Removing deep Implanon implants [letter]

I would like to thank Martyn Walling for his very helpful paper on removing deep Implanon which will enable other services to develop care pathways. However is it necessarily true as stated in the last paragraph that deep implants are evidently poorly inserted? This statement could have considerable medico-legal implications. The situation seems to me to be analogous to perforated intrauterine devices which may be the result of poor technique but are normally defended as a recognised complication providing that proper counselling has been documented. Unless the Faculty offers support when there are problems after proper training it will be very difficult to encourage the use of implants especially in general practice. (excerpt)