EHC & Chlamydia Screening (Leicester City Public Health)


 

This Service is the agreement between Community Pharmacies and Leicester City Council for the provision of  the following community pharmacy based services:

 

 

 

 

Emergency hormonal contraception     

Chlamydia screening and treatment 
Eligibility For women under 24 years. For sexually active patients aged 15-24 yrs who comply with the clinical criteria, regardless of their area of residence
Contract Duration 1st April 2014 – 31st March 2015 1st April 2014 – 31st March 2015
Background The Community Pharmacy will provide Levonelle to women under 24 years of age who request this and where it is clinically appropriate and, when providing this service to provide clients with information relating to contraception, pregnancy testing sites and local sexual health services / pathways.Aims and objectives of the EHC Service Deliver opportunistic Chlamydia screening and treatment (Clamelle Tablets) service to 15-24 year old clients in line with the National Chlamydia Screening Programme and locally agreed protocols and care pathways.

Contract Variation – Community Based Services Contract (Emergency Contraception) – July 2019


Aims and objectives of the Opportunistic Chlamydia Screening Service

  • Offer a user-friendly, non-judgmental, client-centered and confidential service. The service offered will be in line with the ‘You’re Welcome’ criteria http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_073586
  • To increase the knowledge of risks associated with STIs.
  • Active promotion of the Chlamydia Screening Programme, and raising general awareness of chlamydia and other sexual health issues to promote good sexual health
  • Providing clear signposting and advice in relation to services and pathways patients will follow post screening.
  • To strengthen the local network of contraceptive and sexual health services to help ensure easy and swift access to advice.
  • To provide opportunistic chlamydia screening to 15-24 year olds
  • Provide Clamelle treatment to clients under the product license and over the counter (OTC) following the Clamelle national eligibility protocol as detailed in Annex C.
  • Refer excluded clients as soon as possible to another local service that can assist them.
  • Provide support and advice to clients accessing the service. This includes advising on the avoidance of pregnancy and sexually transmitted infections (STIs) through safer sex and condom use, (including long acting reversible contraceptive methods intrauterine devices, contraceptive implants and injectables)
  • Provide onward signposting to services that provide long-term contraceptive methods, diagnosis and management of STIs.
  • Provide the name(s) of the designated lead that the Chlamydia Screening Office will liaise with for the treatment of positive patients. The contractor will immediately notify the Chlamydia Screening Office of changes in the designated lead
  • To treat chlamydia positive patients, via locally agreed protocol and returning all required Chlamydia Screening Office paperwork to confirm treatment has taken place.
  • To collect the necessary details to enable Chlamydia Screening Office to cross reference partners
  • Manage stock of kits provided by the Chlamydia Screening Office.
  • Provide advice on the use of condoms to prevent infection and public health information on safer sex practices.
  • Ensure that all health care professionals are compliant with the local protocols for the clinical management of all patients in receipt of services covered by this SLA.

1.1       The aim of this service is to reduce unintended pregnancy and improve sexual health by:

  • Provision of free Emergency Hormonal Contraception to young women in Leicester in line with requirements of the locally agreed Patient Group Direction (PGD).
  • Provision of sexual health support and advice to clients accessing the service including onward signposting to other sexual health services.
  • To increase the knowledge, especially among young people, of the availability of emergency contraception and contraception from pharmacies.
  • To increase the knowledge of risks associated with STIs.
  • To strengthen the local network of contraceptive and sexual health services to help ensure easy and swift access to advice.

To provide Levonelle to women under 25 years of age who request this and where it is clinically appropriate and, when providing this service to supply six condoms and specified information. .


Service description/pathway

2.1    Community pharmacy contractors (providers) will supply Levonorgestrel Emergency Hormonal Contraception (EHC) when appropriate to clients in line with the requirements of the locally agreed Patient Group Direction (PGD).

2.2     It is a condition that provider pharmacies deliver the service using NHS accredited registered pharmacists who will offer a user-friendly, non-judgmental, client-centered and confidential service. The service offered will be in line with the ‘You’re Welcome’ checklist which can be found at:


Annex A:  Training Requirements

Pharmacist Training Requirements Evidence Required
CPPE Modules (open learning)

  1. EHC
  2. Safeguarding
  3. Contraception
New providers to complete prior to attending local EHC workshop. Existing providers to evidence completion. Certificate of completion of CPPE module. DBS
Local Workshop which covers

  • PGD
  • Working with young people
  • Local safeguarding
  • Local services and referral routes
  • Chlamydia screening
Sessions organised and delivered by LLR Sexual Health Service.   Contact: Service/name ……….. email ……………… telephone……………….   For details. Certificate of attendance and refresh every 3 years
Pharmacy based training for delivery of Chlamydia Screening for pharmacy  LLR Sexual Health Service to provide training/support at commencement of service as required.  Sexual Health Service information.

 

3. Training requirements

3.1 The contractor must satisfy the Local Authority that pharmacists providing this service have attended the organised training events The Community Pharmacy must satisfy the Local Authority that Pharmacists are appropriately trained to provide the community based service detailed in Annex A.

3.2 Each individual pharmacist offering this community based service, (for and on behalf of a pharmacy contractor), must be fully trained with accreditation recognised by the Local Authority.

3.3 In addition to the above training, individual accredited pharmacists must every three years attend a refresh session organised by the Local Authority and keep up to date with changes in clinical practice including the medications and regulations that may impact upon this service to ensure that they are able to provide the most up to date and effective service. The Community Pharmacist delivering the service must have completed  appropriate  training to enable them to provide medication using a Patient Group Direction.

3.4 Up to date certificates of competency must be maintained and copies may be requested by the Local Authority.

3.5 COMMUNITY PHARMACY PROVIDERS SHALL INFORM THE LOCAL AUTHORITY IMMEDIATELY SHOULD THE ACCREDITED PHARMACIST CEASE WORKING AT THE PHARMACY.

3.6 The pharmacy must have an accredited confidential and private consultation area (as per MUR requirements).

3.7 The contractor will ensure appropriate training for staff which may include the attendance at training events organised by the Local Authority.

Aims & Requirements of the service

  • To increase the knowledge of risks associated with STIs.
  • Active promotion of the Chlamydia Screening Programme, and raising general awareness of chlamydia and other sexual health issues to promote good sexual health.
  • Providing clear signposting and advice in relation to services and pathways patients will follow post screening.
  • To strengthen the local network of contraceptive and sexual health services to help ensure easy and swift access to advice.
  • To provide opportunistic chlamydia screening to 15-24 year olds
  • To treat chlamydia positive patients, via locally agreed protocol and returning all required Chlamydia Screening Office paperwork to confirm treatment has taken place.
  • To collect the necessary details to enable Chlamydia Screening Office to cross reference partners.
  • Manage stock of kits provided by the Chlamydia Screening Office.
  • Provide advice on the use of condoms to prevent infection and public health information on safer sex practices.

Claiming payment

The NHS standard Contract requires providers to submit an invoice and monitoring information to the Commissioner electronically by the 11th day of each quarter as specified below:

Quarter Period Covered Submission Date for Invoices
One 1st April – 30th June 11th July
Two 1st July – 30th September 11th October
Three 1st October – 31st December 11th January
Four 1st January – 31st March 11th April

Where to send your claim

 


Document Downloads

Service Specification Appendix 1. Palliaitive Care Drugs FINAL
Quality Requirements Appendix 2. Quality Schedule Pharmacy Final
FAQs Community Based Services FAQ Pharmacy
List of Pharmacies 2014 List of Pharmacies 0306
Sample Invoice & Data monitoring Form 1415 Qtr 1 Pharmacy out of date drugs claim form
Guidance on completing Claim Forms Step-by-step Guidance on how to complete Pharmacy Claim Forms 1415 final

Further information

Liz Rodrigo Public Health Principal, Leicester City Council  0116 4542029  liz.rodrigo@leicester.gov.uk
Jasmine Murphy Consultant in Public Health, Leicestershire County Council
Janet Hutchins Leicestershire County Council j

 

Leicestershire County and Rutland:  Janet Hutchins: email janet.hutchins@leics.gov.uk; tel: 0116 3054255

All pharmacies will be audited once a year to ensure they comply with quality standards of training and DBS . They may also be mystery shopped by young people

 Address: