ABSTRACT
Introduction Responding to COVID-19 restrictions and increasing demand, we introduced an online contraception service. Patients complete a comprehensive web-questionnaire which is subsequently assessed by a nurse who supplies a suitable method. This service is 'wholly-online' (excludes real-time interactions) however, some patients submit insufficient or ambiguous information and follow-up consultations are required. Aims - to determine the profile of patients using this service, their contraception choices and whether they achieved a wholly-online-service. to determine what factors prevented the wholly-onlineservice and what could be done to improve this. Methods Retrospective notes review of 100 consecutive patients in November 2021, noting: age, contraception requested, had they;watched our online video for chosen method, declared adequate blood pressure, height and weight measurements. Outcomes noted: patients receiving chosen method with a wholly-online-service, if not, what intervention followed (telephone/face-to-face) and reasons. Results Table-1 shows patient profiles. Table-2 shows outcomes of online requests. P89 Table 1 Method of contraception requested via online service P89 Table 2 Outcomes of online request Discussions 'Wholly-online' contraception was achieved in 26% of patients. An extra 6% required a clarification phone call before receiving contraception. An extra 27% attended for biometrics(height, weight, blood-pressure) before receiving contraception. 16% were ineligible, requiring face-to-face consultations for clinical or safeguarding reasons. This suggests - our 'wholly-online' service is meeting a demand, presumably because patients prefer going online in their own time, rather than scheduling an appointment. - a significant appetite for combined-oral-contraception online for those without biometric recordings. We will explore a hybrid service involving online requests and drop-in access for biometrics that could meet this demand, without challenging the capacity of our appointments services (Table Presented).