Whole System. Relationships The pharmacy delivering this service will establish partnerships or be familiar with relevant national and local organisations that will include: Spectrum Integrated Sexual Health Service Social Care Direct FSRH BASHH Termination of pregnancy services 2.4 Relevant networks and screening programmes Barnsley Sexual health provider network 3. Service Delivery 3.1 Service model Sub-contracting any part of the spec is not allowed, all practitioners must be verified by Spectrum as meeting the essential criteria. B. Integrated Service Delivery Pharmacies in the Spectrum EHC Scheme will, as appropriate, discuss STI risk/testing and risk reduction, and access to condoms at the same time as the EHC in discussion. They will also discuss contraception choices using the document supplied and obtain consent for referral in to ISH Services. C.
Whole System. Relationships The pharmacy delivering this service will establish partnerships or be familiar with relevant national and local organisations that will include: Spectrum Integrated Sexual Health Service Social Care Direct FSRH BASHH Termination of pregnancy services 2.4 Relevant networks and screening programmes • Wakefield Sexual health provider network 3. Service Delivery 3.1 Service model Sub-contracting any part of the spec is not allowed, all practitioners must be verified by Spectrum as meeting the essential criteria. B/ Integrated Service Delivery Pharmacies in the Spectrum EHC Scheme will, as appropriate, discuss STI risk and risk reduction, and access to condoms (C-Card at reception) at the same time as the EHC n discussion. C/ Targeted. Appropriate safeguarding of all must be paramount. To areas of high need as evidenced by the sexual health intelligence data and information. Undertake regular continuing professional development (CPD) Staff working in the pharmacy (dispensers/counter assistants/pharmacy technicians) need to be familiar with the scheme so they can ensure the patient has access to the appropriately trained pharmacist. The pharmacy must also comply with current infection control regulations. There should be an appropriate room to enable the patient/pharmacist to have a confidential consultation. Identify women at risk of STIs by taking of a comprehensive clinical and sexual history and offer appropriate screening, referral to the Spectrum Community Health CIC website, so they can order their own Chlamydia Screening kits should they wish. Obtain informed consent prior to provision of EHC. Advise on use of condoms to prevent infection and further pregnancy risk, preferably in conjunction with a reliable method of contraception. Advice should be provided to the patient regarding action on any side effects or vomiting/diarrhoea and what to do about recommencing any existing oral hormonal contraceptive method. Adequate recording of consultation, batch number and expiry date of the EHC. For pharmacies eligible for EHC Scheme Provide written and oral information about the EHC at time of administration/dispensing on follow up, expected side effects and effect on menstrual cycle and action on menstruation or amenorrhoea, which may require further tests/follow up. Produce an appropriate clinical record. Adequate recording should be made regarding the patients clinical and sexual history, the discussion, the de...
Whole System. Relationships The service will integrate with other local community services including local GPs through formal pathways. The service will develop innovative technological approaches (such as PACS and other diagnostic technologies) to link with other providers to assess patients. The provider will develop relationships with other local stakeholders as part of the development and promotion of the MIU service; this will include local businesses and local schools. The provider will utilise existing, or form new, local community representative groups to assist with service improvement and developments. 2.4 Interdependencies The service has several interdependencies; they include local GPs and local secondary care hospital services. The MIU service is dependant on these services accepting patient referrals to enable continuity of care without patients having to make a repeat MIU attendance for the same episode. The service is dependant on the on-site x-ray service to enable timely x-rays and reporting to ensure patients can be seen, treated and discharged without onward referral to secondary care where appropriate. The service is also dependant on the local ambulance service adhering to the pre-agreed clinical protocols (see appendix) for MIU accepted patients to avoid an unnecessary delay in the patients care if they then require an onwards journey to A&E. This dependency also includes locally agreed arrangements between the ambulance service and the MIU provider for notifying the MIU of ambulance arrivals to allow for the prompt clinical handover. The service is dependant on other support services providing an appropriate response, in particular non-emergency patient transport service for patients requiring and eligible for transportation following their onward referral. 2.5 Relevant networks and screening programmes The MIU provider may be required to participate in local urgent care network meetings as required and provide ad hoc information about activity, particularly at seasonal times of pressure on the whole emergency and urgent care system (winter and summer). The provider is expected to develop a business continuity plan which can be shared with the whole health economy, particular during the winter months. The MIU provider may be required to participate in national reviews of urgent care services.
Whole System. Relationships The pharmacy delivering this service will establish partnerships or be familiar with relevant national and local organisations that will include: • Spectrum Integrated Sexual Health Service • Social Care Direct • FSRH • BASHH • Termination of pregnancy services 2.4 Relevant networks and screening programmes • Barnsley Sexual health provider network 3. Service Delivery 3.1 Service model Sub-contracting any part of the spec is not allowed, all practitioners must be verified by Spectrum as meeting the essential criteria. B.
