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.
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
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.
- Chair - Dr John McSorley - (2018-2020)
- Secretary - Dr Mohamed Ghanem (2018 -)
- Cheshire & Merseyside - Dr Martyn Wood - (2017-2019)
- East Anglia - Dr Holly Donson - (2018-2020)
- Northern Ireland - Dr Say Quay - (2018-2020)
- Northern - Dr Oluseyi Hotonu - (2017-2019)
- North West - Dr Matthew Phillips - (2017-2019)
- Oxford - Dr Mohamed Ghanem - (2018 onwards)
- Scotland - Dr Daniela Brawley - (2017-2019)
- South West - Dr Indrajith Karhnaratne - (2017-2019)
- Thames (NE) - Dr Sharmin Obeyesekara (2017-2019)
- Thames (NW) - Dr John McSorley - (2017-2019)
- Thames (SE) - Dr Rajesh Hembrom - (2017-2019)
- Thames (SW) - Dr Shalini Andrews - (2017-2019)
- Trent - Dr Manjula Pammi - (2018-2020)
- Wales - Dr Rachel Drayton - (2017-2019)
- Wessex - Dr Leela Sanmani - (2018-2020)
- West Midlands - Dr Claire Robertson - (2018-2020)
- Yorkshire - Dr Amy Mammen-Tobin (2018-2020)
- Doctors in Training Representative - Dr Melissa Pinder - (2018-2020)
- Health Adviser Representative - Mr Martin Murchie (2017-2019)
- Nurse Representative - Mrs Claire Langrish (2018-2020)
- SAS Representative - Dr Kajal Verma (2017-2019)
Ex Officio Members:
- BASHH President - Dr Olwen Williams
- BASHH Vice President - Dr Jonathan Ross
- BASHH Treasurer - Dr Kaveh Manavi
- BASHH General Secretary - Dr Alan Tang
- BASHH Conference and Communications Secretary – Dr Daniel Richardson
- BASHH Education Committee Chair – Dr Ashini Fox
- BASHH Clinical Effectiveness Group Representative (CEG) - Dr Keith Radcliffe
- BASHH National Audit Group Representative (NAG) - Dr Ann Sullivan
- BASHH Webteam Chair - Dr Martyn Wood
- BASHH Information Group - Dr David Phillips
- BASHH Mentoring Group - Dr Emma Fox
- BASHH Clinical Standards Unit - Dr Raj Patel
Groups reporting to CGC
- Clinical Effectiveness Group
- National Audit Group
- Mentoring Group
- Information Group
- Clinical Standards Unit
- 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.
- Health Building Note 12-01: Consulting, examination and treatment facilities. Supplement A: Sexual and reproductive health clinics (2008 & 2009) - HBN 12-01 provides guidance on the planning and design of sexual and reproductive health clinics with example room layouts. The guidance has been produced by the DH in conjunction with key stakeholders including BASHH. Internet access to the document is via the Space for Health website http://www.spaceforhealth.nhs.uk/. In order to use the site individuals need to register with the site. NHS users are then able to use the site free of charge to download the document for individual use. Once registered the easiest way to locate the document is to access the site and click on publications and then either click on out-patients in the topic drop-down menu followed by clicking on go, or perform an advanced search using HBN 12 (not HBN 12-01) in the description box.
Infographics Leaflet for Commissioners to Highlight the Value of Sexual Health Services
BASHH is aware that some local authorities may not value sexual health services highly, nor understand exactly what sexual health does, and in particular are uncertain whether services provide good value for money.
BASHH has produced an infographics leaflet to give a simple visual representation of how sexual health contributes to public health, including figures on costs and benefits in the form of a single page leaflet and a slightly more detailed 2 page leaflet. These can be used when discussing services with commissioners by highlighting the important role sexual healthcare has in delivering effective public health.
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.
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)
- 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
Health Select Committee
- 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.
- March 2009 - 48hr access to GUM - Message sent to SHA performance leads from the Department of Health's Performance Delivery Team 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)
Home Office Documents
- Paying the Price - BASHH response to the consultation document concerning prostitution. (Nov 2004)
- Reports of newly identified individual with Hepatitis A, B and C 
- BASHH Statement on HPV Vaccination and MSM 2015
- BASHH Statement on 'club' (recreational) drug use
- Chemsex Patient Information Leaflet - Provided by NHS SWAGNET
- 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.
- Azithromycin PGD
- Ciprofloxacin PGD
- Clotrimazole Pessary PGD
- Clotrimazole Cream PGD
- Doxycycline PGD
- Erythromycin PGD
- Levonorgestrel PGD
- Metronidazole PGD
- Trimethoprim PGD
- Podophyllotoxin Cream PGD
The following PGDs have been produced from the Genitourinary Medicine Department in the Isle of Wight (Jul 2003).
- Aciclovir for HSV
- Ceftriaxone of GC
- Clotrimazole for Balanitis
- Cryotherapy for Warts
- Derbac M for Pubic Lice
- Derbac M for Scabies
- Flucanazole for Candidiasis
- HBV Vaccination
- Miconazole for Candidiasis
- TCAA for Warts
- Spectinomycin leaflet - The prescribing clinician should seek advice on potential interactions with spectinomycin from his/her own Medicine's Information Unit.
- BASHH advisors to support commissioners on tenders as suggested by BASHH Officers - October 2014