Proxy consultations for oral EHC

The current PGDs for oral EHC require a face-to-face consultation to confirm clinical appropriateness, assess capacity to consent, and screen for safeguarding concerns, so oral EHC cannot be supplied via the contraceptive service on behalf of another person.

If the patient cannot attend in person, a telephone consultation may be an acceptable alternative, allowing direct discussion of clinical and safeguarding questions – although verifying safeguarding concerns remains more challenging remotely.

Repeat requests for EHC

PGDs for oral EHC permit repeat supplies within the same cycle. However, frequent use should prompt a broader discussion with the patient. This conversation should remain non-judgemental and aim to explore underlying reasons for repeated requests, such as:

• Condom failure
• Possible safeguarding concerns or partner pressure, particularly in minors.

Repeat requests also provide an opportunity to discuss more effective, long-term contraception, such as an intrauterine device (IUD) or implant. These can be fitted at either a local sexual health clinic or some GP surgeries. Details of local services are available online.