Long-acting reversible contraception (LARC) has a high rate of efficacy and low rate of user failure. In 2005, the National Institute for Health and Care Excellence produced guidelines for health professionals with the aim of increasing the uptake of these methods. LARC methods include sub-dermal progestogen-only implants, the progestogen-only injection, and intra-uterine contraceptive devices and intra-uterine systems. Nurses are now able to receive accreditation from the Royal College of Obstetricians and Gynaecologists in fitting and removing LARC. They are also able to become nurse diplomates and gain NFSRH status. Preparation for fitting or administering any LARC method involves taking a full medical history and using UKMEC guidance to assess suitability. It is important that all nurses, whether they perform advanced skills of fitting and removing LARC or not, are familiar with the procedures so that they can give women the information they need to ensure informed consent.

Sarah Kipps - Reproductive and sexual health nurse specialist, Tooting Health Centre, St George's Healthcare Trust