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LARC for London Stock-Take - where are we now?

LARC for London Stock-Take - where are we now?. Dr Connie Smith 10 th March 2012. Purpose and method. To find out what the various publically available datasets can show us about access to LARC contraception in London

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LARC for London Stock-Take - where are we now?

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  1. LARC for London Stock-Take - where are we now? Dr Connie Smith 10th March 2012 Connie Smith March 2012

  2. Purpose and method To find out what the various publically available datasets can show us about access to LARC contraception in London Using limited statistical techniques to interrogate these datasets and then to display the results clearly Connie Smith March 2012

  3. Connie Smith March 2012

  4. Connie Smith March 2012

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  6. Data sources for service provision PACT data for GP Prescribing (majority of provision) KT31 for sexual and reproductive health services I could not find data for LARC provision by STI or abortion providers Connie Smith March 2012

  7. Limitations of this data (briefly) • The data do not relate to individual women • They give no view of real ‘woman-years’ of contraception • Determinants of successful use of methods (e.g. continuation of use) are not included • No postcodes to show PCT of residence (especially important for KT31 figures as clinics are open-access, or should be.) • KT31 is a very broken instrument and we can only use Total Clinic Attendances as a proxy measure for SRH LARC activity Connie Smith March 2012

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  10. Connie Smith – London LARCs March 2012

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  23. We need to fix…… • Commissioning and organisation of clinical services • Health care professional training for contraception and LARCs • Re-imbursement • Data collection Connie Smith March 2012

  24. We need to talk about…….. • Health and Social Care Bill changes • Sexual Health Tariff Connie Smith March 2012

  25. References Balanced Sexual Health Scorecard http://www.apho.org.uk/default.aspx?QN=SBS_PAGE02 KT31 http://www.ic.nhs.uk/pubs/nhscontra1011 Connie Smith March 2012

  26. References Indices of Deprivation http://www.communities.gov.uk/publications/corporate/statistics/indices2010 Abortion http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_126769 Connie Smith March 2012

  27. Dawn not dusk... Connie Smith March 2012

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