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.