Interpretation
NICE conducted a systematic review and recommended using telemedicine to improve access to medical abortion care(4). Several models for using telemedicine to facilitate medical abortion have been described, but most existing trials are small, and many required attendances to have medicines administered or for an ultrasound scan or blood tests(8). Our study is the first to assess a real-world no-test telemedicine abortion care pathway in a national population. This new national model demonstrates how a permissive framework for medical abortion can deliver significant quality improvements to those needing to access abortion care.