Provision of Termination of Pregnancy Service (Assessment plus up to 14-Weeks Gestation) for NHS Nottinghamshire CCGs.

A termination of pregnancy service is required to provide a seamless pathway for termination of pregnancies in a timely and safe matter, according to the personal health, choices and circumstances of the individual Service User. The service contributes to reducing repeat abortions and unintended pregnancies through effective counselling, contraceptive advice services and promoting better sexual health among Service Users through testing and treatment for STIs.

Aims: To provide a consistent, comprehensive, effective, accessible, legal and appropriate termination of pregnancy service to Service Users. To 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), the MEDFASH standards for sexual health services, and current best evidence.

To ensure that risk of infection and other complications to Service Users is minimised. To ensure that opportunities for contraceptive information and supply and sexual health screening are maximised.

To provide Service Users with access to a termination of pregnancy as early as possible and in consideration of personal circumstances. Objectives: To offer high quality, impartial support and advice to all Service Users who request an termination of pregnancy, regardless of age, ethnicity, language, culture, disability, sexual orientation, religious or personal circumstances.

To provide Service Users with access to a termination of pregnancy as early as possible. To provide a culturally sensitive and confidential service.

To provide termination of pregnancy methods clinically appropriate for a Service User's gestation and clinical circumstances. To improve the sexual health of Service Users through Proactively offering sexual health screening and treatment as appropriate for Chlamydia, other sexually transmitted infections (STIs) and HIV. To provide information and advice on all methods of contraception, (with particular emphasis on the promotion of LARC) and the supply of the full range of reversible contraceptive methods.