Common use of Evidence Base Clause in Contracts

Evidence Base. There is strong evidence to support the use of EHCs to support women with pregnancy choices. Pharmacists must have the appropriate competency and have completed the self-declaration in order to deliver the EHC under the PGD. The must be familiar with and follow NICE, BASH and FSRH guidance relating to contraception and Sexual Health. BASH Home Page NICE Guidance on EHCs FSRH home page The service will be underpinned by the following A quality Standard for contraceptive services (FSRH, 2014) PH51 Contraceptive services with a focus on young people up to the age of 25 (NICE, 2014) A Framework for sexual Health Improvement in England (DH, 2013) Clinical governance in Sexual Health (DH, 2013) Service Standards for Sexual and Reproductive Healthcare (FSRH 2013) British HIV Association Standards of Care for People Living with HIV (BHIVA 2013) Clinical Guidance – Emergency Contraception (FSRH 2011) UK National Guideline on Safer Sex Advice (BASHH & BHIVA 2012) National Chlamydia Screening Programme Standards (6th Edition 2012) Recommended Standards for Sexual Health Services (MEDFASH 2005) NICE guidelines on prescribing. UKMEC Clinical Guidance for delivery of EHC by the FSRH MHRA Guidance 1.3 General Overview Spectrum Community Health CIC has been awarded the contract to deliver an Integrated Sexual Health Service for Barnsley until April 2019. Spectrum is integrating the GUM and CASH elements of the service and is putting greater focus on prevention of STIs and unintended conceptions. To bring this into practice we are managing and leading a service transformation which requires a change in the model for sexual health provision in Barnsley. Spectrum is delivering an integrated sexual health service with an increase in both the capacity for, and the impact of, the prevention element of the service. Spectrum is investing in dual training of clinical staff to deliver integrated holistic sexual health services in multiple locations .Spectrum uses various methods to increase access to sexual health services for targeted high risk groups. Spectrum is investing in a programme of education and support in schools and other non-school settings, incorporating innovative delivery methods. The service model will promote pro-active outreach work and deliver a one-stop-shop model offering choice to reach all target groups. Spectrums 3 criteria for delivering the Pharmacies EHC element of the service; The service offer will be high quality, integrating contraception needs with STI prevention, open to all but also targeted at areas and groups at higher risk of STIs and unintended pregnancy. The pharmacy will preferably have extended opening hours (late nights and weekends). 1/ High Quality: Competent pharmacist providing full choice of contraceptive methods: All pharmacists delivering the Spectrum EHC scheme must have relevant in date documentation (self-declaration) to enable them to deliver the EHC. Pharmacists will be expected to evidence CPPE training (through DH) in order to deliver EHC. Difficult cases can be discussed with the clinical team within ISHS. Spectrum will also support the professional development of all relevant practitioners and organisations in Sexual Health through guidance, professional network and sharing best practice. Spectrum will also deliver access to EHC through the main hub and a number of community spokes. Each individual pharmacist providing the service must: Complete the Declaration of Competence (DoC) for EHC process (at least every 3 years). This should be returned to Spectrum when signed documentation entering in to this scheme is returned. ▇▇▇.▇▇▇▇.▇▇.▇▇/▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇▇-▇▇-▇▇▇▇▇▇▇▇▇▇ It is the duty of the pharmacy commissioned to provide the sexual health (EHC) service to ensure that all individual pharmacists delivering this service from their premises are: • Fit to Practise • Suitable to deliver the service • Can demonstrate they are competent to deliver the service Asking for copies of the Declaration of Competencies (DoC) from all pharmacists who provide the service from within your pharmacy can be a mechanism of ensuring that as a pharmacy contractor you can demonstrate that the pharmacists providing the service are competent to deliver the EHC service. The commissioner may request from a pharmacy copies of the DoC for each pharmacist who has supplied EHC under this service. 2/ Integrated Service Delivery: STI risk discussion, and access to condoms for under 25yr olds, at the same time as the EHC discussion. Pharmacies in the Spectrum EHC Scheme will as appropriate discuss STI risk and risk reduction, and provide condoms. They will ask the patient for consent for a follow up phone call from ISHS to ensure that the care plan is complete, and the patient has provision for more appropriate contraception and any STI needs are met. 3/ Targeted: To geographical areas of high need as evidenced by the sexual health intelligence data and information.

Evidence Base. There is strong evidence to support the use of EHCs to support women with pregnancy choices. Pharmacists must have the appropriate competency and have completed the self-declaration in order to deliver the EHC under the PGD. The must be familiar with and follow NICE, BASH and FSRH guidance relating to contraception and Sexual Health. BASH Home Page NICE Guidance on EHCs FSRH home page The service will be underpinned by the following  A quality Standard for contraceptive services (FSRH, 2014)  PH51 Contraceptive services with a focus on young people up to the age of 25 (NICE, 2014)  A Framework for sexual Health Improvement in England (DH, 2013)  Clinical governance in Sexual Health (DH, 2013)  Service Standards for Sexual and Reproductive Healthcare (FSRH 2013)  British HIV Association Standards of Care for People Living with HIV (BHIVA 2013)  Clinical Guidance – Emergency Contraception (FSRH 2011)  UK National Guideline on Safer Sex Advice (BASHH & BHIVA 2012)  National Chlamydia Screening Programme Standards (6th Edition 2012)  Recommended Standards for Sexual Health Services (MEDFASH 2005)  NICE guidelines on prescribing.  UKMEC  Clinical Guidance for delivery of EHC by the FSRH  MHRA Guidance 1.3 General Overview Spectrum Community Health CIC has been awarded the contract to deliver an Integrated Sexual Health Service for Barnsley Wakefield until April 2019. Spectrum is integrating the GUM and CASH elements of the service and is putting greater focus on prevention of STIs and unintended conceptions. To bring this into practice we are managing and leading a service transformation which requires a change in the model for sexual health provision in BarnsleyWakefield . Spectrum is delivering an integrated sexual health service with an increase in both the capacity for, and the impact of, the prevention element of the service. Spectrum is investing in dual training of clinical staff to deliver integrated holistic sexual health services in multiple locations .Spectrum uses various methods to increase access to sexual health services for targeted high risk groups. Spectrum is investing in a programme of education and support in schools and other non-school settings, incorporating innovative delivery methods. The service model will promote pro-pro- active outreach work and deliver a one-stop-shop model offering choice to reach all target groups. Spectrums 3 criteria for delivering the Pharmacies EHC element of the service; The service offer will be high quality, integrating contraception needs with STI prevention, open to all but also targeted at areas and groups at higher risk of STIs and unintended pregnancy. The pharmacy will preferably have extended opening hours (late nights and weekends). 1/ High Quality: Competent pharmacist providing full choice of contraceptive methods: All pharmacists delivering the Spectrum EHC scheme must have relevant in date documentation (self-declaration) to enable them to deliver the EHC. Pharmacists will be expected to evidence CPPE training (through DH) in order to deliver EHC. Difficult cases can be discussed with the clinical team within ISHS. Spectrum will also support the professional development of all relevant practitioners and organisations in Sexual Health through guidance, professional network and sharing best practice. Spectrum will also deliver access to EHC through the main hub and a number of community spokes. Each individual pharmacist providing the service must: Complete the Declaration of Competence (DoC) for EHC process (at least every 3 years). This should be returned to Spectrum when signed documentation entering in to this scheme is returned. ▇▇▇.▇▇▇▇.▇▇.▇▇/▇▇▇▇▇▇▇▇/▇▇▇▇▇▇▇▇▇▇▇-▇▇-▇▇▇▇▇▇▇▇▇▇ It is the duty of the pharmacy commissioned to provide the sexual health (EHC) service to ensure that all individual pharmacists delivering this service from their premises are: • Fit to Practise • Suitable to deliver the service • Can demonstrate they are competent to deliver the service Asking for copies of the Declaration of Competencies (DoC) from all pharmacists who provide the service from within your pharmacy can be a mechanism of ensuring that as a pharmacy contractor you can demonstrate that the pharmacists providing the service are competent to deliver the EHC service. The commissioner may request from a pharmacy copies of the DoC for each pharmacist who has supplied EHC under this service. 2/ Integrated Service Delivery: STI risk discussion, and access to condoms for under 25yr olds, at the same time as the EHC discussion. Pharmacies in the Spectrum EHC Scheme will as appropriate discuss STI risk and risk reduction, and provide condoms. They will ask the patient for consent for a follow up phone call from ISHS to ensure that the care plan is complete, and the patient has provision for more appropriate contraception and any STI needs are met. 3/ Targeted: To geographical areas of high need as evidenced by the sexual health intelligence data and information.