Table 1

Assessment criteria for London Primary Care Trust Enhanced Service contracts

Structure	Practitioner criteria	Describes eligibility criteria for health professionals (e.g. evidence of training and competence)
	Practitioner criteria	States health care professional has regular CPD
	Service requirements	States service has to comply with standards of infection control
		States service has adequate facilities for fitting (e.g. speculum, dilators, couch)
		States service has adequate resuscitation facilities (e.g. atropine, oxygen)
		Other requirements – state
Process	Assessment for fitting	States sexual history must be taken and STI tests if appropriate or indicated
		States written information must be provided to patient
		Provider can produce an adequate record of consultation and procedure
		Provider must record type (in case of intrauterine contraception) and batch number of device
		States provision of follow up (e.g. after fitting and check-up as and when required)
	Payment	States procedure for submitting information to PCT for payment
	Tariff	For IUD/IUS fitting
		For IUD/IUS check
		For contraceptive implant fitting
		For contraceptive implant removal
		Any other fees/retainers
		Other requirements – state
Outcome	Clinical	Produce regular audit of fittings – register of patients, device type, complications, follow up
	Contractual	States how PCT will monitor provider (apart from audit and quarterly returns)
		States conditions of termination
		Other requirements – state

CPD, continuing professional development; IUD, intrauterine device; IUS, intrauterine system; PCT, primary care trust; STI, sexually transmitted infection.