1. LARC’s improving access and uptake in the under 25’s

2. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 outcomes Increased uptake of sub-dermal implants in women aged <25 Reduction in abortions Reduction in unplanned teenage conceptions

3. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 process NG 30 & Choice 1 Service audit 2 User survey 3 Working group 4 Implementation plan 5 Baseline data 6 Awareness raising 7 Training 8 Service development 9 marketing campaign

4. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 Benchmark Baseline established 06/07 The challenges Review Quarterly performance review Identify & plug gaps Numbers of fitters/number of removals within 1 year Improve Training, pathways, data capture data

5. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 results No. of SDI fitted and removed by GP’s by age 06/07 baseline 07/08 U25’s campaign year 08/09 Pharmacy campaign year 09/10 National LARC campaign year Fitted4317187531117 % increase N/A66%4.5%32% Removed within 1 year 6215813778 YTD % removed within 1 year 1422186.9 YTD

6. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 results

7. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 results

8. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 results % contraceptive use from ePact data 08/09 Total on LARCTotal on contraception Total not on contraception NHS NL19.54455.9 NICE proposed15.234.265

9. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 results % uptake of contraceptive methods from ePact data 08/09 OCPIUSIUDSDIInject NHS NL24.46.52.87.23 NICE proposed 194.434.13.7

10. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 training QIPP Multi agency awareness raising PSCHE programme

11. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 In North Lincolnshire all practitioners should: Informed about all methods and their risks and benefits Competent to discuss/counsel/provide LARC’s Able to discuss/manage common side effects and problems Able to remove where required training

12. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 social marketing Your Choice Campaign 2007/08

13. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 social marketing Your Choice Campaign 2007/08

14. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 Resources developed in consultation with the target audience in 2007 12 months on the buses 18 months on the cinema Evaluated – in schools & via choices Cost £5k social marketing

15. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 impact 66% increased uptake (90% overall including Choices) of SDI in women U25 10.5% reduction in TOPs performed between 2007 & 2008, greatest reduction in women aged U18 and 18 – 19 between 2007/08 20% reduction in Teen conception rate between 2007 - 2008

16. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 The pharmacy campaign 2008/09

17. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 Credit card resource Prompt to consider To be placed in prescription bags for the pill and EHC and where it can be in sales of condoms to both men and women Distribute until they are gone Cost £1.5K The pharmacy campaign in brief:

18. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 Why? Targeting women and men who wish to use family planning How? Reinforcing the message at 3 stages At birth After birth Six week check Cost 1.5K post partum campaign

19. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1

20. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 =

21. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1

22. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 key learning To be successful you need: engagement from commissioners, service providers and key partnerships to create a demand from service users to have your baseline data from which to monitor

23. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 future direction

24. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 questions 1.What key areas of learning will you take away from this afternoons presentation? 2. How will it assist you to improve LARC uptake in your area?

25. 10 th November 2010 NHS North Lincolnshire – Adding Life to Years and Years to Life 1 contact details Natasha Philips Commissioning Manager Natasha.philips@nlpct.nhs.uk 01652 251217