Table 1

Summary of the three phases in the implementation of the new integrated sexual and reproductive healthcare service

Phase 1: January 2014 – May 2015Phase 2: May 2015 – March 2017Phase 3: March 2017 – present

  • One tray of walk-in patient notes for doctors and nurses of all grades to see

  • Walk-in IUD procedures

  • Walk-in complex GU patients

  • Online chlamydia testing available (16–25-year-olds)

  • No appointment clinics

  • No separate ‘Screen & Go’ clinic list

  • No protected lunchtime teaching for staff

  • Worsening of financial situation

  • One tray of walk-in patient notes for nurses and junior doctors to see

  • Additional tray of patients for senior doctor only review

  • Booked IUD clinics (routine and emergency IUDs)

  • Booked complex GU clinics

  • Separate ‘Screen & Go’ lists

  • Walk-in implant procedures

  • Separate clinics for high-risk groups (eg, young people, MSM)

  • Online chlamydia testing available (16–25-year-olds)

  • No protected lunchtime teaching for staff

  • Improvement in financial situation

  • Zone A/B/C trays

  • Named lists for individual doctors/nurses

  • Booked complex GU clinics

  • Separate implant lists

  • Booked IUD clinics (routine and emergency IUDs)

  • Separate ‘Screen & Go’ lists

  • Online chlamydia, gonorrhoea, HIV and syphilis testing for over-16s

  • Separate clinics for high-risk groups (eg, young people, MSM)

  • Protected lunchtime teaching programme for staff education

  • Improvement in financial situation

Staff satisfaction score: 2.5/10Staff satisfaction score: 5.0/10Staff satisfaction score: 8.1/10