Data show that across London the rate of GP prescriptions for long-acting reversible contraception (LARC) in women aged 15-44 years is less than half the rate in England (data for younger women specifically are not available). LARC prescribing rates in Hackney and the City are significantly below the London average and some of Hackney’s statistical peers (Figure 57). Locally, LARC prescribing is much more common through sexual and reproductive health (SRH) services than GP practices, making up 26% and 8% of contraception prescriptions in these services respectively.B

Figure 57: GP prescriptions for long-acting reversible contraception (2014)

LARC prescribing rates in Hackney and the City are significantly below the London average and some of Hackney’s statistical peers.
Source: Public Health England Public Health Profiles Tool

While the rate of GP LARC prescribing in England has risen by 10% over the past three years, the rate has remained stable in London and has decreased by over 20% in Hackney and the City of London during this time.

Fifteen women per 1,000 aged 13-54 were given emergency contraception in 2014/15 through SRH services in Hackney and the City of London. This is higher than the London and national averages and most of Hackney’s statistical peers (Figure 58).

Figure 58: Proportion of women aged 13-54 given emergency contraception (2014/15)

The rate of emergency contraception given out in 2014-2105 is higher than the London and national averages.
Source: Sexual and Reproductive Health Activity Data Set (SRHAD)

Note: Emergency contraception includes prescribed oral and intrauterine device (IUD) methods, but does not include over the counter purchases.

In 2013, teenage conceptions in Hackney and the City were broadly similar to England, London and Hackney’s statistical peers (Figure 59).

Figure 59: Conceptions in under 18 year olds per 1,000 females age 15-17 (2014)

In 2013, teenage conceptions in Hackney and the City were broadly similar to England, London and Hackney’s statistical peers .
Source: Public Health England Public Health Profiles Tool

 

Figure 60 shows that the rate of conceptions in 15-17 year olds in Hackney and the City has fallen significantly since the late 1990s, from a peak of 80 per 1,000 in 1999 to a rate that is similar to the national average today (24 per 1,000).

Figure 60: Rate of conceptions per 1,000 females aged 15-17 (1998-2014)

The rate of conceptions in 15-17 year olds in Hackney and the City has fallen significantly since the late 1990s
Source: Office for National Statistics (ONS)

 

Abortion rates in women aged 18 and under in Hackney are relatively high when compared to England, London and many of Hackney’s statistical peers (Figure 61).

Figure 61: Rate of abortions in those under 18 per 1,000 females aged 15-17 (2014)

Abortion rates in women aged 18 and under in Hackney are relatively higher than Hackney’s statistical peers.
Source: Public Health England

The rate of repeat teenage abortions is also comparatively high in Hackney (Figure 62). While the City of London is also reported to have a relatively high rate of repeat abortions in women aged 24 and under, the numbers involved are very small and therefore there is considerable uncertainty around the rate reported below (i.e. the confidence intervals are very wide).

Figure 62: Repeat abortions in women aged 24 and under (2014)

Source: Public Health England Public Health Profiles Tool

Hackney and the City of London have a rate of births to mothers aged 15-17 that is similar to Hackney’s statistical peers, London and England as a whole (Figure 63). As discussed previously, there is a higher rate of emergency contraception use and abortions in this age group locally.

Figure 63: Births to females aged 15-17 (2013)

Source: Public Health England Public Health Profiles Tool

Notes

  1. Comparable SRH service data are not available for other boroughs and therefore it may be that Hackney’s low GP LARC prescription rate reflects a different pattern of service use, rather than lower uptake of LARC in the local population.
  2. Comparable SRH service data are not available for other boroughs and therefore it may be that Hackney’s low GP LARC prescription rate reflects a different pattern of service use, rather than lower uptake of LARC in the local population.