PRJ-1210-NCL ICB-Any Qualified Provider (AQP) Termination of Pregnancy Services

<p>The Provider of the Service shall:<br>• &nbsp; &nbsp;Provide a consistent, effective, comprehensive, accessible, legal and appropriate TOP service to women, as early as possible and in consideration of their personal circumstances.<br>• &nbsp; &nbsp;Provide a quality service informed by the Royal College of Obstetricians and Gynaecologists Guideline for the “Care of Women Requesting Induced Abortion” (the RCOG Guideline 2011) and “Best practice in comprehensive abortion care” (RCOG June 2015), the MEDFASH standards for sexual health services and current best evidence. Deviations from the RCOG guideline shall be notified in writing and agreed with the commissioner.<br>• &nbsp; &nbsp;Provide a choice of TOP methods, clinically appropriate for the woman’s gestation and clinical circumstances.&nbsp;<br>• &nbsp; &nbsp;Provide information about the options available regarding TOP, both written and verbal, in an objective and non-judgemental way, which allows the woman to make her own choice.&nbsp;<br>• &nbsp; &nbsp;Staff shall respect the woman’s decision and offer respect and sensitivity to women accessing this service irrespective of their circumstances, including age or repeat TOP.&nbsp;<br>• &nbsp; &nbsp;Ensure that risk of infection and other complications are minimised.<br>• &nbsp; &nbsp;Ensure that opportunities for contraceptive information and supply, and sexual health screening are maximised.<br>• &nbsp; &nbsp;Develop and implement improved access and patient care pathways to primary, community and acute providers.<br>• &nbsp; &nbsp;Prevent avoidable harm with robust processes for identifying risk and communicating and embedding learning from experiences.<br>• &nbsp; &nbsp;Ensure that staff (including counsellors) are well informed about procedures, efficacy rates, relative risks and are able to support women to make informed choices about the method of TOP and future contraception.<br>• &nbsp; &nbsp;Increase sexual and reproductive health awareness among people accessing the provider site and women accessing the service.<br>• &nbsp; &nbsp;Identify and signpost women, who may be experiencing or at risk of abuse for example &nbsp;Domestic Abuse, Modern Slavery and any other forms of abuse, to an appropriate service.<br>• &nbsp; &nbsp;Identify and report vulnerable adults and children to adult and children safeguarding services.<br>• &nbsp; &nbsp;Identify and report (as a crime) cases of Female Genital Mutilation (FGM) among women aged under 18 and signpost women of any age accessing the service who have experienced FGM to support as appropriate for the individual using an FGM Risk Assessment Tool and referral pathways.<br>• &nbsp; &nbsp;Offer face to face counselling services to women.<br>• &nbsp; &nbsp;Provide compulsory counselling service to women under 16 years.<br>• &nbsp; &nbsp;Provide advice to women regarding complications, abnormalities etc., which they may experience.<br>• &nbsp; &nbsp;Undertake all pre-procedure investigations, signposting the women into an appropriate care service as necessary. &nbsp;<br>• &nbsp; &nbsp;Provide a comprehensive, electronic discharge summary to the GP (where consent has been given by the woman to share information with the GP).</p>
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<p>Objectives&nbsp;<br>The Provider of the Service shall:<br>• &nbsp; &nbsp;Offer high quality, impartial support and advice to all women who request a TOP, regardless of age, ethnicity, language, disability, sexual orientation, religious or personal circumstances.&nbsp;<br>• &nbsp; &nbsp;Signpost women who, after the initial consultation, are undecided about TOP to appropriate services for support, advice and counselling.<br>• &nbsp; &nbsp;Provide women with access to a TOP as early as possible but procedures must be available up to the legal time limit.&nbsp;<br>• &nbsp; &nbsp;Provide a choice of TOP methods clinically appropriate for a woman’s gestation and clinical circumstances.&nbsp;<br>• &nbsp; &nbsp;Improve the sexual health of women through providing sexual health screening and treatment as appropriate for Chlamydia, other sexually transmitted infections (STIs) and HIV.&nbsp;<br>• &nbsp; &nbsp;Provide information, advice and provision of the full range of effective contraception methods including Long Acting Reversible Contraception (LARC).&nbsp;<br>• &nbsp; &nbsp;Provide an assessment appointment within 5 calendar days of referral (which shall be prioritised in the case of a woman with a pregnancy at late gestation) and no later than 14 calendar days from referral. The procedure shall take place within 7 calendar days and no later than 14 calendar days from the time of decision to proceed, following the “late and complex medical cases pathway”.</p>