Intended for healthcare professionals

Rapid response to:

Analysis

What are the best societal investments for improving people’s health?

BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k3377 (Published 30 August 2018) Cite this as: BMJ 2018;362:k3377

Rapid Response:

Re: What are the best societal investments for improving people’s health?

There seems to be no mention of easy access to, and efficient provision of, contraception.

As long ago as 2006 Mavranezouli and Wilkinson published a paper entitled Long-acting reversible contraceptives: not only effective, but also a cost-effective option for the National Health Service. The position has not changed since, and guidance from Public Health England in August 2018 concludes:_

When considering total cost savings across the public sector (including both
healthcare and non-healthcare cost savings), the ROI is £1.86 after one year
(exceeding break-even) and £4.64 over 5 years. Over 10 years, the ROI is
£9.00, or in other words, there is an £9.00 saving for every £1 invested in
publicly provided contraception.

At a time when contraceptive service budgets are under threat, should this not have been included?

Refs

1)Long-acting reversible contraceptives: not only effective,
but also a cost-effective option for the National Health
Service
Ifigeneia Mavranezouli, Christopher Wilkinson; J Fam Plann Reprod Health Care 2006: 32(1)

2)https://assets.publishing.service.gov.uk/government/uploads/system/uploa...

Competing interests: I am a retired SRH consultant, still active clinically and in the Faculty of Sexual and Reproductive Health

16 September 2018
Lesley Bacon
SRH doctor
Dr.
Oxleas NHS Trust