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Feedback – FEB 27 – 4pm to 5.30 pm Health Matters Event: Sexual health services

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Clinical Services and How To Refer

  • Patient self-referral

    People can self-refer to Unity Sexual Health for:

    Click here for information on our Unity clinics and opening hours.

  • GP referral

    Unity currently continues to accept paper or faxed referrals. Our current waiting time for appointments is approximately 6-8 weeks. Patients are welcome to attend the walk-in for most services (see above section).

    Referrals can be sent to: Unity Sexual Health, Central Health Clinic, Tower Hill, Bristol, BS2 0JD.

    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.

  • 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: Please email the form from your nhs.net email account to ubh-tr.unitycentral@nhs.net
    • GP: Please fax to 0117 925 3400. Once you are notified ERS is live, we will be accepting referrals electronically.

     

    PLEASE ADVISE YOUR PATIENT THAT WE WILL CONTACT THEM FROM AN ‘UNKNOWN NUMBER’

    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.

  • IUS and implant fitting and removal

    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.

    • For patients requesting an IUS, 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

     

    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 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.

  • 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. However, all patients, whatever their age, gender, sexuality or sexual health issue can attend any walk in clinic (click here for clinic and opening time details) to be seen to discuss their concerns.

    When referring patients into our specialist clinics it is extremely helpful if you could include a printout of 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.

    Address this letter to:   Fay Webb, Administrator, Unity Central, Central Health Clinic, Passage St, Bristol, BS2 0JD.

    Alternatively, fax the referral to 0117 925 3400

     

  • 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.

    Address this letter to: Diane Anscombe, Unity Sexual Health, Central Health Clinic, Tower Hill, Bristol, BS2 0JD.

    Alternatively, fax the referral to 0117 925 3400.

 

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