Unity currently continues to accept paper or faxed referrals. Please use the templates below for referrals relating to emergency IUD insertion and non-urgent long-acting reversible contraception (LARC) procedures, including routine or complex IUD, IUS or implant insertions or removals.
We plan to introduce the NHS e-Referral Service (e-RS). We will send out communications once the e-RS becomes live for our service.
We are planning to upload the relevant referral forms to EMIS to facilitate the process. We will provide more information about this as it becomes available.
People can self-refer to Unity Sexual Health for:
Click here for information on our Unity clinics and opening hours.
If you wish to refer your patient for an emergency or post-coital IUD, please open and complete the Word document below.
Pharmacies: please email the form from your nhs.net email account to firstname.lastname@example.org
GPs: Please send this form electronically using the Electronic Referral System (ERS) once you are notified this is live- otherwise fax to 0117 9253400
PLEASE ADVISE YOUR PATIENT THAT WE WILL CONTACT THEM FROM AN ‘UNKNOWN NUMBER’ – for clarification of their details and with their appointment time- if they do not answer they cannot be offered an appointment and they will not have their IUD fitted.
Further guidance on how to calculate the latest time that an emergency IUD may be fitted is available in the document below..
If you are a GP and would like to refer a patient for a LARC method at Unity Sexual Health please see LARC referral form below.
The current commissioning arrangements for fitting the IUS and implant in our clinics, specifies that we can only fit these methods in certain situations, as below:
Patients who do not meet any of the criteria above will be advised to contact their GP for an appointment.
Fitting of IUS in Secondary Care (when not for contraception) is on the Interventions Not Normally Funded (INNF) list as ‘Criteria Based Access’ for all Bristol, North Somerset and South Gloucestershire patients. Any patients who request an appointment for this will be referred back to their GP. Please see the Intrauterine Coil Insertion and Removal in Secondary Care Policy for further information.
Central booking number 0345 872 5435
Patients can self-refer.
You can call Central Booking number on behalf of your patient, or provide it to your patient for them to call. The operator will ask for some basic information such as name, date of birth and GP details (if the patient has one). This is for all women, regardless of age, in Bristol, South Gloucestershire and North Somerset with an unplanned pregnancy. This number is free and available 24/7.
If a patient is under 18 years of age we would be very grateful if you would be able to provide us with additional information and fax this through. This is in addition to a referral via the Central Booking number. Please click here to open the under 18’s additional information form (PAS fax number 0117 342 6934).
If there are complex medical and/or social factors please phone on their behalf to make an appointment and where possible provide a letter with details (including the date of the appointment made). Please fax this to us (PAS fax number 0117 342 6934).
If you would like to speak to someone directly at Pregnancy Advisory Service regarding a specific referral, please call 0117 342 6824. You will not be able to make an appointment using this number.
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