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Clinical Services and How To Refer

For professionals requiring urgent clinical advice, please contact us on: on 0117 342 6913

  • Patient self-referral

    Our testing and referral pathways have changed and will continue to change as a result of COVID-19.  We will keep this page updated with current pathways.

    People can self-refer to Unity Sexual Health for:

    For information on current Unity clinics and opening hours please visit the homepage. *Please note due to Covid 19 all patients who self refer to our walk in clinic require a telephone appointment before they are seen. Patients should call 0117 342 6900 to arrange this. If your patient is struggling to access our service and you feel they need review please call our number for professionals only on 0117 342 6913

  • GP referral

    COVID UPDATE December 2020 : Our testing and referral pathways have changed and will continue to change as a result of COVID-19.  We will keep this page updated with current pathways.

    If you wish to contact Unity Sexual Health you may do so in the following ways:

    Urgent referrals or for sexual health advice:

    • During clinic opening hours call clinic lab on 0117 3426913 (see website unitysexualhealth.co.uk for opening times)
    • At other times or if unable to get through, call and leave a message with a DIRECT LINE or MOBILE PHONE NUMBER for reply on the secure answerphone on 0117 3426944 (health advisers) or 0117 3426933 (direct line to reception). The message will be passed to the covering doctor for the next clinical session.
    • We regret that due to time constraints we are unable to return calls to callers who leave a main GP surgery phone number for a call back unless there is an option for professionals to get straight through.

    Emergency IUD referral:

    Routine/ non-urgent/ psychosexual referrals:

    If your patient requires non urgent review, please email a referral to the address below and we will contact the patient.

     

     

    DURING NORMAL TIMES:

    Unity currently accepts referrals sent via email only. Our current waiting time for appointments is approximately 6-8 weeks. Patients are welcome to self-refer for most services (see above section).

    Referrals can be sent to: UBH-TR.UNITYCENTRAL@NHS.NET

    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.

    The relevant referral forms have been uploaded to EMIS to facilitate the process. We will provide more information about this as it becomes available.

  • Post-coital / Emergency contraceptive IUD

    If you wish to refer your patient for an emergency or post-coital IUD, please open and complete the Word document below.

    • Pharmacy and GP: Please email the form from your nhs.net email account to ubh-tr.unitycentral@nhs.net
    • GP:  Once you are notified ERS is live, we will be accepting referrals electronically via this system. In the meantime please use the ab0ve address.

    PLEASE ADVISE YOUR PATIENT THAT WE WILL CONTACT THEM FROM A “No Caller ID” or “Witheld”  NUMBER. We will attempt to call them on a maximum of two occasions. If they do not asnwer after the second call no further attempts will be made.

    All patients will be contacted prior to the offer of an appointment to clarify their details and confirm appointment timings. 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 and also on the sexual health pages of the Remedy website.

  • IUS and implant fitting and removal: LARC REFERRALS

    If you are a GP and would like to refer a patient for a LARC method at Unity Sexual Health please see the LARC referral form below and send to : ubh-tr.larcreferrals@nhs.net

    • For patients requesting an IUS or IUD, you may wish to highlight the IUC self assessment form which they may complete and bring with them to their appointment
    • All lost thread referrals for removal must have an ultrasound report included from the last 6 months confirming that the IUS/IUD is in situ
    • For complex implant removals please state whether the implant was palpable
    • Further information about LARC referrals may be found on the sexual health pages of the Remedy website

     

    The current commissioning arrangements for fitting the IUS and implants in our clinics specifies that we can only fit these methods in certain situations, as below:

    • There has been a referral from a GP for specific contraception advice and request for fitting of long acting reversible contraception
    • Where a GP cannot remove an implant, Unity will remove and replace if a further implant is required
    • IUD/IUS removal and replacement is outside scope of GP contract
    • Medical complexity of an individual requiring LARC which is outside GP expertise and requires specialist sexual health advice/treatment such as long term medical conditions
    • Any young person under 20 attending Unity Sexual Health
    • Where there is no alternative form of contraception in place at the time of presentation (excluding the use of condoms).

     

    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. Please note, where an IUS has been fitted at the age of 45 or over, the device may be retained for contrcaeption until the age of 55. If used as the progestogenic component of HRT the device must be replaced every 5 years but this would require a referral to gynaecology services – not Unity.

     

  • Pregnancy Advisory Service

    Central booking number  0345 872 5435

    Patients can self-refer on this 24-hour telephone line.

    You can call the 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 (you can either email this to ubh-tr.TeenagePregnancyOutreachNurses@nhs.net from a secure nhs.net email only or send the referral in the post to FAO PAS Outreach Nurses, Unity Sexual Health, Central Health Clinic, Tower Hill, Bristol, BS2 0JD.).

    This is in addition to a referral via the Central Booking number.  Please see below for the Under 18’s Additional Information form.

    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).

    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.

  • Specialist clinics

    At Unity we offer a number of specialist clinics.

    In general, patients will need to be referred into these clinics.

    When referring patients into our specialist clinics it is extremely helpful if you could include their medical history, medications and relevant tests or previous relevant referrals.

    The following patients can be seen in specialist clinics:

    • Men with chronic pelvic pain
    • Men with chronic urethral discharge
    • Women with recurrent bacterial vaginosis
    • Women with recurrent thrush
    • Women with chronic unexplained troublesome vaginal discharge or other vulvo-vaginal symptoms
    • Women with complex contraception issues
    • Women requiring long acting reversible contraception that cannot be provided by the surgery
    • Women with deep or impalpable contraceptive implants

    Please note that we are not commissioned to provide advice or treatment for menopausal symptoms.

    To refer a patient to our service please write a letter and include a summary of all medical conditions, medication, treatments tried and relevant test results.

    Please email your referral to:  UBH-TR.UNITYCENTRAL@NHS.NET

  • Psychosexual service

    We continue to offer psychosexual services to the patients of Bristol, North Somerset and South Gloucestershire.

    To refer a patient to this service please write a letter and include a summary of all medical conditions, medication, treatments tried and relevant test results.

    Please email this to: UBH-TR.UNITYCENTRAL@NHS.NET

     

 

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