The provision of Long-Acting Reversible Contraception (LARC) Services

Descriptions

North Northamptonshire Council is commissioning and funding the Provider to offer long-acting reversible methods of contraception, as described in the specification attached. This service include: • Component A: Subdermal contraceptive implants (SDI) • Component B: Intrauterine devices/systems (IUD/IUS) • General requirements applicable to all services detailed in the specification Component A: Subdermal Contraceptive Implants (SDI) The provider must fit, monitor, check, and remove subdermal contraceptive implants in accordance with current clinical guidelines and their instructions for use. Only contraceptive implants licensed for use in the UK are to be used. The provider must ensure that patients receive information and advice on all available contraceptive methods, supporting them in selecting the most appropriate method for their individual needs, in accordance with NICE Clinical Guideline CG30. In addition, the clinician must: 1. Take a sexual history in order to assess the appropriateness of fitting an implant. 2. Provide information, advice and guidance about sexually transmitted infections (STIs), assess the need for STI screening, and refer patients to relevant services, where appropriate. 3. Provide written information to the patient during counselling, reinforcing it after fitting. This should include details about symptoms requiring urgent assessment, non-contraceptive benefits, and procedures for initiation and discontinuation. Component B: Intrauterine Devices/Systems (IUD/IUS) The Provider must fit, monitor, check, and remove intrauterine contraceptive devices (IUDs) and systems (IUSs) in accordance with current clinical guidelines and manufacturers' instructions for use. Only IUDs/IUSs licensed for use in the UK are to be used. The Provider must ensure that patients receive comprehensive information and advice about the full range of contraceptive methods and are supported in determining the most appropriate option for their individual needs, in line with NICE Clinical Guideline CG30. For patients opting for intrauterine contraception, the clinician must: 1. Take a sexual history to assess the appropriateness of fitting an IUD/IUS. 2. Provide information, advice and guidance about STIs, assess the need for screening, and refer to sexual health services, where necessary. 3. Conduct Chlamydia screening for all patients before IUD/IUS insertion. If positive, ensure referral for further STI screening. 4. Provide written information for the patient at the time of counselling and reinforce it after fitting. This should include details about symptoms requiring urgent assessment, non-contraceptive benefits, and procedures for initiation and discontinuation. Interested Provider must complete the Expression of Interest (EOI) form via the link attached to this notice. More information about the service can be found in the specification document attached.