CPPEUPDATECPPEUPDATECPPEUPDATE
Sexualhealthin
pharmacies:
developingyour
service
anopenlearningprogrammeforpharmacistsand
pharmacytechnicians
Anupdate(August2012)
Therearethreeupdatesinthisrelease:
UpdateNo1containsthemostrecentinformation,correctinAugust
2012
UpdateNo2containsinformationfromourearlierJanuary2012
update
UpdateNo3containsinformationfromourearlierJune2011update
Ifthisisthefirsttimeyouhaveusedthislearningprogrammethenyouwill
needtoworkthroughalltheupdates.
Ifyouhavehadaccesstothislearningprogrammeforsometimeandthis
updatehasbeenemailedtoyoufromCPPEyouwillprobablyonlyneedto
workthroughthemostrecentupdate.However,weadvisethatyoureview
allupdatestoremindyourselfoftheotherchangesthathavebeenmadeand
toensurethatyourlearningiscurrent.
DLP 159/UPDATE
2 of 8
Aboutprogrammeupdates
CPPEusesprogrammeguardianswhoareexpertsfromdifferenthealthcare
specialties.Weaskthemtoreviewourprogrammestomakesureeach
productremainscurrent.ThisupdatehasbeenpreparedbyEmmaAnderson
andshouldbereadinconjunctionwiththeSexualhealthinpharmacies:
developingyourserviceopenlearningprogramme.Wehaveindicatedthe
relevantsectionandpagenumberoftheoriginaldocumentwhereverwe
provideupdatedinformation.
Websiteaddressinformation
Thelocationofspecificinformationontheinternetfrequentlychanges.Ifyou
arereadingthisupdatesignificantlyafterthedateofpublication,youmay
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Assessment
Youcancompleteyourlearningofthisprogrammebyworkingthroughthe
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fromfurtherlearning,beforeattemptingtheassessmentagain.
UpdateNo1(August2012)
Thissectioncontainsourmostrecentupdateinformation.AllURLswere
checkedon30July2012.
Section1Backgroundtodevelopmentofsexualhealthservices
___________________________________________________________
Section1.1Whysexualhealth?(page1amendment)
Inthefourthparagraph,changethethirdsentenceto:
In2011therewere426,867newdiagnosesofsexuallytransmittedinfections,
twopercentmorethanin2010.1
Amendthefinalsentenceofthisparagraphtoread:
In2011therewere1.3millionsexualhealthscreenscarriedoutinEnglandat
GUMsettings,thisisanincreaseofnearly50percentsince2004.2
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Section1.6Localclinicalnetworks(page11amendment)
ChangefirstbulletpointURLto:
http://www.networks.nhs.uk/nhsnetworks/greatermanchestersexual
healthnetwork
Section1.7Signpostingandreferral(page15amendment)
ChangeparagraphabovePracticepointto:
Ifyouhaveconcernsaboutaclientbutyouareunsureaboutwhethertomake
areferral,thenuseyourcommonsenseandexperienceorseekadvicefrom
theserviceyouareconsideringreferralinto.(Turntopage30formoreguidance
onreferralcriteria).
Section2Providingaservice:thesexualhealthconsultation
___________________________________________________________
Section2.1Confidentiality(page25addition)
Afterthefirstparagraph,pleaseinsert
Furthermore,in2012,theGPhCissuedguidanceonconsentandon
confidentiality.Thesecanbefoundat:
http://www.pharmacyregulation.org/sites/default/files/GPHC%20Guidance
%20on%20consent.pdfand
http://www.pharmacyregulation.org/sites/default/files/Guidance%20on%20
Confidentiality_April%202012.pdf.Itisimportantthatallofyourstaffare
awareofguidancerelatingtoconfidentiality.Allshouldbeparticularlyaware
ofthedangersofdiscussingpatientsusingsocialmedia.Thisistrueevenif
thediscussiondoesnotincludethepatientsname.
Section2.2Takingasexualhistory(page33amendment)
Replacethetextintheboxwith:
FindoutaboutHIVprevalenceinyourareaandfurtherresourcesavailableto
thosecommissioningservicesinhighprevalenceareasbylookingatthe
HealthProtectionAgencydocumentEvidenceandresourcestocommission
expandedHIVtestinginprioritymedicalservicesinhighprevalenceareasat
http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1317133743551.
(page34amendment)
Replacetheasteriskedparagraphbelowthebulletpointswith:
*ForanuptodatelistseethelatestepidemiologicaldataontheUNAIDS
website(http://www.unaids.org/globalreport/Global_report.htm).
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References
___________________________________________________________
3.(page47deletion)
PleasedeletethisreferenceaswenowusetheHPAdatatablesforthis
information.
Furtherreading
___________________________________________________________
(page47amendment)
Pleaseamendthisparagraphto:
Foraccesstoinformationonlocalservicesandsexualhealth,clientscancall
theFPAsexualhealthhelplineon08451228690from9:00amto5:00pm
MondaytoFriday(closedonbankholidaysandfrom3:00pm4.30pmon
Thursdays).
Usefulwebsitesforhealthcareprofessionals
___________________________________________________________
(page47amendments)
TheFacultyofSexualandReproductiveHealthcarehomepageis
http://www.fsrh.org.
ThecorrectURLforTheFacultyofSexualandReproductiveHealthcareand
theRoyalCollegeofObstetriciansandGynaecologistsConfidentialityof
adolescentsexualhealthservices:Jointstatement(October2005)is
http://www.fsrh.org/pdfs/FinalSignedDJTStatement.pdf.
Appendix1.BASHHSexuallytransmittedinfectionsfoundation
(STIF)Level1competencyassessment
___________________________________________________________
Whatdoestheassessmentconsistof?
(page50deletions)
RemoveemailaddressesasthesearenolongerlistedontheBASHHwebsite.
ContactdetailsareavailableontheBASHHwebsiteshouldfurther
informationberequired.
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Referencesforthisupdate
1. HealthProtectionAgency.Table1:Number&ratesofnewSTIdiagnosesin
England20022011.London:HPA;2012.
http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1215589015024.
2. HealthProtectionAgency.Table5:NumberofSTIdiagnoses&servicesin
England,20022011.London:HPA;2012.
http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1247816547927.
UpdateNo2(January2012)
InthissectionyouwillfindinformationfromourJanuary2012update.You
mayhavealreadyreceivedthisupdateandamendedyourprogramme.
Mainbooklet
Aboutthislearningprogramme
___________________________________________________________
Trainingandaccreditation(pageviiiamendment)
Amendthesecondsentenceofthesecondtolastparagraphto:
ThesecompetenciesareassessedintheSexuallytransmittedinfections
foundation(STIF)Level1competencylearningmoduleavailablethrough
BASHH.
Section1Backgroundtodevelopmentofsexualhealthservices
___________________________________________________________
Section1.1Whysexualhealth?(page1amendment)
Inthefourthparagraph,amendthethirdsentenceto:
In2010therewere424,782newdiagnosesofsexuallytransmittedinfections,
onepercentdownon2009.3
Section1.3TheroleofBritishAssociationofSexualHealthandHIVin
promotingsexualhealthservicedevelopmentinpharmacies(page8
amendment)
Attheendofthefirstparagraph,updatetheURLto:
http://www.bashh.org/home/80_publicationspolicies#tab3
Section1.6Localclinicalnetworks(page11deletion)
Deletehttp://www.networks.nhs/nhsnetworks/northwestallergyand
clinicialimmunologynetwork/show_all_similar_networks.ThisURLisno
longeravailable.
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Section2Providingaservice:thesexualhealthconsultation
___________________________________________________________
Section2.2Takingasexualhistory(page26addition)
Inthethirdparagraph,followingthesecondsentence,add:
Thisisfineaslongasthepharmacistissurethatthisisinthepatientsbest
interestsandwillnotaffecttheaccuracyandcompletenessofinformation
obtainedfromthepatient.Thereforeitwouldbeadvisabletoinitially
questionthepatientalonetoensurethattheywantanotherpersonpresent
whilstbeingaskedquestionsofanintimatenature.
(page28addition)
Afterthelistofessentialcomponentswhentakingasexualhistory,add:
BASHHindicatesthatcondomuseshouldbediscussedwithbothmenand
womenduringasexualhistory.
Referenceforthisaddition:
BritishAssociationforSexualHealthandHIV.NationalGuidelineon
consultationsrequiringsexualhistorytaking.London:BASHH;2006.
http://www.bashh.org/documents/84/84.pdf
References
___________________________________________________________
3.(page47amendment)
TheFamilyPlanningAssociationsSexuallytransmittedinfections2011factsheet
wasduetobepublishedinDecember2011.Theyhavekindlysuppliedapre
productioncopywhichwehaveusedforthisupdate.Whenpublished,itwill
beavailableat:http://www.fpa.org.uk/professionals/factsheets/infections.
Usefulwebsitesforhealthcareprofessionals(page47amendment)
TheFacultyofSexualandReproductiveHealthcarewebsiteis
http://www.fsrh.org/.
Thethirdresource,Confidentialityofadolescentsexualhealthservices:Joint
statement,isnolongeravailable.However,muchoftheinformationiscovered
in:
BritishAssociationforSexualHealthandHIV.UnitedKingdomNational
GuidelineontheManagementofSexuallyTransmittedInfectionsandRelated
ConditionsinChildrenandYoungPeople.London:BASHH;2010.
http://www.bashh.org/guidelines.
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UpdateNo3(June2011)
InthissectionyouwillfindinformationfromourJune2011update.Youmay
havealreadyreceivedthisupdateandamendedyourprogramme.
Mainbooklet
Section1Backgroundtodevelopmentofsexualhealthservices
___________________________________________________________
Section1.10Talkingtoclientsaboutsex(page21amendment)
InthefourthparagraphoftheoriginaldocumentwetalkabouttheYoure
Welcomeinitiativebeingunderreview.Thatreviewisnowcompleteandthe
initiativeisbeinglocallyled,butthematerialisstillrelevant.1
Section2Providingaservice:thesexualhealthconsultation
___________________________________________________________
Section2.2Takingasexualhistory(page34amendment)
Inthesecondparagraphafterthebulletpoints,theUKNationalGuidelinesfor
HIVTesting2008cannowbeviewedat:
http://bhiva.org/HIVTesting2008.aspx
Section2.6Clinicalgovernance(page40amendment)
ThesecondparagraphshouldendwithStandard8inbrackets,notStandard
3.
References
___________________________________________________________
(page47amendment)
3.
TheFamilyPlanningAssociationsSexuallytransmittedinfectionsfactsheet
(November2010),hasnowbeenpublishedandisavailableat:
http://www.fpa.org.uk/professionals/factsheets/infections
8.
TheBritishHIVAssociationsUKNationalGuidelinesforHIVTesting2008can
nowbeaccessedat:http://bhiva.org/HIVTesting2008.aspx
Referencesforthisupdate
1.DepartmentofHealth.YoureWelcome:qualitycriteriaforyoungpeople
friendlyhealthservices.London:DH;May2011.Availablefrom:
http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/Publicatio
nsPolicyAndGuidance/DH_126813(accessed16June2011).
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