We describe a simple quality improvement project leading to a change in the configuration of referral pathways within the sexual and reproductive health (SRH) service at Margaret Pyke Centre (MPC), London, UK. This service provides open access to contraception. In 2015 the MPC provided services for 14 604 patients. Some 39% of the patients were from the local boroughs of Camden and Islington, and 92% came from all London boroughs and were equally distributed among all deprivation scores. The majority (68%) of patients are white and 78% of all patients are aged between 21 and 35 years. While 95% of patients have their needs met in a single visit, 5% require onward referral to a Level 3 specialist clinic as specified in the Framework for Sexual Health Improvement in England.