Letter of Competence in Subdermal Contraceptive Implant Techniques (LoC SDI)

The Letter of Competence in Subdermal Contraceptive Implants (LoC SDI) training programme involves an e-learning programme and one-to-one practical training sessions on insertion and removal of subdermal contraceptive implants.


  • Doctors with both registration and a licence to practise with the UK GMC or nurses on the UK NMC register (excluding RN Level 2).
  • Passed e-knowledge assessment(eKA) or holds current DFSRH, NDFSRH, MFSRH or FFSRH
  • Completion of e-SRH Module 17 within the 6 months prior to your first training session. A certificate of completion must be forwarded to Ceri Gifford, Training Administrator
  • Competent in consultation skills.
  • Up-to-date with resuscitation and anaphylaxis including competent to give intramuscular injections.

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If you are not employed by CNWL you must provide additional documentation before you are permitted to see patients within our service. Please contact Ceri Gifford, Training Administration Manager for more information.

Maximum timeframes

  • Three years between eKA pass and LoC application
  • Two years between eKA pass and start of model arm/clinical assessments
  • Six months between completion of e-SRH Module 17 and start of model arm/clinical assessments.

Where an application does not meet these requirements further training will be required prior to certification.

Practical training sessions

LoC SDI training sessions take place at Margaret Pyke Centre (Camden) and Archway Centre (Islington). You will be scheduled two sessions in dedicated SDI procedure clinics. We will contact you to plan your training schedule, which you will be asked to approve.

If we need to reschedule your training due to clinic or staffing changes, we will give you as much notice as possible and we will aim to reschedule your sessions at a convenient time.


The fee for the SDI training sessions is £200 which must be paid in full before your training begins. This is in addition to the fees payable to the FSRH for the eKA, yearly subscription to the FSRH and registration of the Letter of Competence. 

For an application form and payment details please contact Ceri Gifford, Training Administration Manager.

More information

For more information about SRH training in Camden and Islington please contact:

Ceri Gifford
Training Administration Manager
5th Floor
Mortimer Market Centre
Capper Street
Telephone: 020 3317 5471
Email: ceri.gifford@nhs.net