How can I recertify my Letter of Competence (LoCs)?

Modified on Mon, 04 Jul 2022 at 12:55 PM

The recertification process for LoCs has changed, the application will now ask you to self-certify your CPD Points and the procedures you have completed in the last 24 months. This means you will no longer need to provide evidence for recertifications; however, you may be asked randomly for audit purposes. It is your responsibility to complete the requirements needed to recertify.


LoC IUT/SDI Recertification requirements


If you hold FSRH Letters of Competence in Intrauterine Techniques (LoC IUT) and/or Subdermal Contraceptive Implant Techniques (LoC SDI), we require recertification every five years. 


This is to ensure that you have developed and maintained the knowledge, skills, attitude and behaviour needed to provide safe and effective sexual and reproductive health care (SRH).


Experienced Practitioners - if you have undertaken training with another provider, and your initial qualification was not awarded by FSRH we are not able to recertify this for you.  


However, there is a shortened pathway (less observed procedures) to achieving the Letters of Competence in Intrauterine Techniques and/or Subdermal Contraceptive Implant Techniques which takes into account past clinical experience. However, all parts of the programmes (including passing the eKA) need to be completed.


Please refer to recertification information for details regarding recertification during the Covid-19 pandemic. 


How do I apply for my Letter of Competence recertification?


You can apply for recertification by filling in the online form below.


Before filling in the online form, please have all the relevant information to hand before starting it, you will not be able to save it and then revisit it later, it must be completed in one sitting. You will also need a stable internet connection while completing the online form:

Please make sure to apply for recertification not more than six months before your recertification date and no later than six weeks afterwards.


To apply successfully for recertification, you need to demonstrate:

  • at least two credits of relevant CPD over the past five years 
  • completion of the relevant e-SRH module (for NHS professionals) or Faculty-approved distance learning (for non-NHS professionals) 
  • proof of basic life support and anaphylaxis training 
  • a log of IUT insertions 
  • a log of SDI insertions and/or removals


You can find more information on each of these requirements below. You can also find a calendar of CPD courses, meetings and events on this website.


How do I meet the CPD Requirements for my Letter of Competence recertification?


To apply successfully for recertification, you need to be able to demonstrate:


1. At least two credits of relevant CPD over the past five years from one of the following

  • Attendance at courses/meetings relevant to IUT
  • Evidence: certificate of attendance, programme of meeting and brief reflection on how this will influence your future practice
  • Reading of appropriate current peer reviewed publications e.g. JFPRHC, BMJ
  • Evidence: reference of article, and brief reflection on how this will influence your future practice: 1 CPD credit per article
  • Reading of FSRH CEU guidelines on intrauterine methods and completion of self-assessment questions
  • Reading of CEU guidance: 1 CPD credit
  • Completion of self-assessment questions: 1 CPD credit. This CPD activity may not be counted towards CPD if used to fulfil section ‘Option 2 (b)’ on the below form.
  • Evidence of reading: date read and brief reflection on how this will influence your future practice.
  • Evidence of questions: mark sheet, date completed and brief reflection on how this will influence your future practice.
  • Peer observation: 1 CPD credit for observing a peer perform an insertion and giving feedback afterwards, 1 CPD credit for being observed performing an insertion by a peer and discussing feedback afterwards. The observer/person being observed must hold a current LoC IUT.
  • Evidence: date and name of observer/person being observed and brief outline of what you learned from this, either as an observer or from being observed)
  • Audit of IUT – personal or local
  • Evidence: date, summary of audit, brief description of your role in audit: 1 CPD credit

2. Proof of basic life support and anaphylaxis training


3. A log of IUT insertions (for LoC IUT Recertifications)


4. A log of SDI insertions (for LoC SDI-IO Recertifications), or insertions AND removals (for LoC SDI-IR Recertifications)


How do I find out my recertification date?


You can find out your recertification date by logging into 'My FSRH' by clicking on 'Log in' at the top right of the website.


After logging in, click on the tile labelled 'My completed Qualifications' to see your review date. 


You will then see a screen showing your qualifications, your initial date of award. Your 'Next review' date shows you when recertification is due for each of your qualifications.


You can also view your recertification date via our Training Hub. 


What evidence of CPD do I need to submit?


You do not always need evidence of CPD activity when you are applying for recertification. However, the General Training Committee audits 10% of all applications and reserves the right to ask for supporting documentation for all your activity. 


What other requirements and resources are there for my ongoing CPD?


If you are an NHS professional, you must also complete e-SRH module 14 (for LoC IUT) or e-SRH module 15 (for LoC SDI) during the two years before your recertification date.


To access the e-SRH learning modules, please register with e-Learning for Healthcare (e-LfH).


If you are not an NHS professional, you may instead complete Faculty-approved distance learning e.g. the latest CEU IUT/CEU SDI guidance and self-assessment questions.


You should also be up-to-date with basic life support and anaphylaxis training in accordance with your employer’s policy.


Finally, please submit a log covering a consecutive 12 month period that started no more than 24 months before your recertification date. 


  • For LoC IUT, this log should show 12 insertions, showing at least two different types of IUT method in conscious women. 
  • For LoC SDI Insertion and Removal (LoC SDI-IR), the log should show 6 procedures including at least one insertion and one removal.
  • For LoC SDI Insertion only (LoC SDI-IO), for individuals who work in an abortion or maternity services, the log will need to show a minimum of 6 insertions.
  • For LoC SDI Removal only (LoC SDI-RO), for individuals who work in deep implant services, the log will need to show a minimum of 6 removals.


Women's Health Library


Bringing together national guidance, resources produced and accredited by the RCGP, and resources from the Royal College of Obstetricians and Gynaecologists (RCOG) and the Faculty of Sexual and Reproductive Healthcare (FSRH), the Women's Health Library is a resource relevant to GPs and other primary healthcare professionals.


The Library is divided into four sections for ease of use with the free resources clearly marked:

  • Maternal Health
  • Sexual and Reproductive Health
  • Pre-Menopause
  • Peri/Post Menopause

Access the library here


I'm late for my recertification, what should I do?


If you apply for recertification more than six weeks after your recertification date, you must:


  1. Gain the necessary CPD credits and the Basic Life Support and anaphylaxis training outlined above
  2. Complete the relevant e-SRH module no more than 12 months before your recertification application date (as opposed to within 24 months of recertification date)
  3. Provide a log (described above) covering a consecutive 12 month period within 24 months of your recertification application date (as opposed to recertification date)
  4. Stop training or supervising anybody working towards an LoC


If you are absent for more than a year and wish to apply for an extension on your recertification date, please contact us by submitting a ticket.


If it is 10 years or more since your qualification was awarded or last recertified, you will need to retake the full training programme for your qualification. For Letters of Competence, this may be via the experienced practitioner route, if appropriate.


I'm a lapsed FSRH member and I want to recertify my qualification, what are the next steps?


FSRH Council believes that membership of the FSRH – and therefore access to the latest clinical guidance, standards, Journal, CPD questions and regular updates – is an important part of the membership and recertification process. The rules surrounding back payment of subscriptions were tightened up in 2015 by FSRH Council. 


Recertification is free to current FSRH members.  Recertification is one of our member benefits and supports you professionally in a number of ways.


It helps you to:


  • demonstrate the learning outcomes achieved from your qualification(s) have been maintained
  • show you have the knowledge, skills, attitudes and behaviour needed to provide safe and effective sexual and reproductive health care (SRH)
  • meet the requirements of commissioners, who often require clinicians to have certified qualifications


If your membership has lapsed and you would like to re-join FSRH past the 31 March cut-off date for the current membership year or after one or more years, you will be required to pay back your 'missing' years to ensure you have continuous membership which is required for recertifying your primary qualification. You can easily do this by contacting us by raising a ticket


You can also pay for a one-off recertification for Letters of Competence qualification. This is £400 per LoC. 


Read more information for lapsed members here

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