LARC_Service_Specification

LONG ACTING REVERSIBLE CONTRACEPTION (LARC) (Service Overview) In partnership with BOPDHB, WBOPPHO is leading the rollout of a whole of Bay of Plenty initiative, providing free access for eligible women to LARC services through the General Practice networks and School-based Health Services.

(NB: Other community-based providers have also been directly contracted by the DHB to offer these services through their community-based settings.)

SERVICE DESCRIPTION: To deliver wāhine-centred contraception services in settings accessible and convenient to the target population. This service specification covers the following: 1.

Client-centred contraceptive counselling (consultations) providing wāhine with accurate and unbiased contraception information to support informed decision-making, 2.

Access to their chosen contraception method, including the insertion and removal of LARC, 3.

All services should be delivered at no cost to the wāhine.

Please note the following service definitions: - LARC refers only to Jadelle and IUS/IUD (not Depo) - Contraception consultation is for the initial advice only irrespective of outcome (LARC or not) but not for ongoing delivery of chosen method (e.g. not for 3monthly depo injections or COCP/POP prescriptions) (NB: For the EBPHA practices that have the under 26 yr old Sexual Health funding the LARC project funding Is to be used first (to gain accurate view of demand) and anyone not eligible for the LARC programme can be claimed under the EBPHA-funded programme (including ongoing depo/COCP) ELIGIBILITY: Target Population is women who are: - under 26 years of age; or - live in quintile 5 areas; or - hold a community services card (CSC); or - are at high risk of unplanned pregnancy and poor health and social outcomes. (Including; young women, Māori, Pacific, wāhine with substance abuse issues, and wāhine in receipt of a state-funded benefit.)

INVOICING: During the first three months of this programme, Practices are invited to invoice WBOPPHO the cost they would normally charge the patient for the service provided. That could include any combination of the following; 1.

Initial consultation 2.

Insertion of LARC of preference 3.

Removal of existing LARC 4.

Removal of existing LARC and insertion of alternative (NB: Invoicing will be manual until we establish the agreed pricing structure next year (Mar/Apr) and build claiming capacity into Halcyon.)

Invoices must reflect all relevant provider and patient details including: - Provider name - Provider Bank a/c - Provider GST number - Date of Service/s provided - NHI of patient - Description of service/s provided with each procedure separately identified - Length of actual time taken to deliver each component of the service/s - Cost of service/s provided (excl. GST) PROVIDER TRAINING: BOPDHB is coordinating all provider training for Practitioners who have not previously undertaken formal training in the provision of these services (i.e. General Practitioners, Nurse Practitioners and Registered Nurse (within both General Practice and School-based Health Service settings). We will work in collaboration with the contracted training providers to meet training needs.

(NB: It is expected that, as training opportunities are taken up, this will evolve predominantly into a Nurse-led service.)

Practitioners, who are currently providing the service within their General Practice and want to offer services to eligible women under this service initiative, are required to gain certification as an existing provider. This can be achieved by each Practitioner completing the attached LARC Provider Application – Existing Practitioner and return to your General Practice Liaison Team.

(NB: It is important that Practitioners specify each service component they wish to be certified against, as set out in Question 1. in the attached.)

Additionally, you are required to access and complete the Goodfellow Unit e-Learning modules. This is a refresher training resource for those who have previously participated in specific training in respect to the provision of these services.

(NB: While you do not need to submit certification of having completed the Goodfellow Units, by seeking to be certified as an existing LARC provider, you agree to participate in any audit processes the PHO may undertake from time to time.)

FURTHER INFORMATION: This service continues to be under development and will evolve over time. As additional information comes to hand, it will be disseminated to all existing and new providers.

Should you require clarification on any aspect of this service arrangement, please contact your General Practice Liaison in the first instance or email gpsadmin@wboppho.org.nz.