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.
Role Profile for the November 2018 recruitment of a nurse member of the Education Strategy Board.
Download form and complete
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
Programme for the Bristol Menopause Special Skills Theory Course
Flyer for the November 2018 Ultrasound SSM Theory Course
FSRH Role Description for freelance project manager to implement a new learning management system
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.
Download the programme in full.
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 Scotland Committee Terms of Reference 2018
Person specification for Chair of the Scotland Committee FSRH (SCFSRH)
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.
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.
Detailed guidance on how to recertify your Diploma qualification.
Application form to apply for the Vice-President, Membership role at the FSRH.
Job description for the role of Vice President, Membership at the FSRH.
Annual General Meeting Minutes 2018
Kindly shared by NHS Lothian. Example of a patient information leaflet.
Kindly shared by NHS Lothian.
Kindly shared by Professor Sharon Cameron, NHS Lothian.
Download and save the full 2018 Programme for Current Choices here.
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
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.
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.
Curriculum for the Ultrasound Special Skills Module
Curriculum for the Menopause Special Skills Module
Curriculum for the Abortion Care Special Skills Module
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 Vasectomy 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.
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.
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.
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.
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 full award details here.
Full programme and booking form for the Menopause SSM Theory course being held by the BMS 15th and 16th November 2018.
Download the Member Fellow Nomination Form.
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.
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.
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.
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.
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.
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.
Download the full programme for this event
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 25th anniversary blank social media templates
FSRH 25th anniversary social media printed templates
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.
Levosert® is a levonorgestrel intrauterine system (LNG-IUS) newly launched in the UK for contraception and management of heavy menstrual bleeding. It contains 52mg levonorgestrel (identical to Mirena®) in a reservoir mounted on a T-shaped polyethylene frame. Initially launch in April 2015 licensed for 3 years, Levosert has now been approved in the UK for 4 years use (February 2018).
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
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.
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.
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.
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.
Postgraduate Medical Education Training Information. (February 2018).
Application Form for FRT Equivalence Route. (Updated February 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.
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 response to European Medicines Agency recommendations regarding use of ulipristal acetate for management of uterine fibroids
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
This document was updated in February 2018. 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.
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.
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
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 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 CEU Statement: Response to Study Contemporary Hormonal Contraception and the Risk of Breast Cancer
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.
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.
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 pack. Includes an application form and exhibitor table plans.
Download the full statement.
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.
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
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.
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.
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.
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 CEU Statement: Contraceptive Choices and Sexual Health for Transgender and Non-Binary People (16th 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.
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 voting members
FSRH Notice of the Annual General Meeting November 3 2017 for non voting members
FSRH Proxy voting form for Annual General Meeting November 2017
Download and save the FSRH complaints policy - last reviewed December 2017.
Download and save the nurse lead role here. Please note the closing date is 9am 23 October 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.
FSRH Membership Examination Regulations
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
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.
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.
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.
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
Download and read the letter in full.
FSRH responds to NICE’s consultation on the scope of the new Termination of Pregnancy guidelines.
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 - 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.
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.
Record of training for the Letters of Competence in Subdermal Contraceptive Implant Techniques (LoC SDI)
Record of training for LoC SDI. Download and Save (updated July 2018).
Training Requirements for those wishing to complete the Letters of Competence in Subdermal Contraceptive Implant Techniques
LoC SDI Training requirements. Download and save (updated July 2018).
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.
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
Faculty of Sexual and Reproductive Healthcare Governance Working Group Final Report and recommendations July 2015
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 (MFSRH) Example Two here.
Download the membership Exam example one here.
Download the membership exam EBC Topic 2
Download the full brochure.
Download the audited FSRH annual report and accounts for 2016.
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.
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.
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.
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.
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.
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.
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.
Read the responses from FSRH members and representatives from our stakeholders.
This statement summarises the available evidence regarding how contraception may affect a woman’s weight and how a woman’s weight may affect contraceptive efficacy. Looking at each method individually, the CEU advises clinicians on what proven and theoretical associations exist between contraception and weight.
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
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.
Change of UKMEC category for use of progestogen-only injectable contraception by women at high risk of HIV infection from UKMEC1 to UKMEC2
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 post back this form to apply.
Download, print and fill in the Diplomate nomination form for vacancies in 2017.
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 critical reading question component of the MFSRH Exam part 2, published in the journal of family planning and reproductive healthcare.
FSRH welcomes the publication of the Office for National Statistics’ data for annual conceptions in England and Wales 2015.
FSRH supports the World Health's Organisation's definition of female genital mutilation (FGM). Read and 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.
FSRH believes that emergency contraception is an essential part of sexual and reproductive health care. Read the download the document 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 contraception is a fundamental right. 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.
Teenage pregnancy rates for England and Wales have dropped to their lowest since 1969. Read and download the statement in full.
FSRH believes that every young person has the right to access high-quality, confidential, contraceptive care. 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 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 all children and young people have the right to high quality PSHE and RSE. 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.
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.
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.
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.
FSRH press release detailing the launch of its updated Emergency Contraception guideline
Read more on the Terms of Reference for the General Training Committee
Read more about being a member of the General Training Committee.
Flyer for University of Hertfordshire course on 27 June 2017.
More information on the global mapping project (FSRH/RCOG) in collaboration with the AAGBI
Download the form to fill in and return to FSRH.
Download, fill in and submit this form to have your project listed on the global links map.
Download and save the form. Submission date to FSRH is 26th March 2017.
Download the paper by Aisling Susan Baird.
Download the full role description.
Download the form to apply by 27th March.
CEU Workplan. Updated August 2018.
CEU Response to Consultation for Contraception After Pregnancy
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 and view the full document here.
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.
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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.
Flyer for Contraceptive Technology Course Manchester 10 June 2017
Course Flyer by the BMS for the Menopause Special Skills Course 18/19 May 2017
FSRH Council and Trustee meetings details for 2017.
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 short documentary hosted on the Guardian website highlights some fatal cases of venous thrombosis that were associated with use of combined hormonal contraception.
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
Questions and Answers: 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).
CEU Clinical Guidance: SRH for Individuals with Inflammatory Bowel Disease (IBD), pdf version - October 2016
This document was issued in late October 2016.
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
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.
Press Statement - NICE Quality Standard for Contraceptive Services
Form for Completion by C5 Facilitators
MedFASH Press Release HIV in Primary Care 2016
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
Updated Document - Please note, this document was updated in September 2016. The previous version was published in August 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
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.
General Training LoC IUT Training Requirements. (Updated July 2018)
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
CEU Statement: Response to published study combined hormonal contraception (COC) and risk of pulmonary embolism (PE), ischaemic stroke (CVA), and myocardial infarction (MI) (July 2016)
This statement is a CEU response to a study published in the BMJ titled Low dose oestrogen combined oral contraception and risk of pulmonary embolism, stroke, and myocardial infarction in five million French women: cohort study.
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.
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.
Alastair Macfarlane - Sex, drugs and self-control - why chemsex is fast becoming a public health concern
Alastair Macfarlane essay, MJEP 2016 winner.
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
General Training Programme Registration Handbook
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.
This CEU Statement provides guidance to healthcare professionals in response to a letter circulated by MSD to healthcare professionals in the UK regarding a small number of reports of Nexplanon contraceptive implants inadvertently inserted into blood vessels.
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.
Download and save the UKMEC 2016. Published in April 2016. Updated in December 2017.
Read through the EBC Guidance Notes before writing your topic answer
Download and save the Recertification Peer Observation and Teaching supporting document
Statement on Department of Health’s ‘Abortion statistics, England and Wales 2015’
Download and save our MFSRH and FFSRH Recertification CPD Handbook for full details on how to record and manage your CPD.
Download and save the Reflective Practice Notes
Download and save the UKMEC 2016 Summary Sheets. Updated December 2017.
MFSRH and FFSRH Recertification Logbook for recording CPD points
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
Claiming CPD credits 1 CPD credit can be claimed for reading the guidance. 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
Recertification of the Letter of Competence in Intrauterine Techniques (LoC IUT). (Updated October 2018).
Recertification of the Letter of Competence in Subdermal Contraceptive Implant Techniques (LoC SDI-IR-RO-IO)
Recertification of the Letter of Competence in Subdermal Contraceptive Implant Techniques - Insertion Only, Removal Only, Insertion and Removal (updated October 2018).
Recertification of the Diploma (DFSRH and NDFSRH). Updated Sept 2017.
CSRH Curriculum 2017
Dummy Details for e-portfolio site
Trainee registration for Postgraduate Specialty Training Form R (Part A)
Self-declaration for the Revalidation of Doctors in Training - Form R (Part B)
OSATS Supervised Learning Event
OSATS Assessment of Performance
Mini-Clinical Evaluation Exercise (CEX) Supervised Learning Event
Case-Based Discussion (CBD) Supervised Learning Event
Team Observation (form TO1)
Annual Educational Supervisor Report for Trainees in CSRH
FSRH Specialty Training Evaluation Form
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)
Specialty Competency Descriptors
Read more about the Diploma Learning Outcomes
An article by Heike Gleser in the British Medical Journal about careers in SRH
Read the General Training Terminology.
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.
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.
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
General Training Complaints Procedure
Recognition and Approval of Trainers GMC
General Training Diploma Curriculum Document (updated August 2018)
Company No. 2804213 Incorporated 26 March 1993
Specialty_PMETB EQUIVALENCE ASSESSMENT
General Training_Diploma Checklist Assessments 2017
APPGSRH Breaking Down the Barriers Report
General Training LOC SDI Learning Outcomes
General Training Course of 5 Convenor Guidelines
Course of 5 Facilitators Guidelines
Read the Course of 5 Trainee Guidelines in full here. (Updated June 2017)
Diploma Guidelines for Primary Trainers
General Training_Diploma Training Requirements
Use this form to apply for FRT Recertification. (Updated Sept 2017).
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.
General Training LOC IUT Learning Outcomes
Diploma Guidelines Assessors Clinical Experience Assessment
Question and Answers: Progestogen-only Injectable Contraception
Income Declaration Form
Annual FRTA Update Meetings
General Training Diploma Entry Requirements 1
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 Diploma Entry Requirements 2
General Training Diploma Entry Requirements 3
General Training LOC IUT Training Record (Updated July 2018)
General Training_Diploma Application Form_2016
AGM minutes 2015
General Training_Course of 5 Facilitators Guidelines
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
General Training_Diploma Nurse About Academic Credits_Aug2014
General Training_Diploma Recertification Requirements
General Training_Diploma Eportfolio Allocation Form
General Training_Diploma_LoCs Requirement for anaphylaxis training
General Training_Application to Register GT Programme
General Training_Fellows Members Recertification Logbook
General Training_Diploma Consultation Feedback Form
General Training_FAQs about Updates to Diplomas_LOCs
General Training_Recognition and Approval Trainers GMC
How to become a Faculty Registered Trainer (FRT). (Updated February 2018)
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.
C5 Registration Form
FSRH Annual Report & Accounts 2013
FSRH Annual Reports and Accounts 2014
FSRH Annual Report & Accounts 2011
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.
General Training_Course of 5 Registration Form
FSRH Annual Reports & Accounts 2012
Faculty Registered Trainer Application Form Medical Education and GP Routes. (Updated February 2018).
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.
CEU Statement: Response to maternal use of oral contraceptives and risk of birth defects in Denmark: a prospective, nationwide cohort study (January 2016)
A Danish database study, published in the BMJ on 6/1/16  finds no significant increase in the overall risk of major birth defects amongst babies whose mothers used oral contraceptives (OC) in the three months prior to conception or in early pregnancy.
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.
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.
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 '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.
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 October 2015.
The Faculty’s Service Standards for Sexual Health Services also includes a standard on confidentiality. It is essential, if the legal requirements are to be met and the trust of patients is to be retained, that the NHS provides, and is seen to provide, a confidential service. This is of particular importance to matters relating to sexual and reproductive health and services need to keep up to date with current national policies and guidance.
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.
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.
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 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.
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.
The BMJ today publishes the findings of a large UK observational study by Vinogradova et al looking at the association between combined oral contraception (COC) and risk of venous thromboembolism (VTE). The authors conducted two nested case-control studies utilising data from the UK QResearch and Clinical Practice Research Datalink (CPRD) databases.
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.
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 standard provides guidance on the best practice for clinicians conducting Consultations in Sexual and Reproductive Healthcare to provide safe, efficient and effective healthcare that is patient centred and equitable.
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.
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 statement updates and replaces the Royal College of Obstetricians and Gynaecologists (RCOG) Green-top Guideline No. 40 on the same topic. It summarises Faculty of Sexual and Reproductive Healthcare (FSRH) recommendations and relevant information found within FSRH clinical guidance.
Faculty of Sexual and Reproductive Healthcare (FSRH) guidance on Combined Hormonal Contraception1 (CHC), including combined oral contraceptive pills (COC), states that available data regarding the risk of stroke related to the use of CHC is conflicting. Although a meta-analysis reported a two-fold increase in the risk of ischaemic stroke with the use of low dose COCs, other studies have not found that COC use results in a statistically significant increased risk of ischaemic or haemorrhagic stroke.
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).
There have been recent discussions in the media (press and radio) about combined oral contraception and its effect on mood. While mood changes and depression are often cited as a side effect of oral contraceptive use, and a reason for discontinuation, evidence supporting an association is generally lacking.
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.
New evidence published in Cancer Research http://cancerres.aacrjournals.org/content/74/15/4078.abstract suggests an increased risk of breast cancer associated with use of ‘high dose’ combined oral contraceptives (COC).
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.
CEU Statement Vasectomy and prostate cancer Jul 2014
Good record keeping ensures that clinicians and other staff can readily access information to provide efficient and high quality care. It facilitates continuity of care whilst informing and justifying decision making in a manner that it is clear to all. In the event of complaints, untoward incidents and medico-legal cases, accurate and comprehensive documentation supports efficient resolution. In addition, good clinical records support audit, management, planning, policy, commissioning and research.
This guidance provides evidence-based recommendations and good practice points for health professionals providing contraceptive services to women with cardiac disease in the UK.
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.
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.
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.
The FSRH statement in response to the Combined Pill Communication from the Medicines and Healthcare products Regulatory Agency (MHRA) February 2014.
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.
CEU Statement: Response to recommendations from the Pharmacovigilance Risk Assessment Committee (PRAC) in relation to prescribing of CHC (October 2013)
Following concerns in France about the risk of thromboembolism associated with the constituents of different combined hormonal contraceptives, the European Medicines Agency (EMA) started a review of the benefits and risks of the socalled third and fourth generation (newer) combined hormonal contraceptives (CHCs) in February of this year.
CEU Statement: Meta-analysis of different combined oral contraceptives and the risk of venous thrombosis Sept 2013
A meta-analysis of combined oral contraceptives (COC) and the risk of venous thrombosis has been published in the British Medical Journal. The study analyses existing data from observational studies assessing the effect of different COCs on venous thrombosis.
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).
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.
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.)
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 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.
This statement provides guidance on contraceptive options for women with prolactinoma
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.
CEU Guidance Barriers Aug 2012
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 paper published in May 2012 in the British Medical Journal(1) has reported new data on non-oral hormonal contraceptives and risk of venous thromboembolism (VTE).
FSRH Clinical Guidance: Management of Vaginal Discharge in Non-Genitourinary Medicine Settings - February 2012
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
CEU Statement: Missed pills (May 2011)
NICE supports the use of hysteroscopic sterilisation provided that normal arrangements are in place for clinical governance and audit.
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. This guidane is being prioritised for updating in 2017.
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.
This study supports the use of the oral contraceptive pill as a safe and effective method of contraception. The study confirms findings from other studies about the protective effects of oral contraceptive use in reducing the risk of certain types of cancer.
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.