The discussion surrounding access to emergency contraception often falls into the dichotomy of judgmental labels—whether it’s seen as a “walk of shame” or a “stride of pride.” However, what’s truly at stake is consistent access to essential healthcare services.
Emergency Hormonal Contraception (EHC) is currently accessible in pharmacies nationwide, yet the specifics of this service can vary significantly based on factors like age and location.
Today, the CCA had the opportunity to provide evidence at the All-Party Parliamentary Group (APPG) on Sexual and Reproductive Health’s inquiry into contraception access. Nearly six years after local authorities took charge of contraception services, there are growing concerns about the fragmented commissioning of these vital services.
Discrepancies in EHC provision can even occur between pharmacies located on the same street, particularly if they straddle the boundaries of different local authorities. This means that a woman might receive free EHC from one pharmacy as part of a commissioned service, while just minutes away, she could be required to pay up to £30 for the same treatment if no service is available or if she’s deemed ineligible. These inconsistencies can cause undue stress and anxiety for women seeking EHC during a vulnerable time, emphasizing the importance of consistent care within the community.
I’m pleased to have coordinated the CCA’s written response to this inquiry, advocating for a unified national commissioning specification to be adopted by all commissioners across England. Insights from our members underscored the numerous variations and discrepancies in EHC commissioning nationwide.
Currently, women may find themselves ineligible for free EHC due to age restrictions or postcode requirements, and even if they meet the criteria, there are inconsistencies in the type of product offered as part of the service. This lack of uniformity contrasts with Scotland and Wales, where nationally commissioned services ensure that women of all ages can access emergency contraception free of charge at any community pharmacy. This consistency benefits both the public and healthcare professionals providing the service.
Contraception is a fundamental right for all individuals, and community pharmacies, as hubs of health and wellbeing, are ideally positioned to deliver the care that the public deserves.
Addressing the disparities in EHC services available in pharmacies will undoubtedly enhance the health and wellbeing of the public. Regardless of location, women should have confidence in their ability to access free EHC and expert guidance whenever they visit a community pharmacy.