BASHH

"AGUM - how it started" by Dr Peter Watson (Former AGUM Secretary)

Previous Agendas
OGM 20/04/00	OGM 28/06/02	OGM 24/01/03	OGM 20/11/03
OGM 29/06/01	AGM 15/11/02	OGM 07/03/03	AGM 21/11/03
AGM 26/10/01	Programme 15/11/02	OGM 27/06/03

Previous Newsletters
May 2000 (AGUM)	March 2001 (AGUM)	December 2003 (BASHH)

GUM Service Specification

• Job Planning for GUM Consultant Contract
  This document was drawn up by a joint working group from the BASHH Clinical Governance Committee, RCP GUM Committee and the BMA Dermatovenerology Committee, led by Elizabeth Carlin. The document currently applies to England and Scotland , but appropriate addendums will be included, where necessary, to make it applicable in Wales and N Ireland as their consultant contract situation becomes clearer.
  The BASHH Board has reviewed the document and has approved it for circulation. The RCP committee and the BMAV Committees have been requested to take this back to their parent organisations for endorsement.
• DoH Letter on GUM Development Pilots (Sept 2003)
  Funding is available for 10 pilots to develop GUM services in areas where there is currently limited or no provision. £1,800,000 is available from the Sexual Health and HIV Strategy budget in this and each of the next two financial years to fund these pilots. SHAs are asked to help identify those areas in the country with the greatest need. Further information is available at http://www.doh.gov.uk/sexualhealthandhiv Gateway ref 1899
• Government's response to the health Select Committee Report on Sexual Health (Sept 2003) in PDF format
• Response by Dr Immy Ahmed on behalf of BASHH to the London Assembly's Health Committee Scrutiny on HIV/AIDS in London (Sept 2003)
• Updated Consultant in GUM' job description template (Sep 2003)
• HSC Template Letter (Jun 2003)
  Get your MP involved. Sexual health is in high profile right now and individuals must make the most of it. Centrally, attention has been created and now local pressure is needed.
• Sexual Reproductive Health Competency Framework for Nurses This draft document has been released for consultation by the RCN and endorsed by DoH. Could any comments please be recorded on this Review Form and returned by the 30th June 2003 to the name on the form.
• Reports for asylum claims (May 2003)
  Dr Andy Winter has secured a template for good practice in preparing legal reports from Sarah Woodhouse, an experienced immigration law practitioner.
• Refugees, Migrants and HIV (Apr 2003)
  Joint MSSVD/AGUM reponse to the All Party Parliamentary Group on AIDS and the All Party Parliamentary Group on Refugees, Migrants and HIV.
• Draft Minimum Data Set for Sexual Health (Jan 2003)
  Drawn up by the Sexual Health Data Group chaired by Gwenda Hughes at the CDSC.
• Engagement Document for Scottish Sexual Health Strategy (Feb 2003)
  The Sexual Health Strategy for Scotland is currently being written. Could anyone who is interested please respond to this engagement document and send any comments to either Rak Nandwani or Gordon Scott by 28th February 2003. Both of these gentlemen are members of the Reference Group and would be willing to answer any questions you may have.
• Securing recurrent funding (Dec 2002)
  Further guidance notes from George Kinghorn in respect to the DoH allocations.
• DoH Pump Priming Allocations (Oct 2002)
  These guidance notes were prepared by George Kinghorn in respect of the DoH allocations to enhance GUM capacity.
• KC60 Changes (Sept 2002) and Waiting Time Notes (Sept 2002)
  Minor changes only, since major changes technically too difficult at present. Negotiations have taken months to get to these "agreed" changes! See the 'Q & A' section for the rationale behind the changes. Note particularly a waiting time section at the end, plus the accompanying notes.
• Patient Satisfaction Questionnaire (Jul 2002)
  The politically astute of you out there will realise that a Patient Satisfaction Survey is useful in case your clinic is ever visited in a Peer Review, as well as being good for your appraisal file! This example is courtesy of Dr Maw in Belfast.
• AGUM/MSSVD Health Select Committee submission (Jun 2002)
  Evidence submitted to the Health Select Committee Inquiry on the National Sexual Health and HIV Strategy. This document contains a lot of useful facts needed by GUM consultants to back their demands/submissions when pleading for more staff, facilities and funds.
• Access survey (Jun 2002)
  A rapid survey via the regional reps in March 2002 prior to the meeting with Yvette Cooper. The MS Excel spreadsheet formatting with its additional pages (across the bottom) and drop down menus (in yellow) allows the data to be viewed in different ways.
• Speciality Specific Standards for Consultants in GU Medicine (Dec 01)
  "The Royal College of Physicians have asked each medical specialty to produce 2 specialty specific standards which can be used to assess the performance of individual consultants as part of the consultant revalidation process. For GU Medicine, the joint MSSVD/AGUM Clinical Effectiveness Group, has produced these standards on behalf of the Royal College of Physicians Joint Specialty Committee for GUM. The RCP GUM Committee has ratified these standards. The CEG have commissioned guidelines on the taking of a sexual history, and the offering of an HIV antibody test, in order to support these standards with recommendations of current good practice. It is hoped that these guidelines will be produced later in 2002".
• Standards for comprehensive Sexual Health Services for young people <25 years
  A report from the MSSVD Adolescent Sexual Health Group, also published in International Journal of STD & AIDS (1st June 2002, click here ).
• Report from the Access Group (Jul 2001)
• Report from the RCP Joint Specialty Committee for GUM (Jun 2001)
  Summary from the meeting
• GUM Outpatient HRG Development project (May 2001)
  Draft document for consultation from the NHS Information Authority: Population Health & Service Management Information.
• Basic Considerations for a GU Service (Revised May 2001)
  Brief overview of the physical & staffing elements for the provision of core GU services
• Service standards in GU Medicine (Revised Apr 2001)
  Advisory document for purchasers/clinical governance leads.
• Report from the RCP Joint Specialty Committee for GUM (Mar 2001)
  Summary from the meeting
• Consultant Physicians working for Patients (Mar 2001)
  Draft speciality statement for the RCP for discussion
• Clinical governance in GU Medicine (Feb 2001)
  Draft document for discussion
• Open access, appointments & emergencies in GUM Clinics (Apr 1999)
• Monks' Report (1988)
  Archive document for reference

Postgraduate Training

• Curriculum for SpRs - generic (Apr 03)
  Curriculum for SpRs - gum (Apr 03)
  "News from the SAC in Genitourinary Medicine: the new curriculum has been approved by the Specialist Training Authority (STA) and came into effect 1 January 2003 . All Specialist Registrars appointed after this date must follow the new curriculum.
• Genitourinary Medicine SAC Newsletter (Apr 03)
  The SAC has produced a newsletter specifically aimed at Regional Specialty Advisors and Specialist Registrars, but it may also be of interest to anyone involved in the training of Specialist Registrars.
• Curriculum in Genitourinary Medicine (Jul 2001)
  "This is now the finalised curriculum. It is likely to be approved by the Specialist Training Authority (STA) in February 2002 after which it will be compulsory. However it is recommended that all newly appointed SpRs follow this curriculum as from now." Dr Janet Wilson, Chair of SAC in GU Medicine.

Peer Review Process

• Peer Review Process Document (August 2001)

RCP Workforce Unit Census

Part-time Working - The Government has introduced a new scheme to enable more hospital doctors to work part-time for a defined period: it applies to doctors in training, and career grade doctors. It is of particular relevance to those wishing to reduce commitments prior to retirement. There is a variable amount of funding available to Trusts. For further information contact your Trust or Dr Karen Rogstad, Workforce Officer.

• Medical Workforce Speciality Review for GUM 2001/2
• Consultant Workforce Data for GUM for 1999

Clinical Effectiveness Group

• UK Outcome Standards in GUM for Gonorrhoea & Chlamydia
  - Covering letter
  - Data for discussion
  - Summary

Public Health

• Hepatitis B vaccination uptake in homosexual men attending GUM clinics
  This draft PHLS document was originally out for consultation in mid-2002.
• Guidelines for managing local outbreaks of STIs
  Thus draft PHLS document was originally out for consultation in late-2001.

Clinical Guidelines

• Intimate Examinations in GUM Clinics (Nov 2003)
  This guidance for intimate examinations by medical staff in GUM settings is based on the GMC intimate examinations document. It was written by Dr Rogstad on behalf of the RCP Joint Speciality Committee on Genitourinary Medicine and has been endorsed by the Royal College of Physicians, London.

V15 Transfer Cards

• V15 Transfer Card
  MS Word97 File (33kb). Can be edited to individual requirements. Printing on both sides of an A4-sized card will provide two copies per page.

Health Service Circulars from DoH

• Rollout of the National Chlamydia Screening Programme(Sep 2002)
• National Sexual Health Strategy (Jul 2001)
  This document can also be viewed on the DoH website. Several responses to the Strategy are available from the Newcastle Department of GUM (here) and from AGUM (here). A further letter has been sent to Yvette Cooper (Mar 2001) highlighting the urgent need for support of our specialty and inprove access to GUM services. The briefing document referred to in the above letter can be viewed by clicking here.
• On the 24th November 2000 , the DoH produced advice to consultants regarding the Intensity Payments in the form of an Advance Letter AL(MD)5/2000. It can also be viewed on the DoH website.
• The National Health Service Act 1977 has been amended to include The NHS Trusts and Primary Care Trusts (Sexually Transmitted Diseases) Directions 2000. It can also be viewed on the DoH website.
• HIV/AIDS Services 2000/2001. Allocations and action required: 2000/2001 (HSC 2000/029) This circular stipulates that providers have been given a 5% increase in GUM monies and this must be passed on to the clinics. Reproduced by kind permission of Linda Johnson-Laird, Room 711 Wellington House, 133-155 Waterloo Rd, SE1 8UG (tel: 020 7972 4397). © Crown copyright 2000.

Additional Health Circulars are available from Department of Health website. Use its search facility to find documents related to 'HIV' or 'AIDS'.

Contributions from Member & Guests

• GUNA Peer Review Process (Feb 2003)
  Interview Template Document / Peer Review Ticksheet / Peer Review Proforma
• Training in Genito-urinary Medicine after Calman - Dr. Andy Winter
  This article was commissioned by and published in the CME Bulletin Sexually Transmitted Infections & HIV 1999 3:44-46 and is reproduced here with permission of the publishers, Rila Publications Ltd.
• Setting-up a New Department of Genito-urinary Medicine- Dr. Conrad White (January 2000)
• Getting staff for your GUM Clinic - Dr. Colm O'Mahony (October 1999)
• How to arrange and run a conference - Dr. Carolyn Thompson (September 1999)
• Providing GU information on the web - Dr. Richard Lau (September 1999)
• Selection and Interviews - Dr. Fiona Davidson (November 1999)
• AGM Lecture - Dr Carl Gray, Invited Lecturer (October 2000)
  This lecture was first presented at the AGUM Annual General Meeting, London on 27th October 2000 (MS PowerPoint format)

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