Patient workstreams within the new integrated sexual and reproductive healthcare service
| Zone/clinic | Time (min) | Presentation/procedure | Staff requirements |
| Zone A | 40 | Cases of severe pain, PEPSE, sexual assault, herpes, rash, lump/pain in testicles, rectal discharge/pain, pain with IUD in situ | Consultants or senior clinicians holding Dip GUM or Advanced STIF Competency |
| Zone B1 | 20 | For GUM and contraception (excluding above presentations) with two clinicians working from the same stream | Clinicians with DFSRH/Intermediate STIF competency |
| Zone B2 | (20 min/appointment) | A second workstream as above | As above |
| Zone B: implants | 30 | Walk-in implant procedures | LOC SDI |
| Zone C | 20 | ‘Screen & Go’ for patients who are asymptomatic (includes triple-site testing if necessary), or require pregnancy testing/advice | Suitable for an HCA STIF Fundamental competency |
| Booked clinics | 30–40 | IUD clinics including emergency IUDs, complex contraception clinics, complex GUM clinics and training IUD/implant clinics | Consultants or senior clinicians with appropriate training and qualifications (eg, LOC IUT for IUD, FSRH-registered Trainer qualification for training clinics, etc.) |
DFSRH, Diploma of the Faculty of Sexual & Reproductive Healthcare; Dip, Diploma; GUM, genitourinary medicine; HCA, healthcare assistant; IUD, intrauterine device; IUT, intrauterine technique; LOC, Letter of Competence; SDI, subdermal implant; STIF, Sexually Transmitted Infections Foundation; PEPSE, post-exposure prophylaxis following sexual exposure.