bristol and Weston; Gloucestershire Hospital NHS Trust Bristol, North Somerset and South Gloucestershire
Barts Health NHS Trust Northeast London
East Sussex Healthcare NHS Trust Sussex
Portsmouth Hospitals University NHS Trust NHS Hampshire and the Isle of Wight
“I can certainly think of one or two quite young women who have got pregnant very quickly after having the first baby, and you wonder whether you might in some cases miss it.” 51 With improved PPC throughout the pregnancy journey, particularly antenatally, when women are already in contact with health services, contributors stated they believed this could ease pressure on primary care services such as GPs and potentially prevent unintended pregnancies. Our contributors also told us that best practice of PPC utilised healthcare professionals in the community, including health visitors, midwives, to facilitate access to this service post- pregnancy: “Where our health visitors identify the need for vulnerable mothers to access post-natal contraception, we defined a fast-track
Depending on the GP practice, either 10 or 20 minutes were allocated for this consultation, which was the only dedicated time to discuss all aspects of the mother’s health in the postpartum period and would not easily facilitate comprehensive personalised contraceptive counselling, which may be needed. 48 Additionally, there are concerns that women do not always attend this check-up: “Our trouble is not all women come for their 6-week check. We’re in a deprived area and many forget all about coming.” 49 Research has shown that only 50% of women who plan to initiate LARC postnatally do not attend a follow-up appointment to have this fitted after birth. 50 This raises valid arguments that discussions about PPC should be had antenatally, earlier in the maternity journey, when women are already in contact with services to avoid ‘missing’ the opportunity for women to receive comprehensive contraceptive counselling:
48 Lunniss H, Cameron S, Chen ZE. Views of general practitioners on providing contraceptive advice and long-acting reversible contraception at the 6-week postnatal visit: a qualitative study. J Fam Plann Reprod Health Care 2016; 42:99–106. 49 Lunniss H, Cameron S, Chen ZE. Views of general practitioners on providing contraceptive advice and long-acting reversible contraception at the 6-week postnatal visit: a qualitative study. J Fam Plann Reprod Health Care 2016; 42:99–106.
50 Lunniss H, Cameron S, Chen ZE. Views of general practitioners on providing contraceptive advice and long-acting reversible contraception at the 6-week postnatal visit: a qualitative study. J Fam Plann Reprod Health Care 2016; 42:99–106. 51 Lunniss H, Cameron S, Chen ZE. Views of general practitioners on providing contraceptive advice and long-acting reversible contraception at the 6-week postnatal visit: a qualitative study. J Fam Plann Reprod Health Care 2016; 42:99–106.
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