Common use of Whole System Clause in Contracts

Whole System. Relationships The pharmacy delivering this service will establish partnerships or be familiar with relevant national and local organisations that will include: Spectrum Integrated Sexual Health Service Social Care Direct FSRH BASHH Termination of pregnancy services 2.4 Relevant networks and screening programmes Barnsley Sexual health provider network 3. Service Delivery 3.1 Service model Sub-contracting any part of the spec is not allowed, all practitioners must be verified by Spectrum as meeting the essential criteria. B/ Integrated Service Delivery Pharmacies in the Spectrum EHC Scheme will, as appropriate, discuss STI risk and risk reduction, and access to condoms (C-Card at reception) at the same time as the EHC n discussion. C/ Targeted. Appropriate safeguarding of all must be paramount. To areas of high need as evidenced by the sexual health intelligence data and information. Undertake regular continuing professional development (CPD) Staff working in the pharmacy (dispensers/counter assistants/pharmacy technicians) need to be familiar with the scheme so they can ensure the patient has access to the appropriately trained pharmacist. The pharmacy must also comply with current infection control regulations. There should be an appropriate room to enable the patient/pharmacist to have a confidential consultation. Identify women at risk of STIs by taking of a comprehensive clinical and sexual history and offer appropriate screening, referral to the Spectrum Community Health CIC website, so they can order their own Chlamydia Screening kits should they wish. Obtain informed consent prior to provision of EHC. Advise on use of condoms to prevent infection and further pregnancy risk, preferably in conjunction with a reliable method of contraception. Advice should be provided to the patient regarding action on any side effects or vomiting/diarrhoea and what to do about recommencing any existing oral hormonal contraceptive method. Adequate recording of consultation, batch number and expiry date of the EHC. For pharmacies eligible for EHC Scheme Provide written and oral information about the EHC at time of administration/dispensing on follow up, expected side effects and effect on menstrual cycle and action on menstruation or amenorrhoea, which may require further tests/follow up. Produce an appropriate clinical record. Adequate recording should be made regarding the patients clinical and sexual history, the discussion, the delivery, patient consent, safeguarding and Fraser Competence assessments. Conduct an annual audit in line with Spectrums requirements. As a minimum, this will include provision of data regarding the demographics of patients received EHC, condoms, chlamydia screening, referral to SHS and pregnancy test kits. The provider will be paid on the submission of a claim form as detailed in Appendix A. Any claims must be submitted on a monthly basis to the admin co-ordinator at Spectrum Community Health and will be paid monthly in arrears. Claims received three months after the date to which activity relates will not be paid. All claims must be signed by an authorised signatory i.e. the Pharmacy Manager or the Lead Pharmacist and display the pharmacy stamp. Pharmacies will need to submit orders for the supplies of condoms, in a timely manner. Orders are submitted to ISHS via the website following initial training. 3.2 Outcomes Increased access to EHC, Chlamydia Screening and condoms. Increased sign-posting to SHS. Improved access to SHS by the reduction in patients attending for EHC Reduction in unwanted pregnancy for the Barnsley area. Holistic consultation that includes contraceptive choice discussion, access to C-Card and Chlamydia screening for under 25yr olds as appropriate, Safeguarding assessment and action as appropriate, Change in behaviour for safer sex, education 3.3 Proactively Reducing Health Inequalities It is the responsibility of the provider to proactively reduce health inequalities in supplying this service. Health inequalities are the result of a complex and wide-ranging network of factors. People who experience material disadvantage, poor housing, lower educational attainment, insecure employment or homelessness, are among those more likely to suffer poorer health and an earlier death, compared with the rest of the population. As part of the strategy to reduce health inequalities, the service provider must provide evidence of engagement and collaborative working practices with all relevant organisations, to promote and improve health equalities within the relevant population. All partners are required to work in compliance with NICE guidelines PH 9 on Community Engagement, in order to deliver the legal obligations on the ‘Duty to Involve’ legislation. It is expected that all engagement processes are adequately resourced, long term and embedded within service delivery. As a minimum, data returns submitted should include the broad nature of the client/patients encounter, actual age, gender, ethnicity and full postcode if feasible, using standard classification systems where possible. Equality monitoring for all service users, including referrals and DNA’s where appropriate, should also be recorded and reported typically as monthly, but no less than quarterly. Equality monitoring should include physical, sensory or learning disabilities as appropriate and the commissioners will agree specific data returns with the provider on top of those here listed. The service provider shall not discriminate unlawfully within the meaning and scope of any law, enactment, order, regulation or similar instrument relating to discrimination (whether in relation to race, gender, disability, religion or otherwise) in employment or in relation to the performance of the services. The service provider will facilitate the commissioners in meeting all its statutory responsibilities in this area.

Whole System. Relationships The pharmacy delivering this service will establish partnerships or be familiar with relevant national and local organisations that will include:  Spectrum Integrated Sexual Health Service  Social Care Direct  FSRH  BASHH  Termination of pregnancy services 2.4 Relevant networks and screening programmes Barnsley • Wakefield Sexual health provider network 3. Service Delivery 3.1 Service model Sub-contracting any part of the spec is not allowed, all practitioners must be verified by Spectrum as meeting the essential criteria. B/ Integrated Service Delivery  Pharmacies in the Spectrum EHC Scheme will, as appropriate, discuss STI risk and risk reduction, and access to condoms (C-Card at reception) at the same time as the EHC n discussion. C/ Targeted. Appropriate safeguarding of all must be paramount. To areas of high need as evidenced by the sexual health intelligence data and information.  Undertake regular continuing professional development (CPD)  Staff working in the pharmacy (dispensers/counter assistants/pharmacy technicians) need to be familiar with the scheme so they can ensure the patient has access to the appropriately trained pharmacist. The pharmacy must also comply with current infection control regulations.  There should be an appropriate room to enable the patient/pharmacist to have a confidential consultation.  Identify women at risk of STIs by taking of a comprehensive clinical and sexual history and offer appropriate screening, referral to the Spectrum Community Health CIC website, so they can order their own Chlamydia Screening kits should they wish.  Obtain informed consent prior to provision of EHC.  Advise on use of condoms to prevent infection and further pregnancy risk, preferably in conjunction with a reliable method of contraception.  Advice should be provided to the patient regarding action on any side effects or vomiting/diarrhoea and what to do about recommencing any existing oral hormonal contraceptive method.  Adequate recording of consultation, batch number and expiry date of the EHC.  For pharmacies eligible for EHC Scheme  Provide written and oral information about the EHC at time of administration/dispensing on follow up, expected side effects and effect on menstrual cycle and action on menstruation or amenorrhoea, which may require further tests/follow up.  Produce an appropriate clinical record. Adequate recording should be made regarding the patients clinical and sexual history, the discussion, the delivery, patient consent, safeguarding and Fraser Competence assessments.  Conduct an annual audit in line with Spectrums requirements. As a minimum, this will include provision of data regarding the demographics of patients received EHC, condoms, chlamydia screening, referral to SHS and pregnancy test kitsSHS.  The provider will be paid on the submission of a claim form as detailed in Appendix A. Any claims must be submitted on a monthly basis to the admin co-ordinator at Spectrum Community Health and will be paid monthly in arrears. Claims received three months after the date to which activity relates will not be paid. All claims must be signed by an authorised signatory i.e. the Pharmacy Manager or the Lead Pharmacist and display the pharmacy stamp.  Pharmacies will need to submit orders for the supplies of condoms, in a timely manner. Orders are submitted to ISHS via the website following initial training. 3.2 Outcomes  Increased access to EHC, Chlamydia Screening and condoms.  Increased sign-posting to SHS.  Improved access to SHS by the reduction in patients attending for EHC  Reduction in unwanted pregnancy for the Barnsley Wakefield area.  Holistic consultation that includes contraceptive choice discussion, access to C-Card and Chlamydia screening for under 25yr olds as appropriate, Safeguarding assessment and action as appropriate, Change in behaviour for safer sex, education 3.3 Proactively Reducing Health Inequalities It is the responsibility of the provider to proactively reduce health inequalities in supplying this service. Health inequalities are the result of a complex and wide-ranging network of factors. People who experience material disadvantage, poor housing, lower educational attainment, insecure employment or homelessness, are among those more likely to suffer poorer health and an earlier death, compared with the rest of the population. As part of the strategy to reduce health inequalities, the service provider must provide evidence of engagement and collaborative working practices with all relevant organisations, to promote and improve health equalities within the relevant population. All partners are required to work in compliance with NICE guidelines PH 9 on Community Engagement, in order to deliver the legal obligations on the ‘Duty to Involve’ legislation. It is expected that all engagement processes are adequately resourced, long term and embedded within service delivery. As a minimum, data returns submitted should include the broad nature of the client/patients encounter, actual age, gender, ethnicity and full postcode if feasible, using standard classification systems where possible. Equality monitoring for all service users, including referrals and DNA’s where appropriate, should also be recorded and reported typically as monthly, but no less than quarterly. Equality monitoring should include physical, sensory or learning disabilities as appropriate and the commissioners will agree specific data returns with the provider on top of those here listed. The service provider shall not discriminate unlawfully within the meaning and scope of any law, enactment, order, regulation or similar instrument relating to discrimination (whether in relation to race, gender, disability, religion or otherwise) in employment or in relation to the performance of the services. The service provider will facilitate the commissioners in meeting all its statutory responsibilities in this area.Change