1. Dr I Cross & Dr D Shepherd Leicester Primary Care Group
An Integrated Sexual Health Service
Dr I Cross & Dr D Shepherd
Leicester Primary Care Group

2. Motherhood and Apple Pie (or User-choice & Condoms)
User friendly – access & welcome
Cost effective
Integrated GUM and contraception
Confidential & discreet
National priorities - LARC / chlamydia

3. What we set up . . .
. . . a networked, integrated, confidential, local sexual health service pilot for Leicester city residents across 10 practices, delivered through dedicated GP & nurse appointments.

4. This involved… www.shacc.co.uk Centralised booking single access point
Staffed & served by a secure website only visible to providers
Sexual health training for practice staff
Negotiating appointments / times with practices
Advertising the service – leaflet & public website
Monthly Miquest anonymised data returns to central database via secure NHSnet mail

5. as well as… www.shacc.co.uk Governance arrangements
APMS contract and subcontracts to practices
Negotiating a local tariff for the service
Sourcing materials
Establishing a steering group
Developing an invoicing process
Banking arrangements

6. Progress so far www.shacc.co.uk Established in-principle workability
Early signs of a culture shift in SH delivery locally
You can herd cats that want to be herded
You can work with an organisation with no organisational memory
A millennium of woman years of long acting reversible contraception

7. Progress so far

8. Ongoing Challenges New SHACC practices
Service to non registered patients
How to move to a more permanent arrangement
Publicity / acceptability % work from non-Shacc provider practices (at least 16)
Fit with other services – GUM / Family Planning
Are short term financial pressures more important than long term service re-design for the PCT?

9. Questions?

10. The potential gains

11. The potential gains