Yuno professional zone
Information for professionals
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Referral pathways | Clinical guidelines and helpful links | Training opportunities
Brook are delivering free education, peer support and outreach services across Bristol, North Somerset and South Gloucestershire. For more information visit Yuno at Brook.
For updates about Yuno's clinical, education and outreach services, sign up to receive our email newsletter.
Clinical services and how to refer
The following professionals advice is available on Remedy:
For appointments (including PrEP):
People wishing to access services in Bristol and South Glos should call Yuno at Central on 0117 342 6900.
People wishing to access services in North Somerset should call Yuno at Weston on 01934 881 234.
People under 25 years old wishing to access young people’s services should call Yuno at Brook on 01179 290 090.
Opening hours and contact details for individual clinics are available on our clinics page.
Patients may be able to get what they need online - check the signposting to available services.
Patients can self-refer for:
Testing for sexually transmitted infections
Contraception advice
Advice on unplanned pregnancy through 0345 872 5435
Advice on sexual assault: The Bridge
LARC referrals
Mirena, Benilexa and Levosert LNG-IUD now has an 8 year license for contraception only, with no extension on use for HRT.
Yuno is commissioned to provide LNG-IUDs for contraception only so we will not be routinely replacing these earlier than the 8 year license.
As per CoSRH IUC guidance 2023, any 52mg LNG-IUD may be used for endometrial protection for 5 years as part of combined HRT regime.
Referrals from Bristol or South Glos GP
Refer through the electronic referral service (eRS).
Referrals from North Somerset GP
Complete the WISH LARC referral form and send it to wishcentre@uhbw.nhs.uk
Referral guidance
For patients requesting a copper or LNG-IUD, please ask them to complete the IUC self assessment form and bring it with them to their appointment.
All lost thread referrals for removal must include an ultrasound report from the last 6 months confirming that the IUS/IUD is in situ.
For complex implant removals, please state whether the implant was palpable.
Further information about LARC referrals may be found on the sexual health pages of the Remedy website.
Fitting of LNG-IUD in Secondary Care (when not for contraception) is on the Interventions Not Normally Funded (INNF) list as 'Criteria Based Access' for all Bristol, North Somerset and South Gloucestershire patients. Any patients who request an appointment for this will be referred back to their GP. See the intrauterine coil insertion and removal in secondary care policy for further information.
Where an LNG-IUD has been fitted at the age of 45 or over, the device may be retained for contraception until the age of 55. If used as the progestogenic component of HRT the device must be replaced every 5 years. This would require a referral to gynaecology services, not Yuno.
Pregnancy advisory service
Patients can self-refer for pregnancy advice using the central booking line 0345 872 5435. This number is free and available 24/7.
You can call the central booking number on behalf of your patient, or provide it to your patient for them to call.
The operator will ask for some basic information such as name, date of birth and GP details. This is for anyone with an unplanned pregnancy, regardless of age, in Bristol, South Gloucestershire and North Somerset.
If a patient is under 18 years of age we would be very grateful if you would be able to provide us with additional information. Complete the under 18 supporting information form and email it to ubh-tr.teenagepregnancyoutreachnurses@nhs.net from a secure nhs.net email or send the referral in the post to FAO PAS Outreach Nurses, Yuno sexual health, Central Health Clinic, Tower Hill, Bristol, BS2 0JD.
This is in addition to a referral via the central booking number.
If there are complex medical or social factors please phone on their behalf to make an appointment and where possible provide a letter with details, including the date of the appointment made.
If you would like to speak to someone at the pregnancy advisory service regarding a specific referral, please call 0117 342 6824. You will not be able to make an appointment using this number.
Psychosexual service
We continue to offer psychosexual services to the patients of Bristol, North Somerset and South Gloucestershire.
To refer a patient to this service please write a letter and include a summary of all medical conditions, medication, treatments tried and relevant test results. Send this to psychosexualappointments@uhbw.nhs.uk
Clinical guidelines and helpful links
Clinical guidelines
Yuno’s guidance is based on national guidelines.
National guidelines on the management of STIs are available through the British Association for Sexual Health and HIV (BASSH)
National guidance on contraception is available through the College of Sexual and Reproductive Healthcare (CoSRH)
National guidance on the management of HIV is available through the British HIV Association (BHIVA)
Clinical guidelines are available to download from the document management service, which can be accessed from any NHS computer. Click on ‘Clinical Guidelines’ then ‘University Hospitals Bristol NHS Foundation Trust’ then ‘Medicine’ and select ‘Sexual Health’. If you have any queries you may call us on 0117 342 6913.
We have abridged versions of our guidance for primary care which may be found on the Remedy website under sexual health.
Other helpful websites include:
Partner notification
Patients who test positive for chlamydia or gonorrhoea will be asked to complete an online anonymous partner notification form on the Yuno site. Partners will be sent a text message inviting them to get tested.
When a patient attends clinic for a test as a result of this text, please capture their attendance in this short online form. Yuno's online partner notification service is due to be open to referrals from other clinical settings in the coming months.
Emergency CU-IUD
Check our guidance for calculating when an emergency CU-IUD can be fitted. There is some useful information on the sexual health pages of the Remedy website.
Patient assessment guidelines and tools
UK Medical Eligibility Criteria for contraception use (UKMEC)
Spotting the Signs proforma for child sexual exploitation
Are you at risk of osteoporosis? National Osteoporosis Society
Professional development and training
CoSRH Diploma (DCSRH)
The CoSRH Diploma (DCSRH) is nationally recognised qualification in sexual and reproductive health. It's for healthcare professionals who wish to gain the knowledge, skills and behaviours required to deliver safe and effective sexual and reproductive health care in community, primary and secondary care settings.
The programme is open to clinicians who are registered with UK regulatory body, including doctors, nurses, physicians associates, primary care pharmacists and paramedics working in primary care.
Yuno runs a training programme and has FSRH registered trainers who can support anyone wishing to achieve the DCSRH. We offers clinical placements for the clinical experience and assessments stage of the Diploma.
For further information, please email dfsrhtraining@uhbw.nhs.uk or visit the CoSRH website.
If you are a primary care nurse or paramedic, UWE run an Integrated Practice for Sexual and Reproductive Health module where you can achieve the DCSRH. They can provide you with an CoSRH trainer and your clinical placements are undertaken in your own practice. Contact hettie.lean@uwe.ac.uk to discuss options.
Yuno training available to primary care
Yuno annual updating day on contraception and sexual health
This is an annual whole day learning event delivered by Yuno sexual health. It's aimed at GPs, practice nurses and any other health professionals in primary care working with young people or with an interest in contraception and sexual health. The aim is to support clinical professionals in delivering effective and safe sexual and reproductive health care.
For enquiries about the updating day, contact shonda@spcorporateservices.com
Become a LARC coil/implant fitter
The CoSRH Letters of Competence (LoC) are nationally recognised qualifications for those who wish to provide contraceptive implants or intra-uterine contraception.
There are 2 separate training programmes aimed at doctors, nurses and physicians associates already working in general practice, community and integrated sexual health services who wish to develop the necessary knowledge, attitude and skills to support those seeking long-acting contraception:
The LoC SDI will equip clinicians with the skills and knowledge required for effective subdermal contraception provision and subsequent management of any complications or side-effects: including those which prompt removal of the device
The LoC IUT will equip clinicians with the knowledge and skills required for safe insertion of intra-uterine contraception, including for emergency contraception
Yuno runs a training programme and has CoSRH registered trainers who can support anyone wishing to achieve these LoCs. We offers clinical placements for the clinical experience and assessments stage.
For further information, please email dfsrhtraining@uhbw.nhs.uk or visit the CoSRH website.
CoSRH LARC training is also available through other providers such as the pharmaceutical industry who have CoSRH registered trainers.
All training listed here is through CoSRH registered trainers:
For implant training:Email: ntspfeedback@organon.com or emma.trump1@nhs.net
Phone: 07817 186 538
For coil training:Email: sian.piper@bayer.com Phone: 07971 225 798
LARC fitter forums
Yuno host online LARC fitter forums throughout the year to support LARC fitters in primary and secondary care.
The aims of the forums are to:
create peer support through communities of practice
discuss challenging cases and trouble shoot common problems
identify examples of good practice and share experience
highlight any new clinical guidance or changes to service provision locally
To book a place on the next fitters forum please email DFSRHTraining@uhbw.nhs.uk
There is no fixed agenda so please feel free to bring items for discussion
Training by Brook
Brook are delivering a variety of professional training sessions across Bristol, North Somerset and South Gloucestershire. Take a look at the event page for upcoming sessions and booking info.
