Dr. Mary Favier:

The expectation is that a service can be provided very safely in a community setting up to and including nine weeks. Between nine weeks and 12 weeks, as Dr. Boylan has said, complications become more problematic and there are more dating issues. We will need a very careful well elaborated pathway. When we talk about clinical care pathways we mean how to plot the journey a woman takes from the beginning through to the end of a service so that there is an expectation by the clinician providing the care of what that service will be. When we talk about guidance and clinical guidance we mean that we set up a section, a written education reference structure, so that clinicians can understand what they are doing. We will need careful clinical guidance, which we would develop with the institute, we will need very careful clinical care pathways and we will need significant resourcing. Before nine weeks we would expect to be in a community setting, between nine weeks and 12 weeks with the significant support of the hospitals or entirely hospital based and after 12 weeks it would be in the hospitals.