Recommendation 38

A key success of women’s health hubs is that they have facilitated co- commissioning of long-acting reversible contraception (LARC) by public authority sexual health services and NHS services. This can be an effective workaround for a dysfunctional LARC commissioning system that has been unfit for purpose since the Health and Social Care Act 2012 was introduced. Women’s health hubs have shown that by pooling resources as efficiently as possible, they can better meet local women’s needs for LARC for all purposes. This approach must be replicated all over the country until the necessary legislative steps can be taken to fix the dysfunctional system created by the 2012 Act. (Recommendation, Paragraph 144)