Public Health Community Based Services

The stop smoking service forms part of a wider tobacco control programme. The stop smoking service is targeted at those individuals who smoke and are thinking of either quitting or cutting down their tobacco use. The stop smoking service will identify those smokers who want and are eligible to use prescription-only medication (Varenicline/Champix) as part of their overall treatment plan.

The provision, monitoring, fitting and removal of Intrauterine Devices (IUDs), Intrauterine Systems (IUSs) and/or Sub-Dermal Implants (SDIs) to a practice population as part of a wider range of contraceptive options provided, and the provision, review and subsequent removal, of Levonorgestrel Intrauterine System (LNGIUS) for gynaecological (non-contraceptive) purposes including management of menorrhagia and hormone replacement therapy (HRT) commissioned on behalf of the Clinical Commissioning Group (CCG). Ongoing management of gynaecological issues are not included in this agreement. (The element of care covered by this specification in relation to use of LNG-IUS for management of gynaecological conditions such as menorrhagia is detailed in Appendix B.) This service will be provided by the provider for all registered patients only, unless otherwise agreed by the local authorities.

The provision of free oral emergency contraception from community based settings situated within the local authority boundaries: (a) this service must be delivered by appropriately accredited clinical practitioners (e.g. Royal Pharmaceutical Society of Great Britain registered) working at the designated community provider and their name and registration number must be given as requested by the local authority; b) the aim of this service is to reduce unintended conception and improve sexual health for young people.