Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure access to (a) comprehensive healthcare guidance and (b) specialised gynaecological support for people with spinal cord injury including (i) management of menstruation, (ii) contraception options and (iii) safe pregnancy care.

NHS England Specialised Commissioning has a Clinical Reference Group (CRG) for specialised women’s services that provides clinical advice and leadership for complex obstetrics and maternity, and complex gynaecology and fertility preservation services. Specialist gynaecological services are commissioned in line with the service specification published by the CRG.

Furthermore, there is a CRG for rehabilitation and complex disability and spinal cord injury services. Specialist services for spinal cord injuries are commissioned in line with the service specification published by the CRG. The National Institute for Health and Care Excellence also has guidance on the assessment and early management of spinal cord injuries, which is available at the following link:

https://www.nice.org.uk/guidance/ng41.

Spinal cord injury centres provide life-long services and support, providing ongoing advice and management for those under their care. The service provides advice to general maternity services in managing pregnancy in line with individual need.

We recognise that having a spinal cord injury can create additional challenges for women and girls when it comes to managing their period. Women with spinal cord injuries are provided with menstruation and contraception information and advice during their first inpatient episode of care, and details are included in their discharge plan, which is shared with their general practitioner (GP) or primary care team. Through the spinal cord injury centres and voluntary sector, women have access to female discussion forums.

Both the Multidisciplinary Association of Spinal Cord Injury Professionals and the Spinal Injuries Association have provided free webinars for staff and those with spinal cord injuries, called Menstruation to Menopause.

The Royal College of General Practitioners (RCGP) has published a Women’s Health Library, which brings together educational resources and guidelines on women’s health from the RCGP, the Royal College of Obstetricians and Gynaecologists, and the Faculty of Sexual and Reproductive Healthcare. This resource is continually updated to ensure GPs and other primary healthcare professionals have the most up-to-date advice, to provide the best care for their patients.

The Government will continue to work with the NHS as it delivers its three-year maternity and neonatal plan to grow our maternity workforce, develop a culture of safety, and ensure women and babies receive safe, compassionate care. In the three-year delivery plan for maternity and neonatal services, NHS England set out their ambition that all women should receive personalised, joined-up, high-quality care during pregnancy, birth, and the postnatal period, including access to specialist care when required. Providers should ensure that women with spinal cord injuries have a personalised care and support plan that is tailored to their specific needs and choices and made in conjunction with appropriate specialist input.