Elements of sexual health care that should be available at different levels
| Level 1 (every general practice) |
| Sexual history and risk assessment |
| STI testing for women |
| Assessment and referral of men with STI symptoms |
| HIV testing and counselling |
| Hepatitis B immunisation |
| Provision of oral hormonal contraception |
| Information about choice of full range of contraceptive methods and where available |
| Cervical cytology screening and referral |
| Pregnancy testing and referral |
| Level 2 (primary care teams with a special interest) |
| Testing and treating sexually transmitted infections |
| Partner notification |
| IUD and implant insertion |
| Management of psychosexual problems |
| Vasectomy surgery |
| Level 3 (specialist services) |
| Outreach for STI prevention/contraception |
| Specialised STI management/partner notification |
| Specialist HIV treatment and care |
| Highly specialised contraception |
| TOP services |
| Local coordination and back up for sexual assault |
| Psychosexual/sexual dysfunction services |
| Make sure local guidelines and framework for monitoring and improving practice are in place |
| Support clinical governance requirements at all levels |
| Provide professional training, designing and updating care pathways and developing new services |