Leah Spasova, a psychologist from Oxfordshire, has won a landmark case with the U.K. health ombudsman after a 10-year battle to obtain sterilization through the National Health Service (NHS).
The Parliamentary and Health Service Ombudsman (PHSO) determined that a local health body, the Buckinghamshire, Oxfordshire, and Berkshire West Integrated Care Board (ICB), engaged in discriminatory practices by denying funding for female sterilization while routinely funding vasectomies for men.
The investigation revealed that Spasova’s request was denied based on concerns regarding potential “regret” and cost, factors that were not applied to men seeking permanent contraception in the same region.
The ombudsman found the ICB’s approach to be unfair and inconsistent, noting that it failed to respect the principle of patient autonomy. Spasova criticized the policy for taking “liability for her feelings” rather than respecting her medical decisions.
Following the ruling, the health authority has accepted the findings and introduced a new policy to ensure equitable access to female sterilization.
Paula Sussex, the ombudsman, emphasized that the case highlights the systemic inequalities women face in accessing permanent contraception and underscores the importance of the patient voice in driving policy change. While female sterilization is highly effective, it involves more invasive surgery than a vasectomy, yet this case ensures that the decision-making process is now based on clinical criteria rather than subjective bias.