Recertification Requirements for Letters of Competence (LoC IUT & LoC SDI)
LoC IUT / LoC SDI Recertification requirements
If you hold FSRH Letters of Competence in Intrauterine Techniques (LoC IUT) and/or Subdermal Contraceptive Implant Techniques (LoC SDI), we require recertification every five years. This is to ensure that you have developed and maintained the knowledge, skills, attitude and behaviour needed to provide safe and effective sexual and reproductive health care (SRH).
Experienced Practitioners - Please note, if you have undertaken training at another provider some time ago, and your initial qualification was not awarded by FSRH we are not able to recertify this for you. However, there is a shortened pathway (less observed procedures) to achieving the Letters of Competence in Intrauterine Techniques and/or Subdermal Contraceptive Implant Techniques which takes into account past clinical experience . However, all parts of the programmes (including passing the eKA) need to be completed.
How to apply
You can apply for recertification by downloading and filling in the relevant form and submitting it by post. Or, you can fill in the form online. Before filling in the online form, please have all the relevant information to hand before starting it, you will not be able to save it and then revisit it later, it must be completed in one sitting:
- Download the form for Recertification of the Letter of Competence in Intrauterine Techniques (LoC IUT)
- Download the form for Recertification of the Letter of Competence in Subdermal Contraceptive Implant Techniques (LoC SDI)
- Complete the online form for Recertification of the Letter of Competence in Intrauterine Techniques (LoC IUT)
- Complete the online form for Recertification of the Letter of Competence in Subderman Contraceptive Implant Techniques (LoC SDI)
Please make sure to apply for recertification not more than six months before your recertification date and no later than six weeks afterwards.
To apply successfully for recertification, you need to demonstrate:
- at least two credits of relevant CPD over the past five years
- completion of the relevant e-SRH module (for NHS professionals) or Faculty-approved distance learning (for non-NHS professionals)
- proof of basic life support and anaphylaxis training
- a log of IUT insertions
- a log of SDI insertions and/or removals
You can find more information on each of these requirements below. You can also find a calendar of CPD courses, meetings and events on this website.
To recertify for either LoC IUT or LoC SDI, you need to collect at least two credits of CPD activity over the past five years. This activity must be relevant to IUT / SDI, and may be gained in the following ways.
Attendance at courses/meetings relevant to SDI
Evidence: certificate of attendance, programme of meeting and brief reflection on how this will influence your future practice.
Reading of appropriate current peer reviewed publications e.g. JFPRHC, BMJ
Evidence: reference of article, and brief reflection on how this will influence your future practice: 1 CPD credit per article
Reading of FSRH CEU guidelines on subdermal contraceptive implant methods and completion of self-assessment questions Reading: 1 CPD credit and completion of self-assessment questions: 1 CPD credit. This may not be counted towards CPD if used to fulfil section 3.
Evidence of reading: date read and brief reflection on how this will influence your future practice. Evidence of questions: mark sheet, date completed and brief reflection on how this will influence your future practice.
Peer observation: For LoC IR you can claim 1 CPD credit for observing a peer perform an insertion or removal and giving feedback afterwards, 1 CPD credit for being observed performing an insertion or removal by a peer and discussing feedback afterwards.
For LoC IO you can claim 1 CPD credit for observing a peer perform an insertion and giving feedback afterwards, 1 CPD credit for being observed performing an insertion by a peer and discussing feedback afterwards.
- For LoC RO you can claim 1 CPD credit for observing a peer perform a removal and giving feedback afterwards, 1 CPD credit for being observed performing a removal by a peer and discussing feedback afterwards.The observer/person being observed must hold a current LoC SDI. Evidence: date and name of observer/person being observed and brief outline of what you learned from this, either as an observer or from being observed)
- Audit of SDI – personal or local
Evidence: date, summary of audit, brief description of your role in audit: 1 CPD credit
Evidence of CPD activity
You do not always need evidence of CPD activity when you are applying for recertification. However, the General Training Committee audits 10% of all applications and reserves the right to ask for supporting documentation for all your activity.
Personal beliefs guidance
At the time of recertifying your FSRH qualification, you need to confirm you have read the 6 principles of care as outlined in the “Guidance for those undertaking or recertifying FSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception” and agree to abide by them in practice.
If you are an NHS professional, you must also complete e-SRH module 18 (for LoC IUT) or e-SRH module 17 (for LoC SDI) during the two years before your recertification date.
If you are not an NHS professional, you may instead complete Faculty-approved distance learning e.g. the latest CEU IUT / CEU SDI guidance and self-assessment questions.
You should also be up-to-date with basic life support and anaphylaxis training in accordance with your employer’s policy.
Finally, please submit a log covering a consecutive 12 month period that started no more than 24 months before your recertification date.
- For LoC IUT, this log should show 12 insertions, showing at least two different types of IUT method in conscious women.
- For LoC SDI Insertion and Removal (LoC SDI-IR), the log should show 6 procedures including at least one insertion and one removal.
For LoC SDI Insertion only (LoC SDI-IO), for individuals who work in an abortion or maternity services, the log will need to show a minimum of 6 insertions.
Failure to recertify when due
Please also see the recertification homepage.
If you apply for recertification more than six weeks after your recertification date, you must:
1. gain the necessary CPD credits and the Basic Life Support and anaphylaxis training outlined above
2. complete the relevant e-SRH module no more than 12 months before your application date (as opposed to within 24 months of recertification date)
3. provide a log (described above) covering a consecutive 12 month period within 24 months of your date of application (as opposed to recertification date)
4. stop training or supervising anybody working towards an LoC.
If you are absent for more than a year and wish to apply for an extension on your recertification date, please complete this questionnaire. If you have any questions, you can call our recertification team on +44(0)20 3198 3180 or +44(0)20 7724 5620.
Intellectual Property Rights
All intellectual property rights for any FSRH qualification including documents, materials and content belonging to and produced by the FSRH should not be used for purposes other than FSRH training. Should you wish to use any of the IPR for purposes other than FSRH training you must seek the FSRH’s approval in writing with your request via our copyright request form. We aim to respond to submissions of this nature within one working week.
If you need any more help with recertifcation, please contact us by calling us on either: +44(0)20 7724 5620 or +44(0)20 3198 3180 or by emailing firstname.lastname@example.org or email@example.com.