The aim of a termination of pregnancy service is to provide high quality, efficient, effective, and legal and comprehensive care, which respects the dignity, individuality and rights of women to exercise personal choice over their treatment. Any woman considering termination of pregnancy should have access to clinical assessment. An ideal service for termination of pregnancy should provide counselling, contraceptive advice, gestational age assessment by ultrasound, a specialist nurse and a clinician for clinical assessment and management. Training in termination of pregnancy care has become an integral part of generic and reproductive health care, with particular relevance for patient choice, communication skills and tolerance of diversity, as well as clinical and surgical care. Primary care organisations should ensure that the services provided are audited against Department of Health guidance for the registration of pregnancy advice bureaux and the Royal College of Obstetricians and Gynaecologists (RCOG) guideline.