BPAS Bournemouth provided a compassionate, caring and non-judgemental service in line with BPAS values as an organisation. Sufficient staff were available with the skills and training to provide care. BPAS produced policies that took account of best practice policies and evidence based guidelines. For example, in line with Royal College of Obstetricians and Gynaecology (RCOG) guidance and the Required Standard Operating Procedures (RSOP) guidance from the Department of Health. BPAS also carried out its own research before the implementation of simultaneous early medical abortion up to nine weeks. Risk assessments and audits including how the service was adhering to legal requirements regarding completion and submission of HSA1 and HSA4 forms were undertaken. This information was reported monthly to head office as part of the organisation’s quality assurance processes. Incidents and complaints were reported, investigated and actions taken to reduce the recurrence. The unit manager had recently developed a unit risk register which was under review to monitor and mitigate risks. The service had received three formal complaints between January to December 2015 which had all been investigated and lessons learnt where appropriate.
All staff were trained in safeguarding vulnerable adults and safeguarding children to level 3) and obtained advice from the unit safeguarding lead or national safeguarding leads as needed. Arrangements were in place to transfer patients to the local NHS hospital if the need arose, accompanied by a member of BPAS staff.
Clear suitability for treatment guidelines were followed. In cases where women had complex medical needs, suitable alternative placements were identified to respond to their needs. All patients were offered a pregnancy options discussion with a BPAS client care coordinator as part of their consultation.The service signposted women to the after care advice line and post abortion specialist counselling if the need arose. Women were able to access services in a timely manner. In 2015 the proportion of women at BPAS Bournemouth who had their consultation within five days was 87%. The percentage of available appointments was 99.5%.
However, although the consultation documentation included a section on disposal of pregnancy remains, our review of records showed that in four out of eight records the patients wishes with regards to disposal of pregnancy remains was not documented.