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 |