Clinical Governance Committee
History and Background
The BASHH Clinical Governance Committee (CGC) was established in November 2003. The Committee retains some of the characteristics of the Association for Genitourinary Medicine structure, namely regional representation. The regional representation of the Committee means that experience or practice can be shared from areas around the country, and this knowledge can be pooled for the benefit of all.
The CGC is responsible for setting and monitoring standards of clinical services for Sexual Health, including HIV services, through a framework of clinical governance, peer review, nationally co-ordinated clinical audit and sharing of best practice.
Remit
The CGC is advisory and supportive and aims to stimulate action and advice in a co-ordinated fashion to promote and facilitate services in connection with sexually transmitted infections.
The CGC will focus on a wide range of current and topical issues in Sexual health and HIV concerning:
- Implementation of strategies and policies of BASHH as approved by the Governing Board
- Developing and managing services
- Setting and monitoring standards and specifications, updating in responding to best practice as necessary.
- Identifying areas of best clinical practice within individual clinics or regions, promoting them for adoption where appropriate whilst recognising local differences.
- Identifying regional and individual clinic difficulties.
- Exploring solutions to issues through discussion and shared experiences at committee level allowing action plans to be suggested.
- Co-ordinating a peer review system, on a local basis within each region, as required or in response to a member's request.
Terms of Reference
Click here to see the Terms of Reference
Working Relations
The Chairperson of the CGC will be a member of the Governing Board of BASHH and the CGC will report to the Governing Board.
The CGC will link with other organs of BASHH, third party organisations and individuals where indicated. It may also forge relationships with local hospital and primary care Trusts, through the Branch Chairperson, in response to individual clinic requests.
Membership
Chair - Dr Elizabeth Carlin
Secretary - Dr Celia Skinner
Cheshire and Merseyside - Dr Debashis Mandal
East Anglia - Dr Susie Forster
Oxford - Dr Patricia Williams
SAS Representative - Dr John Lee
Northern - Dr Conrad White
Northern Ireland - Dr Carol Emerson
North West - Dr Wafaa Wasef
Health Adviser Representative - Ms Ceri Evans
Scotland - Dr Gordon Mc Kenna
South West - Dr Andrew De Burgh-Thomas
Doctors in Training representative - Dr John Evans-Jones
Thames (NE) - Dr Celia Skinner
Thames (NW) - Dr Nigel O' Farrell
Thames (SE) - Dr Barry S Peters
Thames (SW) - Dr Jillian Pritchard
Trent - Dr David Kellock
Yorkshire - Dr Usha Kuchimanchi
Wales - Dr Olwen Williams
Wessex - Dr Kate Schroeder
West Midlands - Dr Loay David
Ex Officio members:
Vice President BASHH - Dr Janet WilsonTreasurer BASHH - Dr Raj Patel
Secretary BASHH - Dr Jan Clarke
British Co-operative Clinical Group representative - Dr Raymond Maw
Clinical Effectiveness Group Representative - Dr Keith Radcliffe
National Audit Group Representative - Dr Chris Carne
Co-opted Members
Nurse Representative - Ms Jean Beard
Groups reporting to CGC
- Clinical Effectiveness Group
- National Audit Group
- British Clinical Co-operative Group
CGC Minutes
Members may access CGC Minutes here
Service Specification
- Standards for HIV care document produced by BASHH and the British HIV Association (Nov 2007)
- BASHH Recommendations for Core Service Provision in Genitourinary Medicine (Dec 2005)
- Guidance on Retention of GUM Case-notes (Oct 2005, updated June 2006)
- Also for information is the BASHH response to the new NHS Code of Practice on Records Management.
- DoH link to their guidance 'Records management: NHS code of practice' (April 2006) - "Good Medical Practice for Physicians". Following the launch in May 2001, the RCP was asked by the GMC to prepare supplementary guidance to elaborate elements of specific relevance to physicians. The aim being that that physicians preparing for appraisal and revalidation will use this guidance. BASHH Members and Fellows should be aware of Appendix 9 (Genito-Urinary Medicine). (Sept 2004)
- MedFASH Recommended Standards for sexual health services. These recommended standards aim to support healthcare organisations to implement the National Strategy for Sexual Health & HIV and to deliver the Public Services Agreed targets for sexulat health. The Document can be found on the MedFASH website.
BASHH Reports
BASHH Tender 2008
'Guidance on Engagement of BASHH with Commissioners & other Bodies Involved in NHS Tendering'
The BASHH Board wish to issue guidance regarding the involvement of BASHH in the process of tendering GUM and sexual health services. In producing this guidance, the Board of BASHH wish to emphasise the following priorities.
As part of its charitable aims, BASHH seeks to uphold the standards for the delivery of clinical services. It does not have a view on the different merits of services which are provided for the NHS by Foundation Trusts, Acute Trusts, PCTs, the voluntary or private sectors. There are BASHH Fellows and Members working in all such organisations.
Where commissioners decide to tender NHS services, BASHH may be approached for confidential advice and guidance on the professional standards, clinical governance and other aspects of the services being tendered. In giving such advice, BASHH will strive to ensure that the standards of open access, confidentiality, clinical governance, diagnostic tests and management protocols are upheld to the highest professional standards.
Signed by
Dr Simon E. Barton (BASHH President 2006-2008)
- Guidance on Engament of BASHH with Commissioners & other Bodies Involved in NHS Tendering (01/02/08)
- Guidance on Priority Groups for Access to GUM Services (17/06/06)
- Guidance on Rapid HIV Testing (08/06/06)
- Disturbing Symptoms 4 (13/03/06) A joint report has been produced by THT/BHIVA/PACT/BASHH on the state of sexual health care and its future in England
- 'Improving Sexual Health - Optimising the Strategic Health Authority contribution' (06/09/04) A joint report has been produced by BASHH/THT/fpa on the role of the Strategic Health Authority in improving the nations sexual health.
- 'ABI Statement of Best Practice on HIV and Insurance' (Oct 04) Revised document following a period of detailed consultation with member companies, the gay community and interested stakeholders.
- 'BASHH response to the ABI's draft statement' (Oct 04)
- Important PbR Information - From 3 April 2006, coding for PbR needed to be in place with every attendance accurately logged as new or follow-up (according to PbR criteria) and every patient attributed accurately to a PCT area.
- The summary of Payment by Results tariff rates in relation to sexual health 2006-07
- "Focussing on plans to improve the service and achieve targets using new allocations from the department of health" - Paper by Colm O'Mahony to assist colleagues in DGHs when attempting to access Choosing Health funding, in conjunction with this speadsheet. (Dec 2005)
- "Capacity building to reach 48 hour access; making the case to PCTs" With the Choosing Health money available in England from April 2006, negotiations are underway at PCT level about how these are allocated. Consultants may find this document by the BASHH Modernisation Sub-group useful to work out for their own clinic what increased capacity is needed and how much resource is needed to provide for this, what they need to train others and opportunities to improve capacity within and outwith specialist services. Could members please feedback to Angela Robinson if they are aware of problems getting choosing health money as this can be powerful information to feed into the DoH. (Sept 2005)
- associated information "Summary of Vicious Circles Paper" (Oct 2005) - DoH Allocations to Lead Consultants in GUM/HIV services (July 2005)
Following the release of Public Health White Paper "Choosing Health: Making Healthier Choices Easier", further information has been released about funding allocations and use of resources.
- explanatory message from Dr Angela Robinson;
- funding allocations for chlamydia screening and sexual health;
- briefing note for PCT and SHA sexual health leads;
- PCT allocations of Public Health money (Excel spreadsheet) - Resource and Cash Limit Adjustment In Respect Of Improvements to Genito-Urinary Medicine (GUM) Services Check out the link for the latest information for England. It is vital that colleagues keep a tag on this and ensure that their PCTs do transfer the funds to your current year budgets.
- BASHH report on targeted allocation of funds in 2003/4
- Government's Response to the HSC's Third Report (July 2005)
- New Developments in Sexual Health & HIV/AIDS Policy. (March 2005) Health Select Committee's Third Report of Session 2004-5 as PDF file. Alternatively it can be viewed in HTML format via the Government website link here.
DoH Documents
- March 2009 - 48hr access to GUM - Message sent to SHA performance leads from the Department of Health's Performance Delivery Team www.bashh.org/cgc_minutes
- Genito-Urinary Medicine Clinics and the 48 hour access target' BASHH/DH Statement and letter from the BASHH President
Please click 'here' to download the statement - Revised Advice Note from the DoH with respect to the Chlamydia Screening Programme (PSA11d) together with an explanatory text document (Dec 2006)
- Healthcare Commission's Performance Indicators for Assessment 2005/06 National target indicators for PCTs including access to GUM clinics (July 2005)
- Charges to Overseas Visitors - Letter from DoH Customer Service Centre
- DoH document about copying letters to patients (July 2004)
- Sexual Offences Act 2004 - Statement for young people (May 2004)
- Sexual Offences Act 2004 - Press notice (May 2004)
- Paying the Price - BASHH response to the consultation document concerning prostitution. (Nov 2004)
Public Health
- Infectious Hepatitis Notification in GUM clinic attenders (BASHH statement) (23 Aug 2010)
- Health Protection Notification Regulations 2010 and notification forms (2010)
- Annual Report of the independant Advisory Group for Sexual Health & HIV (Oct 2005) Wednesday 16 April, 2008 4:50PM Wednesday 16 April, 2008 4:50PM 05)
- "Choosing Health" Toolkit (21 Feb 2005)
- "Choosing Health" Government's Public Health White Paper (16 Nov 2004)
- "STIs continue to increase in 2003" - HPA press release (July 2004)
- "Choosing Health?" - Joint response from Brook, fpa, MedFash, National AIDS Trust, THT (June 2004)
- "Choosing Health?" - BASHH response
- Independent Advisory Group for Sexual Health and HIV Newsletter (a group set up by the Government to advise them on sexual health issues). The IAG can be contact by email on: sexual_health_IAG@doh.gsi.gov.uk or find out more on their website.
Patient Group Directions
A series of PGDs have been produced from the Genitourinary Medicine Department at Nottingham University Hospitals NHS Trust (revised Feb 2007)
For comments on medical or pharmacology issues please contact Dr Elizabeth Carlin.