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Supply Notification: Berinert (Human C1 Esterase inhibitor) 500IU powder and solvent for injection (CSL Behring UK)

Department of Health and Social Care (DHSC) has issued a supply disruption notification for Berinert (Human C1 Esterase inhibitor) 500IU powder and solvent for injection as limited stock remains in the supply chain. Further information and management advice can be found in the alert. The DHSC Medicine Supply Team provide a monthly update on potential...

4 hours ago

Colestyramine sachets and Fluticasone nasules added to the list of medicines that cannot be parallel exported from the UK

Further to our news story Temporary parallel export ban issued to ensure continued supply of medicines the Department of Health and Social Care (DHSC) and the Medicines and Healthcare products Regulatory Agency (MHRA) has announced that Colestyramine sachets and Fluticasone nasules are to be added to the list of medicines which must not be parallel exported...

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Class 2 Medicines recall: Ranitidine 150mg and 300mg Film-Coated Tablets (Accord Healthcare)

Drug alert number: EL (19)A/40 Date issued: 5 December 2019 Accord Healthcare are recalling all unexpired stock of the products listed below from pharmacies and wholesalers as a precautionary measure due to possible contamination with an impurity Nnitrosodimethylamine (NDMA) which has genotoxic and carcinogenic potential. Product PL Number Ranitidine 150mg Film-Coated Tablets 20075/0063 Ranitidine 300mg...

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Emergency Hormonal Contraception & Sexual Health

An EHC service is commissioned in all areas across West Yorkshire.  Although the titles and service specification for these services vary per area, in essence pharmacies are being commissioned to provide an EHC service as part of a sexual health service which may also include condom distribution, pregnancy testing and a chlamydia screening and other treatment services.  Pharmacists providing the service must always refer to the service specification for the service that they are commissioned to provide. 

 

The service specifications for each area are listed below (see links).  Also listed for each area are links to the relevant safeguarding teams.  If you have concern that a child is being harmed as a result of abuse or neglect, you must NOT keep these concerns to yourself.  KEEPING CHILDREN SAFE IS EVERYONE'S RESPONSIBILITY.


Jump to Bradford service details

Jump to Calderdale service details

Jump to Kirklees service details

Jump to Leeds service details

Jump to Wakefield service details

 

Pharmacists providing an EHC service are responsible and accountable for ensuring that they:

  • Maintain competency to provide the service so they are able to practice safely and effectively.
  • Keep up to date with relevant guidance and procedures.
  • Work under the terms of the relevant PGD for the area in which they are working.
These responsibilities have always been in place through professional registration, PGD legislation and service agreements.
 
 
 

Useful Information & Updates

New Emergency Contraception Guidlines Launched in December 2017

The Faculty of Sexual and Reproductive Healthcare launched new guidance, (see here), on emergency contraception.  If you are involved in advising or caring for women who may need emergency contraception, please make sure you read this updated guidance to ensure any advice you give is the most up to date.  CPPE have also updated their e-Learning package to fit in with these changes to this may be a good opportunity for you to update your learning. 

 

Remember to Advise Women that Oral Emergency Contraception (EC) Methods Do Not Provide Ongoing Contraception

Local Sexual Health services have reported an increased number of patients recently who have had a positive pregnancy test after taking ulipristal and patients have advised that they were unaware that they needed to use additional barrier contraception after taking. 

Providers of oral EC should advise women that oral EC methods do not provide contraceptive cover for subsequent UPSI and that they will need to use contraception or abstain from sex to avoid further risk of pregnancy.

Additionall,y for women taking hormonal contraception, the effectiveness of ulipristal can be reduced if a woman takes progestogen in the 5 days after taking ulipristal.  Women should therefore be advised to wait 5 days after ulipristal before starting their hormonal contraception and should be advised to use condoms or abstain from sex until their contraceptive method is effective.  Refer to pages 29-31 of the Faculty of Sexual and Reproductive Healthcare guidance here.

 

The following general information/resources may be helpful for pharmacists providing an EHC service:

 

 

 

Bradford Sexual Health (EHC) Service

This service is commissioned by Locala Community Partnerships CIC. The commissioner lead for the service is Jo Marshall - jo.marshall@locala.org.uk.  

Claims for the service are processed via PharmOutcomes.

EHC Contract - April 2018

Changes to Administration of the EHC Contract - April 2018

EHC Service Specification - April 2018

EHC Decision Tree - April 2018

EHC Consultation Form - April 2018

Sexual Health Consultation Overview

PGD Ulipristal Acetate

PGD Levonorgestrel

 

Signposting Information (Bradford)

The BASH Bradford website provides a one stop shop for contraceptive information, advice and services in the Bradford district.  Patients can be directed to the website or can call Bradford Sexual Health and Contraceptive Services on 030 3330 9500.

Locala offer a free and confidential service providing contraception and STI (sexually transmitted infection) care in clinics across Bradford.  This includes a city centre hub near Broadway Shopping Centre (Howard House, above the Yorkshire Building Society).  See 

https://www.locala.org.uk/services/sexual-health/.

 

Safeguarding Links & Information

See the Childrens' Safeguarding Board website.

See the Vulnerable Adults Safeguarding Board website.

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Calderdale Sexual Health (EHC) Service

This service is commissioned by Calderdale & Huddersfield NHS Foundation Trust.  The commissioner lead for the service is Gill Harries - gill.harries@cht.nhs.uk.

Claims for the service are processed via PharmOutcomes.

Service Extension & Contract Variation Letter 2019

Service Extension Letter 2018

Service Sub Contract Agreement

Emergency Contraception Decision Tree

PGD Levonorgestrel - 2019

PGD Ulipristal - 2019

Sexual Health Consultation Form 2019

Condom Supply as Part of an EHC Service

EHC Poster

 

Chlamydia screening is commissioned as part of this service.  Chlamydia test kits can be ordered by emailing sexualhealthservices.cht@nhs.net or by phoning the service on 01422 261370.

 

 

Signposting Information (Calderdale)

Integrated Sexual Health Service - telephone: 01422 261370

The Calderdale Sexual Health services website provides a one stop shop for contraceptive information, advice and services in the Calderdale area.  See https://sexualhealth.cht.nhs.uk/services/.

 

Services are located across Calderdale with the main hub (Broad Street) located centrally in Halifax. Address: 51 Northgate Plaza, Broad Street, Halifax HX1 1UB.

 

Safeguarding Links & Information (Calderdale)

See the Calderdale Safeguarding website.

If you are worried about a vulnerable child or adult see http://calderdale-safeguarding.co.uk/report-concerns/ for information on how to report your concerns.

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Kirklees Sexual Health (EHC) Service

This service is commissioned by Locala Community Partnerships CIC.  The commissioner lead for the service is Jo Marshall - jo.marshall@locala.org.uk

Claims for the service are processed via PharmOutcomes.

Locala Service Specification Updated Service (includes ulipristal)

EHC Decision Tree

Consultation Form Updated Service

Levonorgestrel PGD

 

Locala Service Specification (old service - supply of levonorgestrel only)

Consultation Form

 

Chlamydia screening is commissioned as part of this service.  Chlamydia test kits can be sources from the Sexual Health Outreach & Prevent Team (SHOPT) based at Princess Royal Community Health Centre by calling 03330 436 219.

 

Signposting Information (Kirklees)

Locala offer a free and confidential service providing contraception and STI (sexually transmitted infection) care in clinics across Huddersfield and Dewsbury.  See https://www.locala.org.uk/services/sexual-health/.

The main sexual health clinics are located at Princess Royal Health Centre, Huddersfield, HD1 4EW and Dewsbury Health Centre, Wellington Road, WF13 1HN.

Patients can make an appointment in Kirklees (or get advice about a drop-in session) by calling 030 3330 9981.

 

Safeguarding Links & Information (Kirklees)

See the Kirklees Childrens Safeguarding Board website for information.  If you are worried about a child in Kirklees, see here for a list of contacts.

For vulnerable adults in Kirklees see http://www.kirklees.gov.uk/beta/adult-social-care-providers/safeguarding-adults-information-professionals.aspx.

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Leeds Sexual Health (EHC) Service

This service is commissioned by Leeds Community Healthcare.  The commissioner lead for the service is Allison Gummerson, allison.gummerson1@nhs.net.

Claims for the service are processed via PharmOutcomes.  Queries about payments for the Leeds EHC service should be directed to Janet Wilson, 0113 220 8559.

Note - The Leeds EHC service only pays a £10 consultation fee.  Community Pharmacy West Yorkshire have previously made representations to the commissioner on pharmacy contractors' behalf for an increase in the £10 EHC supply fee due to the level of clinical input required to deliver this service.  Supply of EHC is under a Patient Group Direction which carries significant clinical responsibility and pharmacy contractors should be adequately remunerated for the clinical decision making associated with the supply of EHC.  Before applying to provide the service contractors should consider the burden of delivering the service for the remuneration available. 

 

Sexual Health Service Specification 2018

Levonorgestrel PGD

Ulipristal PGD

 

Chlamydia/Gonorrhoea screening is commissioned as part of this service.  Dual screen test kits are provided by Preventx.  To order additional kits, email Jane at jane@preventx.com or call 0333 344 4462 and ask for Jane. 

Condoms and pregnancy tests will be supplied by Leeds Community Healthcare.

 

Signposting Information (Leeds)

See https://leedssexualhealth.com/for contraceptive information, advice and available sexual health services in Leeds.

There are a number of sexual health clinics across Leeds with a city centre hub based at the Merrion Centre, LS2 8NG. See https://leedssexualhealth.com/professional-area/clinic-timetable-1 for an overview of clinics and opening times.

 

Safeguarding Links & Information (Leeds)

The Safeguarding Children's Team can be contacted to discuss any concerns relating to child protection.   Safeguarding contacts are available at the following link: http://www.leedslscb.org.uk/Concerned-about-a-child

To raise safeguarding concerns for adults see:  https://leedssafeguardingadults.org.uk/.

  

 Leeds 3 in 1 Scheme

The 3 in 1 scheme allows trained members of the pharmacy team to offer free condoms, pregnancy testing and chlamydia/gonorrhoea testing to 13-24 year olds. There is no payment for providing this scheme, which runs separately to the Leeds EHC commissioned service, but pharmacies with a high footfall of young people may want to be able to offer this additional sexual health support (e.g. free condoms) to their patients.

 

Leeds 3 in 1 Scheme Information & Frequently Asked Questions

 

Once trained, all equipment to run the scheme e.g. all condom products/testing kits are provided by Leeds City Council.

Training for staff is delivered either over a full day or 2 mornings and will cover the 3 aspects of the 3 in 1 scheme – C-card (condom distribution), pregnancy testing and chlamydia/gonorrhoea screening kits,  as well as providing additional information around supporting young people to stay sexually healthy.  Please see here for more info on the training and here for info on the C-Card element of the scheme.

 

3 in 1 Training Dates for 2020:

Bookings are now being taken for the following dates:

  • Tuesday 4th February 2020 - 9.30am - 3.30pm
  • Monday 27th April 2020 & Monday 4th May 2020, 2 half days, 9.30am - 12.30pm each day (attendance required at both)
  • Thursday 9th July 2020 – 9.30am - 3.30pm
  • Tuesday 22nd & Tuesday 29th September 2020, 2 half days, 9.30am - 12.30pm each day (attendance required at both)

To book a place please contact matthew.walker2@leeds.gov.uk. All sessions will be delivered at the Public Health Resource Centre, Technorth, Harrogate Road, Leeds LS7 3NB. 

If your pharmacy would be interested in providing the 3 in 1 scheme, please contact Kerry Swift on 0113 3786066 or by email: Kerry.swift@leeds.gov.uk.

 

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Wakefield Sexual Health (EHC) Service

The service is commissioned by Spectrum Community Health CIC.  The commissioner lead for the service is Belinda Loftus - belinda.loftus@spectrum-cic.nhs.uk - 01924 311400.

Claims for the service are via submission of a paper claim form (see below).  Claims must be submitted on a monthly basis.  See the form for details of where to return the form to.

Wakefield EHC Contract 

Wakefield EHC Completion Letter

Wakefield EHC Record

Wakefield IUCD Claim Form

Pharmacy Level 1 Sexual Health Scheme - Wakefield

FSRH Guideline - Emergency Contraception

 

Signposting Information (Wakefield)

Patients can be signposting to https://spectrumhealth.org.uk/services/sexual-health/ for details of sexual health clinics and services in Wakefield.

Patients can also be directed to this website to order screening kits for chlamydia/gonorrhoea.  The website includes an interactive map for patients to find their nearest clinic.

There is a central hub based at Trinity Walk Shopping Centre. Details below:

Spectrum Sexual Health
Trinity Walk Clinic
Unit LG1A, Trinity Walk Shopping Centre
Wakefield,
WF1 1QS


Tel: 0800 1214860


Safeguarding Links & Information (Wakefield)

The Safeguarding Children's Team can be contacted to discuss any concerns relating to child protection. See https://www.wakefieldlscb.org.uk/.

To raise safeguarding concerns for adults see:  http://www.wakefield.gov.uk/health-care-and-advice/adults-and-older-people-services/safeguarding/safeguarding.

If you have concerns about an adult or child who may be at risk, please contact Social Care Direct on 0345 8503503 or 01924 303450. 

 

If you are interested in providing this service in your pharmacy please click here for information on what you need to do.

 

 

Last Updated: 29th March 2019