Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Pharmacy Sexual Health Services – Update October 2014

James Wood MRPharmSSecretary, Sheffield LPC

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Commissioning Arrangements

• Sheffield City Council commission:– Emergency Contraception 14- 17 via PGDs

• Levonelle • EllaOne (in development)

– Pregnancy Testing – Chlamydia Screening

• Key Contacts:– Amy Buddery, Health Improvement Principal Sexual Health, Public

Health, Sheffield City Council– Telephone Number (0114) 205 7493– E-mail amy.buddery@sheffield.gcsx.gov.uk

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Updated PGD for Levonorgestrel 1.5mg Tablet

• PGD Expired on 30th September• New version issued from 1st October 2014• Make sure you update: sign, return, keep a copy • Updates include:

– Expiry date: September 2016– Terminology – Sexual Health Sheffield, Sheffield City Council– Updated re new evidence to support use of other EHCs– New onward referral arrangements– Pathway – Decision Tree– Revised accreditation requirements

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

New Onward Referral

To - Sexual Health Sheffield•Central Health Clinic•Hallamshire Hub•Health Advisors

Form included at the back of the PGD – can be given to the patient with “star card "for

– Emergency contraception (outside of PGD)– STI check/symptoms– Vulnerable at risk / history of sexual assault – LARC / other contraception

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Decision Tree

Updates the treatment choices in line with the latest evidence and common approach across Sheffield

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Incorporating Ulipristal Acetate 30mg (EllaOne)

New PGD in development to enable pharmacists to supply Expected early 2015 – briefing sessions to be heldUses:•Between 72 – 120 hours since UPSI •Or less than 72hrs since UPSI

– 3 days before or 2 days after expected ovulation date (days 10-15 of 28 day cycle) or unsure of LMP

– BMI >30kg/m2 or Weight >80kg

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Accreditation Requirements

• Already accredited?– Valid PGD signature authorisation – Every three years complete the CPPE Self declaration of

competence– No annual training event or competency questionnaire

• New to the area, newly qualified or new provider?– Valid PGD signature authorisation – CPPE Self declaration of competence – review learning

programmes , self assessment and sign declaration certificate– Repeat every three years

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

CPPE Declaration of Competence

• Available on the CPPE website • www.cppe.ac.uk

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Future Developments

• Expected in early 2015– Move to PharmOuctomes for recording and reporting – New PGD to enable supply of Ulipristal Acetate 30mg (EllaOne)

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Any Questions?

Sheffield Local Pharmaceutical CommitteeSupporting Community Pharmacywww.sheffieldlpc.co.uk

Thank you for coming and have a safe journey home