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We thank Dr Amanda Britton1 for her comment on our article2 in which we compared the upfront clinical care costs of providing an intrauterine system within our community service with those calculated by the National Institute of Health and Care Excellence (NICE).3 As pointed out by Dr Britton, we did not include the cost of overheads as these were not included in the NICE cost-impact report. However, we acknowledge that the overhead costs in a community setting are likely to be different to those in a primary care setting and these would need to be taken into consideration when commissioning services.
Competing interests None.
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