Contraceptives
The question
To ask the Secretary of State for Health and Social Care, what (i) steps his department is taking to address regional differences in funding for Mirena coil fitting and (ii) if he plans to ensure this service is available at GP surgeries.
Answered by Karin Smyth
The funding and provision of long-acting reversible contraception (LARC), such as the Mirena coil, is primarily a matter for local determination.
Integrated care boards (ICBs) are responsible for commissioning contraception for both contraceptive and gynaecological purposes, including essential services under the GP Contract and LARC as a local arrangement.
Contraception for contraceptive purposes, including LARC, is also a prescribed aspect of local authority sexual health commissioning. The Government has mandated local authorities in England to commission comprehensive open access to most sexual and reproductive health services through the Public Health Grant.
It is for individual local authorities and ICBs to decide their spending priorities based on an assessment of local need, and to commission the blend of service access that best suits their population.
The renewed Women’s Health Strategy, which was published on 15 April, sets out how we will ensure that women have straightforward access to the full range of contraception, including LARC, that meets their individual needs and preferences.
We will include contraception in the upcoming sexual and reproductive health framework to clarify current commissioning arrangements and to share opportunities and best practice for closer working and improved pathways.
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