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YorSexual Health offers intensive training blocks of approximately one week, to gain the CoSRH Letter of Competence (LoC) in Intrauterine Techniques and/or the CoSRH Letter of Competence (LoC) in Subdermal Contraceptive Implants.
This training will enable you to demonstrate the evidence-based knowledge, skills, and professional attitudes needed to effectively consult with women seeking contraception. You will develop the ability to safely provide and insert intrauterine and subdermal methods, as well as manage complications, side effects, and (for implants) removal.
We are pleased to offer training in LARC at our York, Harrogate, and Scarborough clinics.
Training Pathway
1
Eligibility
To be eligible for training, you must:
- Be registered with a medical body e.g. NMC
- Have the experience and skill to conduct a competent clinical consultation.
- Be up-to-date with resuscitation and anaphylaxis training and ensure that this is maintained for the duration of training (training must be recognised by the UK Resuscitation Council).
- Be competent in giving an intramuscular injection.
- Have read the current CoSRH guidance on intrauterine contraception.
- Be up to date with Levels 1-3 safeguarding children and young people and ensure that level 3 is maintained throughout training.
- Be competent in undertaking a speculum examination.
- Be able to confirm, at the time of application for your CoSRH qualification, that you have read the 6 principles of care as outlined in the guidance for those undertaking or recertifying CoSRH qualifications whose personal beliefs conflict with the provision of abortion or any method of contraception and agree to abide by them in practice. It is important to have read this document prior to commencing training.
2
Online Theory Assessment
Before starting your practical training, you must pass the Online Theory Assessment (OTA). You should allow up to 20 hours over 2–3 weeks to prepare for this.
The Online Theory Assessment (OTA) is an entry requirement for both the Letter of Competence Subdermal Implant Techniques Insertion and Removal (LoC SDI-IR) and Letter of Competence in Intrauterine Techniques (LoC IUT) qualifications.
The OTA checks that you have the essential knowledge needed to support your practical skills. It assesses your understanding and ability to make safe clinical decisions in contraception and general sexual and reproductive healthcare.
The OTA is charged per attempt, and candidates have 6 months to complete the assessment once they have registered.
3
Practical Training
Further details on the training can be found below. Full details will be sent to you upon enquiry.
Letter of Competence (LoC) Training
This certification ensures healthcare professionals can safely insert and remove LARC methods.
For GPs & Practice Nurses
✔ LoC IUT (Intrauterine Techniques – Coil)
✔ LoC SDI-IR (Subdermal Implants – Insertion & Removal)
Letter of Competence Intrauterine Techniques (LoC IUT) - How to apply
For Midwives & TOP Staff
✔ LoC SDI-IO (Subdermal Implant – Insertion Only)
4
Next Steps & Funding
If you would like to go ahead with training, you should:
- Discuss the training with your manager - it's good to talk about funding, and how you will be released to complete the training, in advance of contacting us. Your manager will be asked for approval once you get in touch with us, so have these conversations early.
- Look into the OTA and ensure you are able to commit to this, as you will need it to commence the practical training. You are welcome to start this prior to contacting us if you wish.
- Contact Lauren.Acaster1@nhs.net to express your interest and receive further information.
17th March 2026