Clinical Effectiveness Committee (CEC)

The Clinical Effectiveness Committee oversees FSRH’s Clinical Effectiveness Unit (CEU), which works to promote evidence-based clinical practice. The unit has 4 main work streams: evidence-based guidance (including the review and update of the UK Medical Eligibility Criteria); members’ evidence request; new product reviews and clinical audit/research.


The committee also liaises and works collaboratively with the Royal College of Obstetricians and Gynaecologists (RCOG) and other professional organisations on issues of clinical practice. In addition, the committee prepares briefings for FSRH Council on emerging issues at the forefront of Sexual and Reproductive Healthcare (SRH).


Such outputs contribute to SRH services, which are centered not only on optimising patient access to a choice of sexual and reproductive healthcare methods but are also staffed by a well-trained workforce. Access and training are essential parts of the Faculty vision.

The Clinical Effectiveness Committee's successes in 2018

  • A much needed guideline focused on Combined Hormonal Contraception (CHC) is soon to be published – this will be the first FSRH guideline to be published in BMJ SRH.
  • A new guideline ‘Weight, Obesity and Contraception’ progressed well.
  • There has been an increasing request for media work such as answering written questions and giving interviews to popular outlets, below are some examples of this:
    • Huffpost: LARC use (written) (7 August)
    • Femedic: Mirena and weight gain (written) (15 August)
    • BBC Horizon: Hormonal contraception and depression (interview call) (26 September)
    • Cosmopolitan: Contraceptive pill (written) (28 September)
  • The FSRH Clinical Effectiveness Unit (FSRH CEU) completed the Emergency Contraception National Audit.
  • The CEC have established a good relationship with BNF with annual face-to-face meetings, two telephone meetings and regular email exchanges with an agreement to collaborate on issues more readily.
  • The FSRH CEU successfully renewed its NICE accreditation.

Plans for 2019

  • A new guideline on Cancer and Contraception will be started in early 2019.
  • Work is underway for dissemination of a final audit report. 2019 will also see developing a re-audit in January 2019 and the launch of a new National Audit (possibly based on Weight and Combined Hormonal Contraception - CHC) in June 2019.
  • New committee members – the CEC plans to recruit two new CEC members – a GP representative and a Specialty Doctor representative.
  • Relationship with BASHH – the FSRH CEU will be maintaining and enhancing built relationships with other committees/organisations (e.g. BASHH and RCOG).
  • FSRH CEU sustainability and succession planning – The committee will work together to ensure all understand how the FSRH CEU operates and to understand how ways of working can be improved in the future. The committee will also work to ensure high quality succession planning for the future CEU.
  • 2018 has seen the FSRH CEU take on an increasing role within FSRH media work. The committee will take action to ensure FSRH CEU input is utilised efficiently.

Current Committee Members

  • Dr Farah Paruk (Committee Chair) 
  • Dr Diana Mansour (Officer)
  • Ms Toni Belfield
  • Dr Rachel d’Souza
  • Dr Deepa Grover (BASHH Representative)
  • Ms Natika Halil (FPA Representative)
  • Ms Shelley Mehigan (E-learning Representative)
  • Ms Janet Dearden (Nurse Representative)
  • Dr Ashley Jenkins (Trainee Representative)
  • Dr Amy Reimoser (GP Representative) 
  • Dr Elaine Monaghan (Specialty Doctor Member)
  • Dr Janine Simpson

Staff Members at FSRH

  • Alanna Wurm -
Ms Shelley Mehigan's profile (E-Learning Representative)

I joined the CEC committee because I wanted to take a more active part in the FSRH and I was interested in the work of the CEC in particular. In addition, I had been invited to join one of the guidance development groups and this piqued my interest. Over the years this has led to involvement in all aspects of guidance development, including UKMEC, and, later, joining other committees.

My work on this committee has been stimulating and I have valued feeling a part of the wider FSRH community. I have been involved in a number of initiatives over the years which have enhanced my skills and knowledge in SRH. On a personal level it has been a privilege to meet and work alongside so many other dedicated professionals from all walks of SRH life. I feel certain that this also gave me the confidence to become more involved on a wider scale such as being one of the UK representatives on the ESC, including a stint as the first non-doctor Vice President.

One particular passion of mine has been encouraging more nurses to join and become part of the work of the FSRH and I feel I have managed to achieve this.

Read more about FSRH Committees