This CEU Statement provides guidance to healthcare professionals in response to a letter circulated by MSD (manufacturer of Nexplanon®) to healthcare professionals in the UK about updated guidance regarding the recommended Nexplanon® insertion site.
Download useful resources and links from our Impact of COVID-19 on Health Inequalities webinar, held on 8 July 2020.
Logbook for the LoC IUT (updated July 2020)
Download this domestic violence survivors resource from our Impact of COVID-19 on Health Inequalities webinar, held on 8 July 2020.
Download a gender-based violence infographic from our Impact of COVID-19 on Health Inequalities webinar, held on 8 July 2020.
Download sex worker organisations and links from our Impact of COVID-19 on Health Inequalities webinar, held on 8 July 2020.
Download a certificate of attendance for our 'The impact of COVID-19 on SRH and Health Inequalities' webinar, held on 8 July 2020.
A resource from TURAS shared by our panel during the 'The impact of COVID-19 on SRH and Health Inequalities' webinar.
A resource from TURAS shared by our panel during the 'The impact of COVID-19 on SRH and Health Inequalities' webinar.
A resource shared by our panel during the 'The impact of COVID-19 on SRH and Health Inequalities' webinar.
Information about the 'Silent Solution' for HCPs to share with patients. A resource shared by our panel during the 'The impact of COVID-19 on SRH and Health Inequalities' webinar.
AoMRC, BMA, NHS Confederation, NHS Providers, RCN and UNISON statement: Supporting the health and care workforce beyond COVID-19
This statement addresses the issues faced by the health and care workforce before and during the COVID-19 pandemic.
This policy outlines the normal Faculty procedures relating to applications for mitigating circumstances. Mitigating circumstances are defined as unforeseen, unpreventable circumstances that significantly disrupt a candidate’s performance in an examination. This should not be confused with long term issues such as medical conditions, for which the Faculty can make reasonable adjustments before assessment.
This document outlines the policy and procedures for any candidates who wish to make a complaint or submit an appeal in relation to an assessment or examination of an FSRH qualification.
The Equality Act 2010 requires the FSRH to provide reasonable adjustments for people with a disability in the provision of its services, in order that people with a disability are treated fairly. The need to make a reasonable adjustment arises when a disabled person is put at substantial disadvantage to a person who is not disabled.
A guide written by FSRH staff about using Zoom
Download a certificate of attendance for our 'Tips & tricks for delivering SRH services remotely during COVID-19 & beyond' webinar, held on 27 May 2020.
Download our latest guidance on the resumption of general and specialist training.
This survey by NHS England and NHS Improvement looks at new and innovative ways of working that have been developed across the NHS during the COVID-19 pandemic. In our response we outline changes to SRH care during the pandemic, including remote consultations, prescriptions and medical collection systems, postpartum contraception, and telemedicine for abortion care.
This guidance provides evidence-based recommendations and good practice points for health professionals on the use of progestogen-only injectables (depot medroxyprogesterone acetate (DMPA), Depo-Provera) currently available in the UK. It is intended for any health care professional or health service providing contraception or conception advice in the UK.
This Inquiry is related to the impact of the COVID-19 pandemic on access to contraception over recent months. In our joint response with the Royal College of Obstetricians and Gynaecologists (RCOG), we propose that access to contraception in England has been challenged in recent years by funding cuts to public health services, and the fragmented commissioning of SRH services.
Download slides from our global impact of COVID-19 on SRH and rights, which took place online on 24 June 2020.
Download your certificate of attendance for our webinar on 24 June: The global impact of COVID-19 on SRH and rights.
Form for those wishing to stand for election
Role specification for representative members on FSRH Council
General Training Programme Registration Handbook
Form for those wishing to stand for election.
FSRH position statement on reintroduction of the Associate Specialist Grade and support to SAS Doctors
Read and download the statement here.
Read and download the new FSRH Service Standards for Consultations, published in June 2020.
Guideline open for consultation until 17.00-13 July 2020. Please note, this document is in draft format for consultation purposes.
This form can be used to give feedback on the consultation on the Progestogen-only Implant guideline - June 2020.
Training Requirements (LoC SDI-IR) for those wishing to complete a Letter of Competence in Subdermal Implants Insertion & Removal
LoC SDI-IR Training requirements. Download and save (updated May 2020).
Download the slides from the webinar - 10 June 2020
Joint BMS / FSRH / RCGP / RCOG framework for restoration of menopause services in response to COVID-19
The objective of this joint document produced by the British Menopause Society (BMS), the Royal College of Obstetricians and Gynaecologists (RCOG), the Royal College of General Practitioners (RCGP) and the Faculty of Sexual and Reproductive Healthcare (FSRH) is to provide guidance to clinical practitioners on the resumption and running of menopause services in the next phase of restoration of planned clinical services.
Full Question: Regarding self administration at home of sayana press for someone who was starting an injectable for the first time - how safe is this (in relation to anaphylaxis) to be done at home for women who have not already had DMPA or sayana (bearing in mind anaphylaxis can sometimes only manifest itself after the second injection)?
Download a certificate of attendance for our restoration of SRH services webinar, held on 10 June 2020.
This guidance on restoration of SRH services is aimed at decision-makers, commissioners, service managers and healthcare professionals. It was developed in consultation with FSRH’s Scotland, Wales and Northern Ireland Committees. It provides recommendations on which services should be prioritised during restoration. It also outlines what has worked well during strict lockdown and should remain in place beyond the pandemic; for instance, the need for a variety of modalities of consultation to meet the SRH care needs of all, including the most vulnerable.
Suggested approach - Restoration of SRH Services during Covid-19
Full Question: Please can you explain why it is OK to use a Nexplanon® for 4 years and Mirena® for 6 years during Covid-19 but not under normal circumstances?
This document contains information on the role of Trainee Observer within the Clinical Studies Group, and how to apply.
This document contains information about the role of Vice-Chair of the Clinical Studies Group and how to apply.
This FSRH guidance is for health care professionals using Public Health England's PPE guidance within sexual and reproductive health services.
Read the updated Service Standards for Confidentiality in SRH Services.
Full question: For women starting a CHC the first year seems to be when the highest risk of VTE. Is there some caution we should be taking with starting CHC at this current time when there is an increased risk of contracting Covid 19? Should we be more careful in those women with a higher BMI who may not be contraindicated to CHC? In smokers? Would it also be more of concern in those women who are shielding who may have more of a concern that covid may be more severe in them?
Download the role description here.
FSRH, Royal Colleges, and charities letter to Government to prioritise healthcare response to domestic abuse
FSRH, along with fellow Royal colleges, charities, and health bodies have written to Health and Social Care Secretary Matt Hancock to call for more support for health and care professionals to identify signs of domestic abuse, and to signpost adult and child victims of domestic abuse to appropriate support services.
Download the role description here.
This document will support you with your learning for the LoC SDI-IO qualification.
Download the slides presented during our first COVID-19 themed webinar: Tips and tricks when delivering SRH services remotely and beyond.
This short guide details what kind of information to include in evidence to the Inquiry into Access to Contraception. Please note that this is intended as a guide only, and evidence is not necessarily unimportant if it falls outside of these areas.
Download our troubleshooting tips for accessing webinars on Zoom.
Rolling Covid-19 members survey as of 07 May 2020
Read and download the role description below.
The Women and Equalities Select Committee has launched an inquiry to examine the effects of COVID-19 on people with protected characteristics. In our response, we outline the ways in which vulnerable girls and women have been impacted by changes to SRH service provision during the COVID-19 pandemic.
Access our redesigned FSRH Diploma guide for FRTs and GTPDs.
Responses as of 01 May 2020
It is anticipated that following the current period of Covid-19 lockdown, there will be an ongoing requirement for social distancing. The Faculty of Sexual and Reproductive Healthcare (FSRH) makes recommendations relating to contraceptive services at times when lockdown restrictions are eased.
Interim results as of 24 April 2020
The NHS has launched a call for evidence on how it can reduce its carbon footprint and become greener. Our response proposes that reducing unintended pregnancies and births through choice in family planning is one of the most impactful ways to ease pressure on the environment, and to reduce CO2 emissions.
FSRH CEU: Provision of contraception by maternity services after childbirth during the Covid-19 Pandemic April 2020
FSRH CEU has produced an information sheet to support the provision of contraception by maternity services after childbirth during the Covid-19 outbreak.
Joint FSRH, RCOG and RCM recommendations on the provision of contraception by maternity services after childbirth during the covid-19 pandemic
The Health Devolution Commission has launched a call for evidence on the value and accountability of devolved health systems. In our response, we propose that the success of devolution for SRH services depends on adequate funding, clear lines of accountability, and the co-commissioning of services.
Advice for women seeking contraception, abortion and other sexual and reproductive healthcare during the COVID-19 epidemic
We have prepared advice for women seeking to obtain contraception, abortion, and other forms of sexual and reproductive healthcare during the COVID-19 epidemic.
FSRH CEU: information to support management of individuals requesting to discontinue contraception to plan a pregnancy during the Covid-19 outbreak (26 March 2020)
FSRH CEU Individuals planning pregnancy during Covid-19: information to support healthcare professionals with patient requests to stop contraception.
Sexual Health, Reproductive Health and HIV Services: Emergency COVID-19 Contingency Plan Paper for Government
This document has been jointly produced by the FSRH, British Association for Sexual Health and HIV (BASHH), and British HIV Association (BHIVA), who together represent all sexual health reproductive health and HIV service providers in the United Kingdom. It sets out formal recommendations for the level of Government support needed to ensure these services are equipped to enact immediate short-term COVID-19 contingency measures, as well as medium and longer-term steps that also need to be taken in the coming weeks and months.
Download and save to your computer.
Download and save to your computer.
Download and read the statement here.
This document sets out principles of safe staffing, rota structure and healthcare delivery as critical care units prepare and deliver increased activity during surge and super-surge in the Coronavirus pandemic. Download here.
Download and save the latest update.
FSRH CEU clinical advice to support provision of effective contraception during the COVID-19 outbreak
During Covid19-related restriction in face-to-face contact with healthcare professionals, FSRH CEU offers the following clinical advice to support ongoing provision of effective contraception. Provision of effective contraception (this may be a bridging method in the short term) and emergency contraception are considered priority services.
FSRH CEU recommendation on extended use of the etonogestrel implant and 52mg levonorgestrel-releasing intrauterine system during COVID restrictions
At present, to reduce risk of coronavirus transmission, non-essential face-to-face contact with healthcare providers is being minimised where possible. Replacement procedures for long-acting reversible contraceptive (LARC) devices that have recently expired are non-essential. This FSRH CEU statement provides recommendation on extended use of the etonogestrel implant and 52mg levonorgestrel-releasing intrauterine system during COVID restrictions.
An example contraception contingency plan for SRH services.
Read essential information for SRH Professionals.
We are looking for a chair and vice-chair to help us better support our SRH workforce. Download the job description here.
FSRH CEU Guidance: Recommended Actions after incorrect Use of Combined Hormonal Contraception (e.g. late or missed pills, ring and patch) (March 2020)
This document provides guidance on incorrect use of: combined oral contraceptive pills, the combined vaginal ring, and the combined transdermal patch. The guideline was developed with a team of international experts and has been extensively peer reviewed in accordance with methodology used for developing FSRH Clinical Guidelines. The guidance is intended for use by health professionals working in SRH, general practice and obstetric and gynaecology settings, and can also be used by women using CHC. Download the document here.
This document outlines the role description and eligibility criteria for the MFSRH External Examiner role.
Download and view the job specification here.
The aim of the FSRH National Benchmarking Audit is to provide an electronic toll, as a members' benefit to support individual members to audit the sexual and reproductive services they offer. Download the full report here.
FSRH Events Manager job and person specification
2020 Stakeholder Consultation - PDF
Draft 2020 CSRH Curriculum
Public Health England (PHE) invites FSRH members to take part in the national Reproductive Health Indicators Delphi consensus process. This process aims to develop a set of core indicators, which will be the first of their kind in the UK, and will remedy the paucity of data on reproductive health.
The NHS and Public Health England (PHE) have put together a Q&A document with advice on the coronavirus (COVID-19) for primary care providers.
Together with the Royal College of Obstetricians and Gynaecologists (RCOG), we respond to the public consultation on the proposal for a revised National Chlamydia Screening Programme (NCSP) policy by Public Health England (PHE).
This document contains useful tips for General Training Programme Directors (GTPDs) designed to help them run their training programme smoothly.
GMC Generic Professional Capabilities Framework
GMC Excellence by Design
CESR application guide
CSRH Trainer handbook
How to become a Faculty Registered Trainer (FRT). (Updated 6 February 2020)
This form may be used by General Training Programme Directors to help them interview applicants who wish to become Faculty Registered Trainers (FRTs)
Application form for FSRH Registered Trainer status (updated 6 February 2020). Download the application form and complete.
Find out about our Abortion Care Deputy Module Guardian role by downloading the role description.
Find out about our Abortion Care Module Guardian role by downloading the role description.
Download the Part 1 & 2 MFSRH Membership Exam reading list.
Application form for the MFSRH question writer / examiner vacancies.
Download the role description for our MFSRH question writer and examiner roles.
We respond to the public consultation on Primary Care Networks’ (PCNs) Network Contract Direct Enhanced Service (DES) service specifications by NHS England (NHSE).
OSATS Supervised Learning Event
OSATS Assessment of Performance
Download and save the role description.
Download the booking form and save.
Review the full guidelines for the abstract submission process for 2020. Click to download and save.
We respond to the consultation on a new legal framework for abortion care services in Northern Ireland by the Northern Ireland Office and the Office of the Secretary of State for Northern Ireland.
Application form for the ASM Bursary
Download and read FSRH's Council Terms of Reference here.
MFSRH candidate examination regulation document
Read our five-year strategic plan 2020-2025
Joint election manifesto published by FSRH and The Royal College of Obstetricians and Gynaecologists (RCOG) ahead of the General Election 2019.
Briefing: do sexual and reproductive healthcare services feature in new models of care? Findings from an audit
In 2018, FSRH undertook a rapid review of new models of care to understand where SRH services were being embedded and to identify lessons and best practice to share. This briefing sets out the key findings of the audit and is a companion to the main report launched by FSRH in 2019, “Opportunities to embed sexual and reproductive healthcare services into new models of care. A practical guide for commissioners and service providers".
Opportunities to embed sexual and reproductive healthcare services into new models of care. A practical guide for commissioners and service providers
This report sets out case studies demonstrating the potential for new models of care to embed SRH services. It is based on an audit to assess the extent to which SRH isbeing factored into new models of care. 51 strategies and operational plans were reviewed from Sustainability and Transformation Partnerships, NHS England Vanguards and large-scale general practice organisations. The results show that few areas have explicitly recognised the opportunity to embed SRH services, and there is huge, untapped potential.
Better care, a better future: Implementing our Vision for Sexual and Reproductive Healthcare in Northern Ireland
FSRH has published “Better care, a better future: Implementing our Vision for Sexual and Reproductive Healthcare in Northern Ireland”, a plan to support the implementation of our Vision for improved sexual and reproductive health (SRH) care for all in Northern Ireland. The plan was developed by the FSRH Northern Ireland Committee.
FSRH Endorsement process guide
FSRH Endorsement Application Form 2019
Pfizer UK Recall for Sayana® Press (medroxyprogesterone acetate 104mg/0.65ml suspension for injection in the Uniject™ injection system)
Issued in October 2019.
We respond to the consultation on the Prevention Green Paper by the Department of Health and Social Care (DHSC) and the Cabinet Office.
FSRH Scotland Committee Person Specification 2019
Dummy Details for e-portfolio site for use by Faculty Registered Trainers. Updated October 2019.
FSRH responds to call for evidence by Health Education England (HEE) about the remit of the doctor in the future, including the skills, knowledge and behaviours doctors will need to perform their role.
FSRH Clinical Guideline: Contraception for Women Aged over 40 Years (August 2017, amended September 2019)
This update of the 2010 Contraception for Women Aged Over 40 Years guideline has been developed by the FSRH and brings together evidence and expert opinion on contraception for women aged over 40 years. The guideline was developed with a team of experts in the relevant fields and has been extensively peer reviewed in accordance with methodology used for developing FSRH Clinical Guidelines. The guidance is intended for use by health professionals working in SRH, general practice and obstetric and gynaecology settings. This guideline was amended in September 2019.
This guidance provides evidence-based recommendations and good practice points for health professionals on the use of intrauterine contraception (IUC) currently available in the UK. It is intended for any health care professional or health service providing contraception or conception advice in the UK. This guideline was updated in September 2019.
Change of UKMEC category for use of progestogen-only injectable contraception and intrauterine contraception by women at high risk of HIV infection from UKMEC2 to UKMEC1 (September 2019).
The FSRH Clinical Effectiveness Committee (CEC) is recruiting for a new Pharmacy representative. You can download the job description below.
The FSRH Clinical Effectiveness Committee (CEC) is recruiting for a new Trainee member. You can download the job description below.
FSRH External Affairs & Standards Assistant Job Description September 2019
The Sexual and Reproductive Health Clinical Studies Group (SRH CSG) develops and provides guidance for clinical and behavioural science research studies to improve the sexual and reproductive health (SRH) of people of all genders.
Registration of Interest Form to apply for Ordinary Membership of the Sexual and Reproductive Health Clinical Studies Group (SRH CSG)
Proposal Review Form Sexual and Reproductive Health Clinical Studies Group.
EBC topic 1st Sept 2019 - 31 Aug 2020
FSRH response to the Health and Social Care Committee's inquiry on the budget and the NHS Long Term Plan. The inquiry examines the funding required for NHS capital, education and training, social care and public health to implement the NHS Long Term Plan.
The Clinical Standards Committee (CSC) is looking for an enthusiastic CSRH trainee member to be part of the team. The successful applicant will be a current CSRH trainee. The individual would be available to attend the FSRH Clinical Standards Committee meetings (four per year - three via video/teleconference) and be a key member of the team to help with the development and shaping of future clinical standards. The deadline for applications is 10am on Monday 23rd September 2019.
Download FSRH's Corporate Sponsorship Policy here.
This statement reviews and summarises the available evidence regarding the effect of contraception on weight. Looking at each method individually, the FSRH CEU advises clinicians regarding proven and theoretical associations between contraceptive options and weight/BMI.
Download and view the FSRH's AGM meeting minutes from July 2019.
FSRH CEU Guidance: Switching or Starting Methods of Contraception (November 2017, amended August 2019)
Please log into the website to access this document. This quick guide advises on effective starting or switching between contraceptive methods to reduce the risk of unplanned pregnancy. It summarises information from existing FSRH guidance documents. This guide should be used in conjunction with clinical judgment in individual situations. Updated in November 2017.
FSRH Scotland Committee response to Scottish Government - New national Public Health body - Public Health Scotland
The Faculty of Sexual and Reproductive Healthcare (FSRH) is the largest UK professional membership organisation working at the heart of sexual and reproductive health, supporting healthcare professionals to deliver high quality care - with nearly 1200 members working in Scotland. FSRH's Scotland Committee welcomes the chance to comment on the consultation, and see this proposal as an opportunity to consolidate currently separate public health structures into one, and in doing so to increase their overall impact on public health.
FSRH Guideline-related Resources: Quick Reference Summary of Clinical Guidance on Overweight, Obesity and Contraception (July 2019)
This summary has been written as a quick reference guide to help busy clinicians give clear, safe advice on contraception for women who are overweight or with obesity. Please refer to the full Overweight, Obesity and Contraception guideline for further information and evidence for this advice. Members should log into the website and view this guidance under 'My Resouces' on the website.
Contemporaneous and high quality record keeping is an important aspect of clinical risk management. It ensures that clinicians and other staff have timely access to information relevant to the patient’s current episode of care. It facilitates clear communication to other involved clinicians justifying decision-making for actions taken. In the event of complaints, untoward incidents and medico-legal cases, accurate and comprehensive documentation supports prompt resolution. In addition, good clinical records support audit, management, planning, policy, commissioning and research. Download the document and save.
Download our new Advanced Clinical Practitioner (ACP) curriculum for practitioners working in integrated sexual health services. Jointly produced by BASHH, FSRH and NHIVNA, and endorsed by Health Education England (HEE).
Download our Advanced Clinical Practitioner (ACP) flyer.
FSRH Consultation Response - Rebuilding a Public NHS: Health and Social Care Policy Commission of the Labour Party
The Faculty of Sexual and Reproductive Healthcare (FSRH) welcomes the opportunity to respond to Labour’s consultation on Rebuilding a Public NHS as part of its Health and Social Care Policy Commission for 2019. FSRH is the largest UK multidisciplinary professional membership organisation representing the voices of more than 15,000 healthcare professionals working to deliver Sexual and Reproductive Healthcare (SRH). Our members work primarily to ensure contraceptive, cervical/ gynaecological, and pregnancy choices are best enabled. Our goal is to ensure high quality SRH services which realise our Vision for individualised and holistic SRH across the life-course. We believe that access to high-quality SRH care for all is a human right. Thus, in relation to this consultation, our response is focused on SRH services.
Download and Read our FSRH Annual Review Document.
Detailed guidance on how to recertify your Diploma qualification.
Lead for MFSRH Exams Review Project
Lead MFSRH Exams Review Project
FSRH Statement on Release of the Department of Health and Social Care’s Abortion Statistics, England and Wales, 2018
Statistics published by the Department of Health and Social Care (DHSC) last week show that abortion rates have increased by 4% since 2017. The figure for 2018 was 200,608.This number is the highest on record.
The National Institute for Health and Care Excellence (NICE) and the Royal College of Obstetricians and Gynaecologists (RCOG) recently launched a consultation on their draft guidelines on termination of pregnancy. In strongly welcoming the guidance, we focused on several key areas.
Download the full role description below
Download the document here.
The FSRH CEU has produced a quick guide on conducting systematic literature reviews to answer clinical questions. This brief and easy-to-use guide aims to support FSRH members to conduct a systematic literature search/review to answer clinical enquiries they may have. Download the guide here.
DFSRH recertification form, revised May 2019
DFSRH CPD Record
FSRH Consultation response - FSRH Response to Nursing and Midwifery Council’s Standards of Proficiency for Midwives
The Nursing and Midwifery Council (NMC) has launched a consultation on its draft Standards of Proficiency for Midwives. In our response, we evidenced why the Standards should be based on the recognition that contraceptive care is an integral part of best practice in maternity services.
Download to acccess the FSRH's annual report and accounts for 2018.
Dowload the confidentiality policy here.
Download the ethical code of practice here.
Download the checklist here.
Download the mentor application form here.
Download the application form here.
List of regional mentoring representative and mentoring committee members (BASHH / BHIVA / FSRH Mentoring Scheme)
Download a full list of representatives here.
Download the document here.
Guide to becoming an Essentials for Midwives Course Facilitator
Read our short summary document giving top tips for the Letter of Competence Subdermal Implants for FSRH Trainers.
Read our short summary document giving top tips for LoC IUT Trainers.
Read the CEU responses to the consultation for the Overweight, Obesity and Contraception guideline.
This guidance provides evidence-based recommendations and good practice points for health professionals providing contraceptive services to young people in the UK. This guidance is most relevant to young people under 18 years of age but may also apply to young people up to the age of 25 years.
FSRH CEU statement on antibiotic cover for urgent insertion of intrauterine contraception in women at high risk of STI (May 2019)
This statement provides guidance on antibiotic cover for urgent insertion of intrauterine contraception in women at high risk of STI. Download the full document here.
This guidance provides evidence-based recommendations and good practice points for health professionals on the use of progestogen-only pills currently available in the UK. It is intended for any health care professional or health service providing contraception or conception advice in the UK.
Download and view the answers to the Multiple choice questions for the Overweight, Obesity and Contraception guideline. 1 CPD credit can be claimed for answering the questions.
Claiming CPD credits 1 CPD credit can be claimed for reading the guidance. 1 CPD credit can be claimed for answering the questions.
Here you can find information regarding the ePortfolio for the Diploma. This document will cover areas such as how to add a trainer, send a ticket request and how to complete the final summative assessment.
In its submission to the All Party Parliamentary Group (APPG) on Sexual and Reproductive Healthcare (SRH), FSRH provides evidences the extent to which current commissioning structures and funding cuts to sexual and reproductive healthcare (SRH) services have threatened equal access to contraception and the training of clinicians to provide contraception effectively.
Ofsted has launched a consultation on their draft “Education inspection framework 2019: inspecting the substance of education”. In our response, FSRH evidence why the framework must take into account the need for medically accurate information and resources in Relationships and Sex Education (RSE).
FSRH, RCOG, BSCCP & Jo’s Cervical Cancer Trust Joint Position Statement Cervical Screening April 2019
Joint position statement on cervical screening by FSRH, The Royal College of Obstetricians & Gynaecologists (RCOG), the British Society of Colposcopy & Cervical Pathology (BSCCP) and Jo’s Cervical Cancer Trust submitted in response to the call for evidence by the review of cancer screening programmes in England led by Sir Mike Richards.
Better care, a better future: Implementing our Vision for Sexual and Reproductive Healthcare in Wales April 2019
FSRH's plan to implement its Vision of improved sexual and reproductive health (SRH) care for all in Wales. The plan offers practical solutions to help those involved in service planning and delivery to guarantee that standards of care are upheld across the nation.
Download and read the full description below.
Holistic Integrated Commissioning of Sexual & Reproductive Healthcare - AoMRC, RCOG, FSRH, RCGP, RCPath and RCPCH Position
The AoMRC, FSRH, RCOG, RCGP, RCPath and RCPCH believe there is a need for SRH care to be more broadly integrated into women’s healthcare pathways in the NHS. We are calling for integrated holistic commissioning of SRH, with one body maintaining oversight and holding accountability for all commissioning decisions.
FSRH and FPA submission - Welsh Government consultation on Sex and Relationships Education (RSE) Curriculum
In joint response with the Family Planning Association (FPA) to the consultation on the new Relationships and Sex Education (RSE) curriculum by the Welsh Government, we evidenced the risks of parents being able to withdraw their children from RSE. We strongly recommended that instead the guidance should encourage schools to work with parents to reiterate the benefits of RSE and ensure as few children as possible miss out on their right to education.
SRH Clinical Studies Group Terms of Reference 2018
This new document aims to summarise the available evidence on contraceptive choices for women who are overweight and women with obesity (i.e. with body mass index 25 kg/m2 or higher). This guideline evaluates the interrelationship between contraception and weight and considerations such as bariatric surgery and weight loss medication.
Download and save the job description here.
The Faculty of Sexual and Reproductive Healthcare (FSRH) responds to the HSC Committee inquiry into the legislative proposals put forward to support the implementation of the NHS Long-term Plan. FSRH calls for holistic integrated commissioning of sexual and reproductive healthcare.
Job Description for CESR Evaluator
FSRH New Product Review: Kyleena® 19.5 mg Intrauterine Delivery System (January 2018, amended March 2019)
This document was updated in March 2019. The FSRH CEU has produced a new product review for Kyleena which summarises the key differences in the product and clinical characteristics between Kyleena and other LNG-IUS available in the UK.
FSRH Consultation Response: FSRH welcomes Public Health England’s proposed changes to the Public Health Outcomes Framework 2019/2020. We have provided robust evidence in support of the proposed indicators in sexual and reproductive healthcare (SRH) and has highlighted room for improvement.
FSRH New Product Review: Levosert® Levonorgestrel Intrauterine Delivery System LNG IUS (April 2015, amended March 2019)
Levosert (20mcg/24 hours) Intrauterine Delivery System (Levonorgesterel 52mg) is indicated for contraception and treatment of heavy menstrual bleeding. Licensed for 3 year use since its launch in the UK in early 2015, Levosert has now been approved in the UK for 5 years use.
Download the full role description here.
Download and save this application form to your device.
Manufactured by OCON Medical Ltd, the Intrauterine Ball (IUB™) SCu300B MIDI is a copper intrauterine device (Cu-IUD) comprised of copper beads with a total exposed copper surface of 300mm² strung on a flexible Nitinol (nickel/titanium alloy), PET-coated frame. Once the IUB is released from the 3.2mm diameter insertion tube into the uterus it coils into a spherical shape measuring 15mm in diameter. Download the product review in full here.
Download and Save the ACCEA application form here for 2019 awards.
Programme for the BMS Menopause SSM Theory Course
This guidance provides evidence-based recommendations and good practice points for health professionals on the use of combined hormonal contraceptives (i.e. the combined oral contraceptive pill, transdermal patch and combined vaginal ring) currently available in the UK. It is intended for any health care professional or health service providing contraception or conception advice in the UK.
The FSRH RCOG abortion care factsheet is a free resource for professionals in secondary schools to use in relationships and sex education (RSE) lessons. It aims to ensure that professionals involved in educating young people have a factually accurate, unbiased and evidence-based source of information about abortion in the UK.
FSRH/BASHH Standards for Online and Remote Providers of Sexual and Reproductive Health Services - January 2019
The rapid expansion in the number of providers of online Sexual and Reproductive Health/Sexual and Reproductive Healthcare (SH/SRH) services has enabled and empowered users to access their healthcare in more ways than through a face-to-face consultation with the health care professional. The FSRH and BASHH support these innovations and recognise that these services have enormous potential. They are seeking, however, key assurances in the standards of care and quality of services provided.
Download and view the answers to the Multiple choice questions for the Combined Hormonal Contraception guideline. 1 CPD credit can be claimed for answering the questions.
This summary has been written as a quick reference guide to help busy clinicians to give clear, safe advice on combined hormonal contraception (CHC). Please refer to the full 2018 FSRH CHC Clinical Guideline for further information and evidence for this advice. This document is written for FSRH members and requires you to log in to access it.
This FSRH Guidance updates the January 2017 version and provides clinical recommendations and good practice points for health professionals on Drug Interactions with Hormonal Contraception.
Download and read the document in full.
MFSRH and FFSRH Recertification CPD record.
MFSRH and FFSRH Recertification Guide
Programme for the BMS Theory Course for the Menopause SSM.
Read our full Code of Governance here.
Download and view the FSRH Finance and Investment Committee Terms of Reference here.
This document relates to an active survey taking place at this weblink: https://www.surveymonkey.co.uk/r/POSDIScopingFSRHMemSurvey It will be removed once the survey closes.
Programme and booking form for the BMS Menopause Theory Course (for the Special Skills Modules)
Download the General Training Committee Member Role description here.
Download a history of the FSRH with contributions from our founders.
For FSRH members only.
Kindly shared by NHS Lothian Examples of patient information leaflets you can use at abortion care services
FSRH and RCOG joint response to the Department for Education's (DfE) consultation on the draft RSE guidance November 2018.
Kindly shared by NHS Lothian and RCOG Include a range of training material, SOP, PGD and clinical aids to facilitate provision of postpartum contraception
FSRH responds to the consultation by NHS England on the draft Integrated Care Providers contract.
Final report of the Contraception Priority Setting Partnership (Contraception PSP) led by FSRH and the James Lind Alliance (JLA). The goal of this participatory research project was to create, by democratic consultation, a list of Top 10 research priorities in contraceptive care, put together by patients, their partners and clinicians.
Guidance for Educational Supervisors and Training Programme Directors for trainees who will CCT early.
A Northern Ireland Charter from the BMA for SAS doctors.
Registration form to book your place on the BASHH / BHIVA / FSRH Mentoring Skills Training Course.
Guidance document for Lead Course Facilitators for FSRH's Short Course, SRH Essentials for Primary Care
Sexual and Reproductive Healthcare for people with complex needs experiencing social exclusion - Launch of FSRH’s Vision Implementation Plan for high-quality sexual and reproductive healthcare in Scotland
The FSRH Scotland Committee has developed a plan of implementation to deliver FSRH’s Vision in Scotland. The plan of implementation was launched at a seminar in Edinburgh this summer with the presence of MSPs, the Minister for Public Health, clinicians and other stakeholders. The discussions held at the seminar are summarised in this report, focusing on how barriers prevent delivery of high-quality SRH care in Scotland with a focus on people experiencing social exclusion.
The aim of the National Audit is to provide an electronic tool, as a members’ benefit, to support individual members to audit the sexual and reproductive services they offer. It is primarily focused on primary care but is also reproducible in specialist services and voluntary agencies. The final report will provide an overview of the development of the National Audit, presentation of the key findings from the National Audit and a reflection on the learning gathered from participant’s feedback.
In its submission to the Health and Social Care Committee’s (HSC) sexual health inquiry, FSRH provides evidence on cuts to sexual and reproductive health (SRH) care services as voiced by its membership, highlighting the effects it has had on the workforce. FSRH stresses the role of Government in strengthening local authorities’ (LAs) SRH mandate.
NHS England (NHSE) has launched a consultation following the recent Government announcement of additional funding for the NHS. In our response, FSRH has called for the establishment of a women’s health strand to the long-term plan, pointing out that there is substantial evidence to suggest that women’s access to healthcare is being skewed by fragmentation of commissioning and perverse financial incentives.
Guidance document on becoming a course facilitator for SRH Essentials
The modernised Service Standards on Obtaining Valid Consent in Sexual and Reproductive Health (SRH) Services include essential updates for healthcare professionals working for and commissioning SRH services. Updates focus on explaining risk to patients, advice and consent for multimedia and education purposes. They also reference a timely potential change in relationship with the European Court of Human Rights at the time of Brexit. Download the full standards here.
FSRH Scotland Committee Terms of Reference 2018
Person specification for Chair of the Scotland Committee FSRH (SCFSRH)
FSRH CEU Response to published study: Maternal use of hormonal contraception and risk of childhood leukemia: a nationwide, populate-based cohort study (September 2018)
A Danish database study suggests that children born to women who have used hormonal contraception (HC) in the three months prior to conception or in early pregnancy are at increased risk of developing childhood non-lymphoid leukaemia compared with children whose mothers have never used HC. The FSRH CEU provides a critical appraisal of the study in this statement.
FSRH responds to consultation by The General Pharmaceutical Council (GPhC) on new safeguards for online sales of medicines, including prescription-only medicines. FSRH has warned that new safeguarding measures could inadvertently create additional barriers for women to access their preferred method of contraception.
Programme for the BMS Menopause SSM Theory Course
FSRH Service Standards for Medicines Management in Sexual and Reproductive Health Services - August 2018
The modernised Service Standards for Medicines Management in Sexual and Reproductive Health (SRH) Services relate to best practice guidance for medicines and devices used within these settings and within research trials relating to the field of SRH.
FSRH CEU Statement: Combined oral contraceptive interference with the ability of ulipristal acetate to delay ovulation: A prospective cohort study (August 2018)
Evidence from new study supports the existing FSRH recommendation that commencement of hormonal contraception should be delayed for 5 days after UPA-EC. Published 28/8/2018.
Job description for the role of Vice President, Membership at the FSRH.
Application form to apply for the Vice-President, Membership role at the FSRH.
Annual General Meeting Minutes 2018
FSRH consultation response on a new version of the GP Curriculum by the Royal College of General Practitioners (RCGP)
FSRH responds to the consultation on a new version of the GP Curriculum by the Royal College of General Practitioners (RCGP). FSRH is pleased to acknowledge that both its Diploma review and RCGP’s specialty curriculum review are aligned and share synergies in covered topics.
Appeals policy document for the Membership Exam of the FSRH
Our FSRH annual review looks back at our achievements in 2017 and our strategic plans for 2018-20.
Download and save the Clinical Effectiveness Committee here.
Download and read the FSRH International Affairs Committee Terms of Reference.
Better care, a better future: Implementing our Vision for Sexual and Reproductive Healthcare in Scotland
FSRH’s plan of implementation for FSRH’s vision for sexual and reproductive healthcare (SRH) in Scotland, “Better care, a better future: Implementing our Vision for Sexual and Reproductive Healthcare in Scotland”, has been developed by the Scottish Committee and highlights practical solutions in seven areas that can help those involved in service planning and delivery to guarantee that standards of care are upheld across the nation and that women and men living in Scotland access high-quality SRH consistently.
Curriculum for the Ultrasound Special Skills Module
Curriculum for the Vasectomy Special Skills Module
Curriculum for the Abortion Care Special Skills Module
Curriculum for the Menopause Special Skills Module
Read FSRH's annual report and accounts for 2017.
Download and fill in our word template to submit your blog for consideration and publishing. Please note, FSRH reserves the right of editorial on all submitted blogs.
Download and view the Specialty Advisory Committee Terms of Reference.
Download and save the Assessments and Curriculum Committee Terms of Reference.
Sexually active women of reproductive age with eating disorders require effective contraception despite the fact that amenorrhoea and anovulation are common in this population. This statement provides clinicians with a resource for best helping women with eating disorders choose the most appropriate and acceptable contraception for them. Download and save the document here.
FSRH president Dr Asha Kasliwal talks about the importance of communication and commitment to patient safety by all healthcare staff during service visits with Secretary of State for Health and Social Care Jeremy Hunt.
FSRH consultation response: DHSC call for evidence on local authority public health prescribed activity
In its response to a call for evidence launched by the Department of Health and Social Care (DHSC) on the impact of local authority public health prescribed activity, FSRH called on DHSC to strengthen the SRH mandate by improving its guiding principles, amending the regulations and enhancing accountability.
On 24 April the Medicines and Healthcare Products Regulatory Agency (MHRA) changed its regulatory position on medicines containing sodium valproate. MHRA advises that if a woman of childbearing age is to be prescribed sodium valproate, she must be enrolled in a pregnancy prevention programme (PPP). This FSRH statement outlines the implications for daily practice.
SRH sector open letter to SoS Jeremy Hunt - DHSC call for evidence local authority prescribed activity
Key SRH and public health stakeholders such as FSRH, BASHH, BHIVA, FPH, NAT, THT, FPA and Brook have sent an open letter to Secretary of State Jeremy Hunt highlighting the challenges currently faced by the sector. The letter was issued in relation to a call for evidence launched by the Department of Health and Social Care (DHSC) on the impact of local authority public health prescribed activity. The call for evidence closed in April 2018.
Download the Member Fellow Nomination Form.
The “FSRH Reflection forms for FRT recertification” can be used to progress beyond describing teaching to documenting personal reflections based on your teaching experience such as: what you liked, enjoyed, felt and why; what you disliked or felt didn’t go so well; and what you may have found difficult or challenging. Download this document here.
The “FSRH Structured Reflective Template: Personal Learning” can be used to document and reflect on CPD activity. This includes reflecting on your main learning points, thinking about how CPD activity will change your practice and whether the activity highlighted any learning needs. Download this document here.
The “FSRH Structured Reflective Template: Data Collection Audit” can be used to record and reflect on a completed audit cycle. This includes recording and summarising Auditable Standards, putting forward any recommendations and reflecting on what you learnt from the process of audit. Download this document here
The “FSRH Structured Reflective Template: Case Review” can be used to assist with documenting the type of case reviewed, describing this case, reflecting on good clinical care and reflecting on maintaining good medical practice. Download this document here.
Consultation: updated Service Standards for Medicine Management in Sexual and Reproductive Health Services
FSRH’s Clinical Standards Committee has put its updated “Medicine Management in Sexual and Reproductive Health Services” out for public consultation.
The four case studies collated by the Teenage Pregnancy Knowledge Exchange (TPKE) at the University of Bedfordshire were issued together with a joint FSRH and TPKE press statement on the publication of the Office for National Statistics (ONS) data on conceptions for women aged under 18 in England and Wales for the year 2016. The case studies illustrate how councils have applied the evidence and lessons for effective action on teenage pregnancy. They focus on a key element of what the local authority has done and by no means represent the totality of their work on teenage pregnancy.
FSRH and the Teenage Pregnancy Knowledge Exchange (TPKE) at the University of Bedfordshire welcome the publication of the Office for National Statistics (ONS) statistics on conceptions for women aged under 18 in England and Wales for the year 2016.
Health Education England (HEE) launched a consultation on a new draft health and social care workforce strategy for England to 2027. In its response, FSRH addressed the main issues affecting the SRH workforce and possible solutions.
FSRH submission to the Public Accounts Committee's Sustainability and Transformation in the NHS inquiry
The House of Commons Public Accounts Committee launched an inquiry into the sustainability of the NHS in March 2018. FSRH has drawn to the Committee’s attention the growing mismatch between demand for SRH services and the capacity of the NHS to meet them.
FSRH and the RCOG have jointly responded to the Home Office’s review of protests outside abortion clinics. The review takes place in the context of a history of intimidation and intrusive protests against patients and staff at abortion facilities across the UK.
Training Centre Application Form for CSRH Specialty Training Programme - download, fill it in and return it to FSRH.
Handbook for candidates for the Membership (MFSRH) Part 1 Exam
FSRH CEU Statement to published systematic review: The relationship between progestin hormonal contraception and depression: a systematic review (March 2018)
Much recent media attention has been given to the subject of a potential association between hormonal contraception and depression. The FSRH CEU monitors and reports relevant emerging evidence. A new systematic review published in Contraception examines the existing evidence relating to risk of depression associated with use of progestogen-only contraception (POC).1 The authors of the review conclude that the bulk of the evidence does not support an association between use of POC and depression based on validated measures. Meta-analysis was not possible due to the heterogeneity of studies.
Download and save the document to your computer here.
Joint FSRH - RCOG response to the Department of Education's consultation on Relationships and Sex Education
FSRH and RCOG have submitted a joint response to the Government's consultation on Relationships and Sex Education. Together, we have strongly endorsed maintaining most elements of the DfE’s 2000 Sex and Relationships Education Guidance as well as the more recent comprehensive approach outlined in Sex and Relationships Education for the 21st Century We have emphasised that both documents are robust pillars which should not be ignored.
FSRH submits evidence to the Department of Health's consultation on the impact of extending NHS charges to community healthcare services for overseas visitors (the NHS Charges to Overseas Visitors Amendment Regulations 2017). This is one of two documents that constitute FSRH's response, focusing on Public Health aspects of the regulations.
FSRH has submitted evidence to the Department of Health's consultation on the impact of extending NHS charges to community healthcare services for overseas visitors (the NHS Charges to Overseas Visitors Amendment Regulations 2017). This is one of two documents that constitute FSRH's response, focusing on impacts to vulnerable groups.
Postgraduate Medical Education Training Information. (February 2018).
Download and save the Word version of the supplementary ACCEA form.
Download and save the word version of the ACCEA form for 2018.
FSRH CEU Statement: Contraception for women using known teratogenic drugs or drugs with potential teratogenic effects (February 2018)
This statement provides guidance on contraceptive options for women taking (or whose male partners are taking) known teratogenic drugs or drugs with potential teratogenic effects. Download the full document and save.
FSRH CEU response to European Medicines Agency recommendations regarding use of ulipristal acetate for management of uterine fibroids (February 2018)
The European Medicines Agency (EMA) is currently reviewing the safety of use of Esmya® (ulipristal acetate) for management of uterine fibroids. This review follows reports of a very small number of cases worldwide of serious liver injury in women using Esmya. Until the review process is complete, temporary restrictions have been placed on commencing treatment with Esmya and guidelines for monitoring liver function in women already taking Esmya have been introduced. The EMA recommendations are available at: http://www.ema.europa.eu/ema/index.jsp?curl=pages/news_and_events/news/2018/02/news_detail_002902.jsp&mid=WC0b01ac058004d5c1
The standard gives practical guidance on how to complete annual appraisal for those healthcare professionals working in SRH full time and for those where it makes up part of their portfolio of work. Guidance includes advice on completing CPD requirements and core activities relevant to SRH.
Call to action by FSRH and the Royal College of Obstetricians and Gynaecologists (RCOG) about the reported drop in cervical screening rates for the year 2016-17 in England. The call to action was issued during Cervical Cancer Prevention Week which ran from 22 to 28 January 2018.
Download and save the FSRH Annual General Meeting minutes from November 2017
FSRH welcomes the opportunity to respond to the consultation on the revisions to the Outcomes for Graduates by the General Medical Council (GMC).
FSRH CEU Statement: Response to Study: Intrauterine Contraception Use and Cervical Cancer Risk (January 2018)
This statement responds to a recent study that reported that women who had used intrauterine contraception (IUC) were over one third less likely to experience invasive cervical cancer than women who had not used IUC. The study has received media attention and the FSRH CEU considered it important to put the findings into perspective. January 2018
FSRH welcomes the opportunity to respond to this consultation on the regulation of Medical Associate Professions (MAPs) in the UK by the Department of Health (DH).
Community Sexual Reproductive Healthcare 2017 Annual Review Competence Progression Matrix
Curriculum for the Community Sexual and Reproductive Healthcare Specialty- version 2017
FSRH is concerned about recent reports that nine Clinical Commissioning Groups (CCGs) are considering plans to cut or modify access criteria to fertility and sterilisation services funded by the NHS.
FSRH press statement on the release of ONS conception rates for women under 18 in England and Wales: July - September 2016
FSRH welcomes the publication of the Office for National Statistics’ (ONS) quarterly statistics (July to September 2016) on conceptions for women aged under 18 in England and Wales.
FSRH CEU Statement: Response to Study Contemporary Hormonal Contraception and the Risk of Breast Cancer (December 2017)
FSRH's Clinical Effectiveness Unit (CEU) reviews an observational study published in the New England Journal of Medicine. The study reports that, in the Danish study population, women who were currently using any method of hormonal contraception* (HC) or had done so within the last 6 months were 20% more likely to be diagnosed with breast cancer than those who had never used HC.
This document updates previous Faculty of Sexual & Reproductive Healthcare (FSRH) guidance and aims to summarise the available evidence on emergency contraception (EC). The guidance is intended for use by health professionals providing EC. This document was updated in December 2017.
Download the full Terms of Reference for the Meetings Committee.
Guidance for Candidates on the EBC (Evidence Based Commentary) component of the MFSRH Membership Exam
Download the full statement.
Download the pack. Includes an application form and exhibitor table plans.
Guidance on claiming tax relief for the FSRH Membership Exams - CSRH Trainees
Full AGC report issued in November 2017
Download and save this information to your computer
Incentivising Contraceptive Use: A helping hand or a push in the wrong direction? By Beorgeina L Jarman
The first prize winning essay for the 2017 Margaret Jackson Essay at FSRH.
A false economy: the impact of current UK commissioning and health economies on women's access to contraception by Naomi Joshua
Runner up - Margaret Jackson Essay Prize FSRH 2017
A hidden population: What are the sexual health needs of women who have sex with women? By Siobhian Moores
Margaret Jackson Essay Runner Up 2017 FSRH.
Risk Management is an approach to improving the quality and safety of health care by identifying circumstances that put patients and staff at risk and acting to prevent or control those risks. The overall aim of any risk management strategy is to make the effective management of risk part of everyday practice. This can only be achieved if there is a comprehensive and cohesive framework in place, underpinned by clear accountability arrangements across the organisation.
Co-signed letter by FSRH along with Doctors of the World UK, the National AIDS Trust (NAT) and other organisations asking Secretary of State for Health Jeremy Hunt to consider withdrawing the NHS (Charges to Overseas Visitors) Amendment Regulations 2017
Comment submitted by FSRH along with open letter to Secretary of State for Health Jeremy Hunt regarding the NHS Charges to Overseas Visitors Amendment Regulations 2017
Read the full statement issued by the Academy of Medical Royal Colleges in Oct 2017 regarding the importance of multi professional teams working to deliver better outcomes for patients.
FSRH officially joins the She Decides campaign, a global initiative to promote and enhance the fundamental rights of every girl and woman.
FSRH Notice of the Annual General Meeting November 3 2017 for non voting members
FSRH Notice of the Annual General Meeting November 3 2017 for voting members
FSRH Proxy voting form for Annual General Meeting November 2017
Download and save the nurse lead role here. Please note the closing date is 9am 23 October 2017.
Download and save the FSRH complaints policy - last reviewed December 2017.
FSRH statement on the release of data on sexual and reproductive health services in England 2016-17 by NHS Digital
The Faculty of Sexual and Reproductive Healthcare (FSRH) welcomes the publication, by NHS Digital, of data on sexual and reproductive health (SRH) services in England for the year 2016-17.
The National Institute for Health and Care Excellence (NICE) has decided not to update their 2005 guidance on long-acting reversible contraception (LARC) at this time because changes to the current recommendations are not required.
FSRH CEU Statement: Contraceptive Choices and Sexual Health for Transgender and Non-Binary People (October 2017)
This statement provides guidance on contraceptive choices for transgender and non-binary people and their partners, who are engaging in vaginal sex where there is a risk of pregnancy. The statement also offers general sexual health advice for these groups.
Download and view the full statement here.
Special Skills Module Menopause Care Leeds 11-12 October 2018 Programme and Booking Form
Download and view FSRH's Annual Review for 2016
FSRH responds to reports in the media questioning the safety of emergency contraception in the context of availability of advance supply online
Download and read the letter below.
Read and download the full response to the Independent Inquiry into Child Sexual Abuse.
Role profile for an ordinary member of the International Affairs Committee
Terms of Reference for the International Affairs Committee
This document provides the answers to the CPD questions in the FSRH Guideline: Contraception for Women Aged over 40 Years. 1 CPD credit can be claimed for answering the questions.
CEU Response to Public Consultation on Guideline on Contraception for Women aged Over 40 Years - August 2017
Read and download the consultation responses from stakeholder organisations who have provided feedback on this guidance document.
FSRH welcomes the timely publication of Public Health England’s report “Sexual Health, Reproductive Health and HIV: A Review of Commissioning"
FSRH press statement on the release of ONS quarterly under-18 conception rates in England and Wales April - June 2016
FSRH welcomes the publication of the Office for National Statistics' (ONS) quarterly statistics (April to June 2016) on conceptions for women aged under 18 in England and Wales.
Download and save this document.
Read and download the document in full.
Download and save the full document.
Download and save the document
FSRH responds to NICE’s consultation on the scope of the new Termination of Pregnancy guidelines.
Download and read the letter in full.
View, download and save the full FSRH Membership Terms & Conditions.
Public Consultation for updated ‘Service Standards for Risk Management in Sexual and Reproductive Health’ August 2017
FSRH’s Clinical Standards Committee puts its updated clinical standard ‘Service Standards for Risk Management in Sexual and Reproductive Health’ out for public consultation.
FSRH officially endorsed a new report released today by the Royal College of General Practitioners (RCPG) which highlights the complex and fragmented way that sexual and reproductive health (SRH) services are commissioned in England.
Learning Outcomes for the Letter of Competence in Subdermal Contraceptive Implant Techniques - Removal Only (LoC SDI-RO)
LoC SDI-RO learning outcomes. Download and save.
Training Requirements for those wishing to complete a Letter of Competence in Subdermal Contraceptive Implant Techniques Insertion Only (LoC SDI-IO)
LoC SDI-IO Training requirements. Download and save (updated May 2020).
Learning Outcomes for the Letter of Competence in Subdermal Contraceptive Implant Techniques - Insertion Only (LoC SDI-IO)
LoC SDI-IO Learning Outcomes. Download and save.
Learning Outcomes for the Letter of Competence in Subdermal Contraceptive Implant Techniques – Insertion and Removal (LoC SDI-IR)
LoC SDI-IR Learning Outcomes document. Download and save.
Record of training for LoC SDI-IR. Download and Save (updated April 2020).
FSRH statement on the interim decision by the Joint Committee on Vaccination and Immunisation (JCVI) to deny the Human Papilloma Virus (HPV) vaccination to boys
FSRH expresses its concern over the interim recommendation by JCVI to not provide the HPV vaccination to all boys on 19 July 2017.
Download the abstract submission guidelines.
FSRH feedback to Public Health England’s Draft Reproductive Health Consensus Statement
Download and Read the example ACP form.
FSRH and RCOG joint statement on the King’s Fund analysis of local councils’ planned cuts to Public Health in 2017/18 in England
FSRH and RCOG joint statement on the King’s Fund analysis of local councils’ planned cuts to Public Health in 2017/18 in England
Download the example form here.
Faculty of Sexual and Reproductive Healthcare Governance Working Group Final Report and recommendations July 2015
FSRH and RCOG Joint Statement on the Government’s Decision to Fund Abortion Care in England for Women Resident in Northern Ireland
Read the FSRH and RCOG joint statement on the government’s decision to fund abortion care in England for women resident in Northern Ireland
Download the document here.
Download this document for your reference.
Download, fill in and return this form to the CEU to register as an FSRH guideline stakeholder.
Download and read the full statement.
Download the membership exam EBC Topic 2
Download the membership Exam example one here.
Download the Membership Exam (MFSRH) Example Two here.
Download the full brochure.
Guidance for those undertaking or recertifying FSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception
Download this guidance or save to your computer. FSRH Guidance related to conscientious objection, personal beliefs on providing emergency contraception or abortion services to individuals.
Download the audited FSRH annual report and accounts for 2016.
Briefing to accompany ‘Guidance for those undertaking or recertifying FSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception’.
Download and read this briefing in full.
Essure® is a form of permanent female sterilisation which involves the hysteroscopic insertion of flexible micro-inserts into the proximal section of the fallopian tubes and is undertaken without general anaesthesia. Download and read the statement in full.
Expansion of Undergraduate Medical Education: a consultation on how to maximise the benefits from the increases in medical student numbers - June 2017
FSRH welcomes the opportunity to respond to this consultation on the expansion of undergraduate medical education.
FSRH Statement on release of Office for National Statistics (ONS) Quarterly Conception Rates for Women under 18 data: January - March 2016 ‘TEENAGE CONCEPTION RATES’
FSRH welcomes the publication of the ONS’ quarterly statistics on conceptions for women aged under 18 in England and Wales (January to March 2016). Overall, the data shows a continuous decline in under-18 conceptions, including a decrease in rates from 21.8 to 19.9 per 1.000 in comparison to the same quarter last year (January to March 2015). Wales alone shows a slightly bigger decline, from 24.1 to 21.5 per 1.000 for the same period.
We want to see the next Government take a life course approach to improve the health of all women and girls at every age and stage of their lives. The next Government needs to invest now and place women at the centre of their own care, educating and empowering them to make informed choices.
FSRH response to Department of Communities and Local Government's consultation on the design of the 100% business rates retention system
The consultation “100% Business Rates Retention - Further consultation on the design of the reformed system” has been launched by the Department of Communities and Local Government and seeks views on the design of the new system for local government to retain all taxes raised locally. FSRH highlights, in this response, that funding public health through retained business rates risks compounding health inequalities, negatively impacting on the success of well-established public health strategies.
Top 10 most important research issues in contraception are identified by patients and healthcare professionals
Download the full press release below.
Download the Membership exam part two handbook here.
Read the responses from FSRH members and representatives from our stakeholders.
This document provides the answers to the CPD questions in the FSRH Guideline: Quick Starting Contraception. 1 CPD credit can be claimed for answering the questions.
Download the job description for the External Affairs and Standards Officer here.
Download the advert for the position of External Affairs and Standards Officer here.
Read more about using the FSRH guidelines documents.
More information on the role of the SRH Essentials facilitator. Download it and save for future reference
This FSRH Guideline provides evidence-based recommendations and good practice points for health professionals on the use of quick starting contraception, i.e. starting contraception immediately instead of waiting for the next menstrual cycle. It is intended for any health care professional/health service providing contraception or conception advice in the UK.
A paper on the critical reading question component of the MFSRH Exam part 2, published in the journal of family planning and reproductive healthcare.
Download, print and post back this form to apply.
A paper on the evidence based commentary component of the MFSRH Exam, published in the journal of family planning and reproductive healthcare.
A paper on the extended matching question component of the MFSRH Exam Part 2, published in the journal of family planning and reproductive healthcare.
Download, print and fill in the Diplomate nomination form for vacancies in 2017.
FSRH welcomes the publication of the Office for National Statistics’ data for annual conceptions in England and Wales 2015.
FSRH believes that every young person has the right to access high-quality, confidential, contraceptive care. Read and download the document in full.
FSRH believes that all children and young people have the right to high quality PSHE and RSE. Read and download the statement in full.
Teenage pregnancy rates for England and Wales have dropped to their lowest since 1969. Read and download the statement in full.
FSRH believes the needs and views of men and boys must be included in the conversation about contraceptive care and SRH health more generally. Read and download the document in full.
We believe that each individual should be informed about the risks of sexually transmitted infections. Read and download the statement in full.
FSRH believes that women across the life course should have confidential, quick access to the contraceptive method most suitable for their health and lifestyle needs. Read and download the document in full.
FSRH believes that women should be able to access safe and legal abortion wherever they live in the UK. This document was updated in December 2017 to include FSRH's new position on the decriminalisation of abortion throughout the UK. In February 2018, an addendum was included to acknowledge that whilst the vast majority of Faculty members agree with decriminalisation of abortion in the UK, not all members support the Faculty’s stance on this issue.
FSRH supports the World Health's Organisation's definition of female genital mutilation (FGM). Read and download the document in full.
FSRH believes that staff providing sexual and reproductive healthcare, in whatever setting it is delivered, should treat patients with kindness and respect. Read and download the document in full.
FSRH believes that emergency contraception is an essential part of sexual and reproductive health care. Read the download the document in full.
We believe that the sexual rights of people with disabilities should be recognised and appropriately supported. Read and download the document in full.
Anybody - irrespective of gender, sexuality or age - can experience domestic and sexual violence. Read and download the document in full.
FSRH believes that contraception is a fundamental right. Download the document in full.
Read the response in full.
This document provides the answers to the CPD questions in the FSRH Guideline Sexual and Reproductive Healthcare: Emergency Contraception. 1 CPD credit can be claimed for answering the questions.
FSRH press release detailing the launch of its updated Emergency Contraception guideline
Read more about being a member of the General Training Committee.
Read more on the Terms of Reference for the General Training Committee
Flyer for University of Hertfordshire course on 27 June 2017.
Download, fill in and submit this form to have your project listed on the global links map.
More information on the global mapping project (FSRH/RCOG) in collaboration with the AAGBI
FSRH CEU Statement: Management of women taking anticoagulants or antiplatelet medications who request intrauterine contraception or subdermal implants (March 2017)
This statement aims to encourage the consistent and safe management of women requesting intrauterine contraception (IUC) and subdermal implants (SDI) who are taking anticoagulants or antiplatelet medications. It is primarily aimed at clinicians working in primary care and community sexual and reproductive health clinics.
Download and save the form. Submission date to FSRH is 26th March 2017.
Download the full role description.
Download the form to apply by 27th March.
Download the paper by Aisling Susan Baird.
CEU Response to Consultation for Contraception After Pregnancy
CEU Workplan. Updated August 2018.
CEU Framework for developing clinical guidelines
FSRH Statement expressing concern for women's health and opportunities following the reinstatement of the Mexico City Policy
Updated Service Standards for Workload in Sexual and Reproductive Health
Claiming CPD credits 1 CPD credit can be claimed for reading the guidance. 1 CPD credit can be claimed for answering the questions.
Download the job description in full
Read more here
Flyer for WISH Event
Download the full advert for the role of External Affairs Assistant here.
This is the application form for the FSRH External Affairs Assistant Role.
We are looking for a bright individual towards the beginning of their career, with an interest in healthcare policy and a passion for improving society. Excellent writing skills are essential, as is a broad understanding of communications techniques, including around deployment of media, social media and public affairs to engage policy makers and the general public around the issues that our members and their patients face. A key requirement of the role will be to draw on the experience of FSRH’s members and committees to influence the direction of policy in women’s healthcare in each part of the UK.
Course Flyer by the BMS for the Menopause Special Skills Course 18/19 May 2017
Flyer for Contraceptive Technology Course Manchester 10 June 2017
Contraception After Pregnancy, endorsed by the Royal Colleges: GPs; Obstetricians and Gynaecologists; Nurses and Midwives, aims to guide healthcare professionals to inform and support the women in their care to make planned choices about future pregnancies and improve maternal and child outcomes through optimum spacing between children.
Download and view the full document here.
FSRH Statement on the Annual Report of the Chief Medical Officer 2015 Baby Boomers: Fit for the future
FSRH welcomes the publication of the Chief Medical Officer’s Annual Report for 2015 Baby Boomers: Fit for the future.
A recently published multinational trial reports no pregnancies among 311 women who extended use of their existing Nexplanon® to four years and 204 women who continued to five years of use.[
FSRH response to the GMC consultation on developing the UK Medical Register - October 2016
Read the FSRH Statement in full
FSRH Guideline-related CPD Q&A: Sexual and Reproductive Health for Individuals with Inflammatory Bowel Disease (October 2016)
This document provides the answers to the CPD questions in the FSRH Guideline Sexual and Reproductive Health for Individuals with Inflammatory Bowel Disease. 1 CPD credit can be claimed for answering the questions.
SRH Essentials – for nurses working in primary care and the community. A one-day course developed by the Faculty of Sexual and Reproductive Healthcare (FSRH).
Today (24.10.2016) the Academy of Medical Royal Colleges is launching its Choosing Wisely campaign and website, with a list of forty treatments and procedures that are of little or no benefit to patients.
Statement on new figures released by NHS Digital on Sexual and Reproductive Health Services in England 2015-16
New figures released by NHS Digital show a decrease of 4% in the number of contacts made with sexual and reproductive health services in the 2015-2016 period (from 2.13 to 2.03 million).
FSRH Submission to Government's consultation on reporting child abuse and neglect
FSRH Clinical Guideline: SRH for Individuals with Inflammatory Bowel Disease (IBD), PDF Version (October 2016)
This document was issued in late October 2016.
FSRH CEU Statement: Response to published study: Association of Hormonal Contraception with Depression (October 2016)
This statement is a CEU response to a study published in JAMA Psychiatry titled Association of Hormonal Contraception with Depression.
Consultation Document produced by the GMC to garner public opinion on their proposed standards for curricula and regulated credentials
FSRH Response to GMC consultation on postgraduate curricula and regulated credentials - October 2016
FSRH Service Standards for Sexual and Reproductive Healthcare
FSRH welcomes the opportunity to respond to this consultation on proposed 100% Business Rate Retention.
FSRH welcomes the opportunity to respond to the Fair Funding Review.
A list of training programmes delivered in multiple areas.
FSRH responds to the call for evidence on the long term sustainability of the NHS - September 2016
Consultation on this document will be open until 18 November 2016. Please send any feedback to email@example.com.
MedFASH Press Release HIV in Primary Care 2016
Form for Completion by C5 Facilitators
Press Statement - NICE Quality Standard for Contraceptive Services
FSRH response to NHS England Clinical Commissioning Proposal for Pre-exposure prophylaxis - September 2016
Under 18 conceptions continue to fall
Minutes of the Annual General Meeting of the FSRH in June 2016
Published 2006. Current Version: August 2016 Review date: 2019 This document should be used in conjunction with national guidelines from other relevant professional bodies and locally agreed policies and procedures. It is important that each service identifies the level of equipment and training needed to deal with common emergencies on the basis of a local risk assessment.
Raising professional standards, improving sexual and reproductive healthcare for all
Updated Document - Please note, this document was updated in September 2016.
CEU Statement: Contraception advice for individuals travelling to Brazil for the 2016 Olympics and their partners (revised 28 July 2016)
After reviewing the available body of evidence, the Centers for Disease Control (CDC) in the USA have concluded that a causal relationship exists between prenatal Zika virus infection and microcephaly and other serious brain anomalies. Cases of locally-transmitted Zika virus are still being reported in Brazil and most of its neighbouring countries.
Guidance on the LoC IUT. (Updated July 2020)
General Training LOC SDI Training Requirements. (Updated June 2017)
SRH Essentials Course Registration Form
A quick FSRH guide outlining how those commissioning and delivering sexual and reproductive healthcare across different care settings can implement PHE’s best practice, multi-agency approach and sets out a bank of resources to support its delivery
The next Annual General Meeting (AGM) of the FSRH will be held at 1pm on 28 July 2016, at the RCOG.
FSRH Annual Report and Accounts 2015
Dorothy Davies essay, MJEP 2016 runner-up.
Alice Aylward - Sexy Movies - Why is sexual content in feature films relevant to adolescents’ sexual health
Alice Aylward essay, MJEP 2016 runner-up.
Dorothy Davies essay, MJEP 2016 runner-up.
Shane Grealish essay, MJEP 2016 runner up.
FSRH response to Public Health England’s Tailored Review June 2016
FSRH response to the Heath Select Committee’s Inquiry into Maternity Services and the National Maternity Review’s report Better Births: Improving outcomes of maternity services in England
Appointment guidelines for consultant & leadership roles in SRH services
Appointment guidelines for consultant & leadership roles in SRH services
The Keele University and FSRH Postgraduate Course in Medical Education 2017
FSRH responds to data released by the ONS revealing a downward trend in under 18 conceptions and assesses the implications of this continued decrease in teenage pregnancies.
Consultation - Service Standards for Sexual and Reprductive Healthcare May 2016
Registration as a Course Organiser for the SRH Essentials course
SRH Essentials Facilitator Registration Form
The broader aspects of management of miscarriage
Website Accessibility Policy - Updated May 2016
Download the document and save.
Statement on Department of Health’s ‘Abortion statistics, England and Wales 2015’
Download and save the Reflective Practice Notes
Download and save the Recertification Peer Observation and Teaching supporting document
Read through the EBC Guidance Notes before writing your topic answer
Claiming CPD credits 1 CPD credit can be claimed for reading the guidance. 1 CPD credit can be claimed for answering the questions.
Claiming CPD credits 1 CPD credit can be claimed for answering the questions
In early April 2016, many UK women were taking to Twitter using the hashtag #MyPillStory to share their experiences of using the contraceptive pill and difficulties in accessing contraceptive methods
CSRH Curriculum 2017
Case-Based Discussion (CBD) Supervised Learning Event
Mini-Clinical Evaluation Exercise (CEX) Supervised Learning Event
FSRH Specialty Training Evaluation Form
Specialty Competency Descriptors
FSRH advice for ARCP outcomes for trainees relating to the Matrix of Annual Expectation of Educational Progression (ST1 to ST6 in CSRH)
FSRH advice for ARCP outcomes for trainees relating to the Matrix of Annual Expectation of Educational Progression (ST1 to ST6 in CSRH)
Annual Educational Supervisor Report for Trainees in CSRH
Team Observation (form TO1)
Guidelines for Trainees Commencing the Clinical Experience and Assessment Stage of the FSRH Diploma (DFSRH)
Download the full guidelines for trainees commencing the clinical experience and assessment for Diploma.
Read the General Training Terminology, last updated May 2020.
An article by Heike Gleser in the British Medical Journal about careers in SRH
Read more about the Diploma Learning Outcomes
On 25th April, FSRH President, Dr Chris Wilkinson, joined 12 other AoMRC presidents to call on David Cameron PM to intervene in the Junior Doctors’ contract dispute and bring both parties back to the negotiating table.
FSRH welcomes NHS England’s General Practice Forward View announcement, which we hope will secure and enhance the role of general practice to enable women and men access to contraceptive care.
Download and save the UKMEC 2016 Summary Sheets. Updated September 2019.
Download and save the UKMEC 2016. Published in April 2016. Updated in September 2019.
In this statement FSRH welcomes the commitment to provision of pregnancy and parenting options advice, post-abortion counselling and clarity provided by specific statements in the guidance.
FSRH welcomes Health Education England’s consultation on the proposed nursing support role, the ‘Nursing Associate’. We believe that this new, middle tier role will enhance patient care and public confidence in nursing. The role represents an opportunity to grow and diversify the current nursing profession – providing an alternative route into nursing, whilst also supporting the delivery of fundamental, basic care.
General Training_Course of 5 Facilitators Form_Aug2014
AGM minutes 2015
General Training_Diploma Application Form_2016
General Training_Course of 5 Facilitators Guidelines
General Training Diploma Entry Requirements 3
General Training Diploma Entry Requirements 2
Question and Answers: Progestogen-only Injectable Contraception
General Training Diploma Entry Requirements 1
General Training_Diploma Consultation Feedback Form
General Training LOC SDI Learning Outcomes
Developed with and by FSRH members the Vision is designed to demonstrate that good SRH is key to healthy lives - beginning with education and ending with encouraging post-reproductive health and truly reflecting a person’s life course.
Company No. 2804213 Incorporated 26 March 1993
Recognition and Approval of Trainers GMC
General Training Complaints Procedure
General Training_FRT Application Form
General Training_Updates to Courses on FSRH Website
General Training_Abortion Consensus_Oct 2008
General Training_Diploma Guidelines Primary Trainers
Faculty Registered Trainer Application Form Medical Education and GP Routes. (Updated March 2019).
General Training_Diploma Nurse About Academic Credits_Aug2014
General Training Diploma Curriculum Document (updated August 2018)
Specialty_PMETB EQUIVALENCE ASSESSMENT
General Training_Diploma Checklist Assessments 2017
General Training_Diploma Recertification Requirements
General Training Course of 5 Convenor Guidelines
APPGSRH Breaking Down the Barriers Report
Course of 5 Facilitators Guidelines
Read the Course of 5 Trainee Guidelines in full here. (Updated June 2017)
Diploma Guidelines for Primary Trainers
Diploma Guidelines Assessors Clinical Experience Assessment
Income Declaration Form
General Training_Diploma Eportfolio Allocation Form
General Training_Diploma_LoCs Requirement for anaphylaxis training
General Training_Application to Register GT Programme
General Training LOC IUT Learning Outcomes (updated July 2020)
Read the full statement
20:20 Vision – FSRH Focussed Strategic Review for implementation 2013-2015 by Dr Alison Bigrigg
General Training FRT Equivalency Medical Education
General Training_Fellows Members Recertification Logbook
General Training_FAQs about Updates to Diplomas_LOCs
General Training_Recognition and Approval Trainers GMC
FSRH Annual Report & Accounts 2013
FSRH Annual Reports and Accounts 2014
FSRH Annual Report & Accounts 2011
General Training Reflective Practice Resources - We have put together some suggested resources for those who would like to learn more about being a reflective practitioner.
FSRH Annual Reports & Accounts 2012
C5 Registration Form
General Training_Course of 5 Registration Form
Application Form for the LoC IUT (Updated July 2020)
Statement on the Office for National Statistics’ release ‘Conceptions in England and Wales: 2014’ (March 2016)
FSRH comments on the Office for National Statistics’ release ‘Conceptions in England and Wales:2014’: No room for complacency
General Training Diploma Training Requirements (Updated Feb 2018)
FSRH Statement on the release of the National Maternity Review’s Better Births:Improving outcomes of maternity services in England (Feb 2016)
In this statement FSRH comments on the National Maternity Review’s report Better births, which seeks to outline and address the main issues facing maternity services in England.
FSRH welcomes the Health Select Committee’s Inquiry into the impact of the Comprehensive Spending Review on health and social care. Our response is focused on the cuts to the public health. We are extremely concerned that the Chancellor’s announcement of a further 3.9% annual cut to public health budgets, on top of the £200 million previously announced, will have a disastrous impact on contraceptive provision in England.
Today (25.11.2015) in his annual Spending Review, Chancellor George Osborne announced further cuts to the public health grant. This is on top of the recently confirmed 6.2% reduction in Local Authority public health budgets across the country.
How effective is 20mcgEE/3mgDRSP as contraception? 20mcgEE/3mg DRSP is of comparable effectiveness to other combined oral contraceptives. [1,2,3] A large US observational study reports lower failure rates amongst users of a 24/4 EE/DRSP regimen than a 21/7 EE/DRSP regimen. The study also suggests greater contraceptive effectiveness of a 24/4 EE/DRSP regimen than with a 24/4 regimen containing EE in combination with norethisterone.
The FSRH welcomes the publication of the new NICE Menopause Guideline in November 2015 which includes 64 recommendations relevant to UK clinical practice.
FSRH Response Department of Health's Consultation 'Public health grant: proposed target allocation formula for 2016/17'. Nov 2015
The Faculty of Sexual and Reproductive Healthcare (FSRH) welcomes the opportunity to respond to the Advisory Committee on Resource Allocation (ACRA)’s proposed target allocation formula for the 2016/17 public health grant.
FSRH Response to the Department of Health’s consultation on the Government’s mandate to NHS England Nov 2015
We are particularly keen to demonstrate our agreement with the Government’s overarching aims for the Mandate to NHS England, as well as its priorities for the health and care system. As the representative body of the bulk of SRH healthcare professionals in the UK, we unreservedly support the prioritisation of preventing ill-health and supporting people to live healthier lives.
The FSRH believes that at present there is a missed opportunity in maternity services. Within these services there is failure to utilise health care professionals to raise the issue of contraception both antenatally and postnatally.
FSRH Response to the Department of Health's Consultation on 'Refreshing the Public Health Outcomes Framework' Oct 2015
As an organisation focused on sexual and reproductive health – a key component of public health - the FSRH welcomes this review into the efficiency of existing public health indicators. This offers an opportunity to strengthen the PHOF in particular to take into account the sexual and reproductive health of the entire population.
Essure® is a form of female sterilisation which involves the hysteroscopic insertion of flexible micro-inserts into the proximal section of the fallopian tubes and is undertaken without general anaesthesia.
FSRH Clinical Guideline: Barrier Methods for Contraception and STI Prevention (August 2012, amended October 2015)
This guidance provides evidence-based recommendations and good practice points for health professionals on the use of barrier methods for contraception and STI prevention. It is intended for any health care professional or health service providing contraception or conception advice in the UK.
A large observational study from the United States found that the risk of unintended pregnancy after Essure sterilisation was similar to that after surgical sterilisation. However just over 2% of women who had Essure sterilisation required a further operation related to the sterilisation procedure within a year.
The CEU supports the self administration of Sayana Press® because of its potential benefits to women and services. It offers women greater choice and more autonomy over their contraception and fertility.
In its capacity as a specialist SRH organisation, the FSRH welcome the opportunity to outline to the Health Select Committee the challenges that are facing the delivery of contraceptive care in the primary care setting, both in the strict sense of General Practice clinics and the ways in which restrictions on Specialist Contraceptive Services are negatively impacting upon GP workload.
FSRH Response to the Department of Health Consultation on Local Authority Public Health Allocations 2015/16: In-year Savings (Aug 2015)
The FSRH welcomes this consultation on Local Authority health allocations for in-year savings in 2015/16. We, however, would like to express our grave concerns regarding the impact of such cuts on sexual and reproductive health if the Government’s plans go ahead. We also acknowledge and support the response from BASHH with regards to this consultation.
FSRH CEU Statement: CEU response to published study: Chlamydia screening for pregnant women aged 16–25 years attending an antenatal service (August 2015)
The BJOG: An International Journal of Obstetrics and Gynaecology today published an Australian study that considers the cost effectiveness of routine screening for Chlamydia trachomatis in all pregnant women aged 16 to 25 years.
This guidance provides evidence-based recommendations and good practice points for health professionals on the management of problematic bleeding in women using hormonal contraception currently available in the UK. It is intended for any health care professional or health service providing contraception or conception advice in the UK.
The recent article in the Telegraph newspaper has highlighted the complex issues surrounding sexual activity in young women in the UK. Whilst it is true that the legal age of consent to sexual activity in the UK is 16 years, surveys suggest that almost one in three young people will have had sexual intercourse by this age.
This is a new guidance document that provides evidence-based recommendations and good practice points on the use of fertility awareness methods (FAM) for the purpose of preventing and/or spacing pregnancies. It is intended for any health care professional or health service providing contraception or conception advice in the UK.
Gliomas are glial cell tumours which can occur in the spinal cord or the brain and are the most common type of brain tumour. They vary greatly in their likely rate of growth, differentiation and prognosis. Glioblastoma multiforme is the most common and most aggressive primary brain tumour.
The Faculty of Sexual and Reproductive Healthcare (FSRH) has been made aware that the Reflexions® flat spring diaphragm range, manufactured by Williams Medical, is being discontinued in the UK.
FSRH CEU Statement: Depot Medroxyprogesterone Acetate (DMPA, Depo- Provera) and Risk of HIV Acquisition (January 2015)
Progestogen-only injectable contraception is widely used across the world and is particularly popular in resource poor countries with a high incidence of HIV infection e.g. in sub-Saharan Africa. It is clearly important therefore to establish whether there is any relationship between the use of injectable contraception and increased risk of HIV acquisition.
This guidance provides evidence-based recommendations and good practice points for health professionals on elective male sterilisation (vasectomy) and female sterilisation (tubal occlusion) in the UK. It is intended for any health care professional or service that undertakes or refers individuals for either procedure. This guidance has been jointly developed with the Royal College of Obstetricians and Gynaecologists (RCOG).
This is a summary of the recommendations made in the FSRH Clinical Guidance Male and Female Sterilisation. This guidance has been jointly developed with the Royal College of Obstetricians and Gynaecologists (RCOG).
Diaphragms are non-hormonal barrier methods of contraception that protect women against pregnancy by preventing sperm reaching the cervix. A single size contraceptive cap, FemCap, has been available since 2004, but until recently diaphragm products have been made in a range of sizes and designs. As a result women may have been required to try several types of diaphragm during the fitting process.
CEU Statement Vasectomy and prostate cancer Jul 2014
Risk Management is an approach to improving the quality and safety of health care by identifying circumstances that put patients and staff at risk and acting to prevent or control those risks.
This guidance provides evidence-based recommendations and good practice points for health professionals providing contraceptive services to women with cardiac disease in the UK.
A quality contraceptive service is vital in giving women and men of all ages choice and control over their reproduction, and is key to avoiding unplanned pregnancies and planning families. Contraception is a highly cost-effective intervention, which plays an important public health role in improving the lives of individuals, families and communities.
Jaydess® is a levonorgestrel intrauterine system (LNG-IUS) newly launched in the UK for contraception. It is a smaller, lower dose version of the Mirena® LNG-IUS.
With the introduction of the process of revalidation for doctors, appraisal has been standardised and this has been supported by the Medical Appraisal Guide, Model Appraisal Form Guidance for this has already been published by the Royal College of Obstetricians and Gynaecologists and Faculty of Sexual and Reproductive Healthcare outlining what supporting evidence should be provided at appraisal.
St Johns wort is a herbal product that is used for depressive symptoms and is known to have enzyme-inducing effects on cytochrome p450 enzymes. The MHRA statement highlights that in the last quarter of 2013, two ‘Yellow Card’ reports were received relating to unplanned pregnancies, in women with progestogen-only implants, suspected to be the result of an interaction with St John’s wort.
Various news stories have reported the findings detailed in the AAN press release which stated that compared to women who did not use hormonal contraceptives, women who did, were 35 percent more likely to develop Multiple Sclerosis and that the findings suggested that hormonal contraception may be contributing to the rise in the rate of MS among women.
An article published in the British Medical Journal (BMJ) in November 2013, questioned whether women with HIV, or at high risk of contracting HIV, should use progestogen-containing contraceptives.
This guidance provides evidence-based recommendations and good practice points for health professionals on the use of progestogen-only implants currently available in the UK. It is intended for any health care professional or health service providing contraception or conception advice in the UK.
Following a presentation at the annual meeting of the American Academy of Ophthalmology a number of media reports have reported a possible link between use of combined oral contraception (COC) and glaucoma. There is limited data investigating combined hormonal contraceptives on glaucoma. One cohort study suggested that 5 or more years of COC use was associated with a 25% increase in the risk of glaucoma. Two UK cohort studies did not find consistent evidence of an increased risk.
FSRH CEU Statement: Strengthening of Warnings about use of Dianette and other brands of co-cyprindiol (June 2013)
Following a recent safety review, a letter has been issued to healthcare professionals from the manufacturers of Dianette® and other cyproterone acetate 2 mg/ ethinylestradiol 35 mcg (co-cyprindiol) products. The review by the Pharmacovigilance Risk Assessment Committee (PRAC) of the European Medicines Agency (EMA) followed concerns about the risk of thrombosis associated with co-cyprindiol. With the agreement of the EMA and Medicines and Healthcare products Regulatory Authority (MHRA), a letter has been issued to raise awareness of the thrombosis risks and the outcome of the review.
Injectable progestogen-only contraception is a popular and effective method of contraception and until now, in the UK has largely been administered as Depo-Provera®, an intramuscular (IM) injection of 150mg medroxyprogesterone acetate (DMPA).
The combined oral contraceptive Zoely® (Merck, Sharp, and Dohme Limited) has been licensed in Europe since 2011 and will be available in the UK from May 2013. Zoely will be the second UK combined oral contraceptive (COC) to contain estradiol and to be formulated as an extended regimen since the introduction of Qlaira® (Bayer plc.)
This document provides standards for resuscitation in sexual and reproductive health service settings. This document should be used in conjunction with national guidelines from other relevant professional bodies and locally agreed policies and procedures. It is important that each service identifies the level of equipment and training needed to deal with common emergencies on the basis of a local risk assessment.
These Standards are recommended for organisations providing contraceptive/sexual and reproductive health (SRH) services, including pregnancy planning, pregnancy choices, abortion, prevention and treatment of sexually transmitted infections (STIs), as well as sexual wellbeing and health promotion.
This statement provides guidance on contraceptive options for women with prolactinoma
FSRH Clinical Guideline: Management of Vaginal Discharge in Non-Genitourinary Medicine Settings (February 2012), Lapsed Guideline
Please note, this guidance document has lapsed. Up to date guidance on this topic can be found at: http://www.rcgp.org.uk/clinical-and-research/clinical-resources/sexually-transmitted-infections-in-primary-care.aspx
NICE supports the use of hysteroscopic sterilisation provided that normal arrangements are in place for clinical governance and audit.
Please note this item was archived in June 2012
Statement from the FSRH Clinical Standards Committee, the Clinical Effectiveness Committee and the Associate Members’ Working Group on the prescription, administration or supply of Contraceptive Medicines for use outside the terms of their licences Dec 09
The above committees have agreed that Clinical Effectiveness Unit Guidance on use of contraceptives is guidance on “common practice” and “current practice” in the use of these medicines and devices. Therefore it is recommended that it may not be necessary for clinicians to document every occasion when a contraceptive preparation is prescribed outside the product licence if such use falls within current guidance issued by the Faculty’s Clinical Effectiveness Unit.
Emergency Contraception - This document may have been updated since initial publication.
It has always been a professional responsibility to provide the highest standard of care within the community. However, recently, doctors within the United Kingdom are expected to be able to demonstrate their fitness to practice within clinical governance and revalidation. In line with other professional groups and particularly in line with the Colleges and Faculties with whom we work - the RCOG, the RCGP and the Faculty of Public Health Medicine - it is important for us to demonstrate the elements of maintaining good medical practice within our specialist areas.