Assessment of a sample of London Primary Care Trust Enhanced Service contracts (n = 20).
| Criteria | n | % |
|---|---|---|
| Structure | ||
| Specifies eligibility criteria (e.g. training and competence) | 18 | 90 |
| States health care professional needs regular CPD | 15 | 75 |
| States service has to comply with local standards of infection control | 14 | 70 |
| Specifies required facilities (e.g. fitting equipment) | 17 | 85 |
| Service must have adequate resuscitation facilities (e.g. oxygen, atropine) | 17 | 85 |
| Other criteria | These included requirement to do STI tests, have procedure for seeing those aged under 16 years, use of consistent Read codes and other governance areas such as serious untoward incident (SUI) reports and maintenance of skills (e.g. fitting 12 IUDs/IUSs a year) | |
| Process | ||
| Specifies sexual history/STI check as part of risk assessment | 13 | 65 |
| Written information to be given to patient | 16 | 80 |
| States adequate record keeping | 18 | 90 |
| Provider to record type of device (IUD/IUS) fitted | 11 | 55 |
| Provides follow up (e.g. IUD check) | 14 | 70 |
| Outcome | ||
| Specifies audit as a way of monitoring quality and safety | 17 | 85 |
| Specifies how PCT will monitor provider other than audit | 14 | 70 |
| States conditions of termination of contract | 7 | 35 |
CPD, continuing professional development; IUD, intrauterine device; IUS, intrauterine system; PCT, primary care trust; STI, sexually transmitted infection.