Locally Commissioned Services Herefordshire

SEXUAL HEALTH

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Contact for Pharmacies

Stan Thompson
Director of Strategy
stan.thompson@solutions4health.co.uk


Documents & Links

PGD

SLA

Expression of Interest

Sexual Health Services

EHC Forms

EHC Consultation Form

EHC Payment Claim Form

EHC Treatment Form

EHC New Supplier Form

Solutions4Health

Website

Welcome Letter

Poster

Clinic Timetable

Useful Links

Case Study

Herefordshire Safeguarding Children Board

admin.hscb@herefordshire.gov.uk

01432 260100

Website

Herefordshire Safeguarding Adults Board

admin.hscb@herefordshire.gov.uk

01432 260100

Website


This service is available to all females aged 13 years or over in Herefordshire.

The service allows the free supply of emergency hormonal contraception (EHC) as levonorgestrel under Patient Group Direction (PGD). Pharmacists will also provide support and advice to service users, ensuring that discussions about sexually transmitted infections takes place giving special considerations to signposting to chlamydia screening services.

All services are conducted face to face in the pharmacy and allow an opportunity for the pharmacist to advise the patient in a confidential, non-judgmental and easily accessible environment.

Please note this service is currently in the process of changeover as of April 2019. Contact details will be updated as soon as the changeover has been finalised. 

The current EHC service will cease on 31st March – so make sure that you have made all your claims by then. You will not be able to continue to supply EHC under that PGD after this date (nor be remunerated).

FUTURE ARRANGEMENTS:

Solutions4Health https://www.solutions4health.co.uk/  have recently been awarded the Sexual Health Service by Herefordshire Council. Unfortunately there will be a delay in sorting the new contract for pharmacies but it will be open to all pharmacies, with pharmacists who have completed CPPE DoC and will use Pharmoutcomes as now. The new PGD will include Ulipristal acetate 30mg Tablet (UPA) and Levonorgestrel 1.5mg Tablet (LNG) which will allow you to follow the latest guidance around choice of  drug.  https://www.fsrh.org/standards-and-guidance/documents/ceu-clinical-guidance-emergency-contraception-march-2017/

Solutions4health will have a clinic in Hereford. During the interim period you will need to direct patients for free NHS Service – EHC to the clinic or GPs.

It is likely that the new PGD will start on or by 1st June 2019. It may be that if you are able to sign up straight away you will be able to start earlier than the 1st of June. In the meantime make sure that you are up to date with DoC for EHC through CPPE.

May 2019 Update: The SLA and PGD have now been finalised. You can find all related documents on this page. Please email your forms/contracts and any questions to:  Stan Thompson (stan.thompson@solutions4health.co.uk)


Additional support and commonly asked questions.

  • What are the training requirements to provide EHC services in Herefordshire?
  • What premises are required to provide EHC services in Herefordshire?
  • What are the service requirements to provide EHC in Herefordshire?
  • Now that I am accredited, can I deliver the service in all pharmacies in Herefordshire?
  • If I am accredited to provide the scheme in Herefordshire can I provide it for other Local Authorities?
  • I am already accredited to provide the scheme in another Local Authority can I provide it in Herefordshire?
  • How does the Pharmacy get paid for providing the EHC service?
  • I have a safeguarding concern, what should I do?
What are the training requirements to provide EHC services in Herefordshire?

The following qualifications, training and evidence are required to deliver the service:
• Pharmacist registered with the General Pharmaceutical Council
• Enhanced Disclosure and Barring Service (DBS) clearance. It is the responsibility of the Pharmacy to ensure that all staff providing the service hold a valid enhanced DBS, (valid for 3 years).
• Declaration of Competence (DOC) (HAG accreditation) should be completed for each
pharmacist and updated every 2-3 years.
• Attendance at PGD training day within the last 3 years
• Evidence of Safeguarding Training for Pharmacists within the last 3 years, preferably at Level 2 (see CPPE https://www.cppe.ac.uk/services/safeguarding)
• Understanding of Fraser Competence guidelines

What premises are required to provide EHC services in Herefordshire?

To deliver the EHC consultations the pharmacy should have the following in place:
• Private consultation room
• Display EHC Service times and Confidentiality policy (desirable)
• Computer access and printer
• Chaperone Policy
• On or offsite storage of clinical records and written policy for the management and culling of same
• Ensure compliance with the requirements of any relevant, agreed protocols and relevant legislation related to disability and health & safety.

What are the service requirements to provide EHC in Herefordshire?

The service can only be provided in a pharmacy approved by Solutions 4 Health.
• The service will be provided at 75% of the total pharmacy opening time.
• Service access times will be promoted on the Herefordshire ISHS website
https://sexualhealthservices4herefordshire.co.uk/ for signposting clients to their local
service.
• The Lead Pharmacist is responsible for informing the Herefordshire ISHS where there may be changes to staffing that may affect service delivery, e.g. annual leave maternity leave, Pharmacist leaving; at the earliest opportunity to support ongoing service provision or signpost to alternative venues.
• Community pharmacies will offer a user-friendly, non-judgmental, client-centred and
confidential service.
• If the EHC trained pharmacist(s) are not on site, then the EHC consultation and
dispensing of drug cannot be delivered.
• Client privacy and confidentiality is of paramount importance, and each pharmacy must use a private room for consultations and clearly display the confidentiality policy
• All consultations will be recorded using the ‘’PharmOutcomes’’ system and
documentation of consultation will be in accordance with the General Pharmaceutical
Council (GPhC) guidance Standards for documentation.
• EHC Pharmacies will provide support and advice to people accessing the service,
including advice on safer sex, advice on the use of regular contraceptive methods and
signposting to other sexual health services, when required.
• A copy of the client consultation will be printed and stored securely in the pharmacy
premises.
• EHC Pharmacies will work with local networks for sexual health and the Integrated
Sexual Health Service to ensure a robust and rapid referral pathway for people who
need onward signposting to services that provide on-going contraception, for example
Long Acting Reversible Contraception (LARC) and diagnosis and management of
sexually transmitted infections (STIs).
• Resources available to appropriately signpost clients for future health care including:
Make Every Contact Count MECC, Smoking Cessation services, Local GPs for
contraception, and the Herefordshire ISHS.
• Locally held controlled drugs information should comply with current national standards, i.e. information should be retained for a minimum of 7 years, and if the person is under 18, until they reach 21.
• Any client who is excluded from EHC must be referred onto the Herefordshire ISHS or their GP within 24 hours, with a completed appropriate PGD Exemption Form.
• A copy of the anonymised exemption form must be sent to Solutions4Health on a
monthly basis.
• EHC pharmacies may receive a visit from a mystery shopper within the next twelve
months to ensure their service is young person friendly and meets the ‘You’re Welcome’ Quality Standards.
• Each Pharmacy must have an up to date Safeguarding Policy which complies with local (Solutions4Health) and national guidelines. All safeguarding issues should be referred to the Herefordshire ISHS safeguarding team.
• The pharmacy should provide literature to patients requiring information on: Sexual
health including contraception, STIs, and on alternate locations where comprehensive
screening and sexual health services are offered.

Now that I am accredited, can I deliver the service in all pharmacies in Herefordshire?

No. You can only deliver the service in pharmacies who have signed the SLA.  If you are in a pharmacy which has not signed the SLA you should signpost the young person to the nearest pharmacy providing the service.

If I am accredited to provide the scheme in Herefordshire can I provide it for other Local Authorities?

No. You will need to check the requirements of the local scheme with the local authority in which you would like to offer the scheme. You should look at the relevant LPC website and contact the Local Authority. You will need to make yourself familiar with the local scheme, SLA and PGDs.

I am already accredited to provide the scheme in another Local Authority can I provide it in Herefordshire?

No, your pharmacy must be registered with Solutions4Health.

Multiples will need to contact their Head Office for this process.

You must read and sign the Herefordshire PGDs and have completed all the training for the relevant services you wish to provide.

How does the Pharmacy get paid for providing the EHC service?

Pharmacies will get paid in accordance with Schedule 2 (found on page 22 of the SLA)

Solutions4Health shall pay the service fee within 30 days at the end of each month, on
receipt of a valid data extraction.
• A clear description of activity paid will be communicated to the Pharmacy via remittance advice on a monthly basis. In order to pay the Pharmacy, Solutions 4 Health will require bank details (BACS) to ensure payment.
• A Supplier Form will need to be completed to ensure correct details are documented, via PharmOutcomes.
• The Pharmacy consents to the disclosure of relevant information on the claim form for the purpose of Fraud prevention, detection and investigation.
• With every claim, the Pharmacy will be required to declare that the claim they are making is correct and understands that action may be taken against them if an incorrect claim is made.

I have a safeguarding concern, what should I do?

If you have a safe guarding concern you must contact the safeguarding team. Information is supplied on the LPC website. You must not assume that someone else will report the incident. Safeguarding young people and vulnerable adults is everyone’s responsibility. Anyone under 13 cannot consent to sexual intercourse and safeguarding must be informed.



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