SH03

Women prescribed emergency hormonal contraception at least once in the year by the practice who have this code added at the time of, or within one month of, the prescription.

This indicator only applies to Females up to the age of 54.

Long-acting reversible method of contraception advice. (Added at the time of or within one month of the prescription, the EARLIEST after the latest emergency hormonal contraceptive recording is selected.)
(The earliest recording of long acting reversible contraceptive advice that has occurred after the latest emergency hormonal contraceptive recording that has occurred before the end of the current QOF financial year.)

8CAw. Advice about long acting reversible contraception

Emergency hormonal contraception Codes (Latest in last 13 months v14.1 )

61F1. Prescribed post-coital OCP
61A1. Morning after pills given
ga2B. LEVONORGESTREL 1.5mg tablets
ga2C. LEVONELLE ONE STEP 1.5mg tablet
ga2D. LEVONELLE 1500micrograms tablets

Exception codes

9hK0. Excepted from sexual health quality indicators: patient unsuitable
9hK1. Excepted from sexual health quality indicators: informed dissent

SH indicator 3

The percentage of women prescribed emergency hormonal contraception at least once in the last year by the practice, who have received information from the practice about long-acting reversible methods of contraception at the time of, or within one month of the prescription.

SH 3.1 Rationale

Women requiring emergency hormonal contraception should be given detailed information about and offered a choice of all methods, including LARC. It is often possible (and in many cases ideal practice) to commence an ongoing method of contraception at the same time as emergency hormonal contraception is given.

Some women seeking emergency contraception may be best served by being offered an emergency IUD. Emergency IUDs offer a slightly longer window period for action after unprotected intercourse than hormonal EC; they have a higher efficacy in prevention of pregnancy – and they provide excellent ongoing contraception if required.

Information from the practice should be written and verbal. Leaflets can be obtained from a number of sources however the fpa, a UK-wide sexual health charity, has an excellent range of contraception leaflets including ‘Your Guide to Contraception’, which, amongst other things, indicates LARC and non-LARC methods clearly through the use of shading.
www.fpa.org.uk/Information/Readourinformationbooklets/guide

SH 3.2 Reporting and verification

Practices should report the percentage of those women prescribed emergency hormonal contraception who are recorded as having received advice on LARC methods at the time of, or within one month of the most recent script for emergency hormonal contraception.

Prepared By Jean Keenan