Yuno professional zone

Clinical services and how to refer

• For professionals only - urgent clinical advice including new or acute episodes of syphilis (this is not a patient advice line): 0117 342 6913

• At other times or if unable to get through, call and leave a message with your phone number on the secure answerphone on 0117 342 6944. (health advisers) or 0117 342 6933. (direct line to reception). The message will be passed to the covering doctor for the next clinical session.

• Yuno sexual health central phone number for patients: 0117 342 6900

• Yuno @ WISH, Weston (North Somerset) telephone number: 01934 881 234

• GUM/sexual health advice only: all A&G requests should be made through the electronic referral service (eRS)

• LARC referrals to CHC: all referrals for LARC including A&G requests should be made through the electronic referral service (eRS)

• LARC referrals for North Somerset (WISH) patients only: wishcentre@uhbw.nhs.uk

• Emergency IUD at CHC: unityreferrals@uhbw.nhs.uk

• Emergency IUD referrals for North Somerset patients only: wishcentre@uhbw.nhs.uk

• Psychosexual referrals: psychosexualappointments@uhbw.nhs.uk

• Pregnancy advisory service: 0345 872 5435

Patients can self-refer for:

• Testing for sexually transmitted infections

• Contraception advice

• Advice on unplanned pregnancy through central booking line: 0345 872 5435

• Advice on sexual assault: The Bridge

For information on current Yuno sexual health clinics and locations.

LARC referrals

As per FSRH 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

Complete the LARC referral form and refer through the electronic referral service (eRS).

• Download LARC referral form (Word)

Referrals from North Somerset GP

Complete the WISH LARC referral form and send it to wishcentre@uhbw.nhs.uk

• Download WISH LARC referral form (Word)

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.

• Download the under 18s supporting information form (Word)

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