Specialty Training Programme in Community Sexual and Reproductive Health
Severn Post Graduate Medical Education
Health Education England - South West-Severn covers a large geographic area in the South West of England. Health Education England - South West-Severn provides postgraduate education and training for doctors and dentists in the South West and is committed to the personal and professional development of our trainees in a patient centred environment.
Please see the Severn Post Graduate Medical Education website for more information.
The Community Sexual and Reproductive Health Training Programme
The Community Sexual and Reproductive Health (CSRH) training programme is a 6 year programme, starting at ST1. During this time, the trainee's work will be monitored for satisfactory progress and subject to annual reviews in the form of ARCPs. Progression on the programme will be dependent upon these reviews.
The posts on this rotation have been approved for Specialist Training by the Faculty of Sexual and Reproductive Healthcare (FSRH). The post attracts a National Training Number and provides training towards a Certificate of Completion of Training (CCT). The Postgraduate Dean has confirmed that this post has the necessary educational and staffing approvals.
The programme is based in several different Trusts throughout the South West. The programme is mainly based in University Hospitals Bristol and Weston NHS Foundation Trust (UHBWFT). Trainees may find themselves placed in any of the following hospitals or health care providers: Currently some training is provided outside of Health Education South West.
List of accredited providers of CSRH training for Severn Deanery
|
Trust/Provider |
Hospitals and Clinic locations |
|---|---|
|
University Hospitals Bristol and Weston NHS Foundation Trust |
Unity Sexual Health at Central Health Clinic and community clinic sites St Michaels Hospital, Bristol Royal Infirmary South Bristol Community Hospital WISH and Weston General Hospital |
|
North Bristol NHS Trust |
Southmead Hospital
|
|
Gloucestershire Care Services NHS Trust |
Hope House, Sexual Health Services |
|
Gloucestershire Hospitals NHS Foundation Trust |
Gloucester Royal Infirmary |
|
Bristol City Council |
Department of Public Health |
|
Royal United Hospitals Bath NHS Foundation Trust |
Royal United Hospital |
|
Swindon borough Council |
Department of Public Health |
|
Great Western Hospitals NHS Foundation Trust |
The Great Western Hospital Chippenham Community Hospital Swindon NHS Health Centre |
|
Aneurin Bevan University LHB |
Llanfrecha Grange Hospital Cwmbran Clinic |
|
Cardiff and Vale University LHB |
Cardiff Royal Infirmary |
|
Oxford University Hospitals NHS Foundation Trust |
John Radcliffe Hospital |
|
British Pregnancy Advisory Service (BPAS) |
Swindon, Birmingham and Doncaster Clinics |
PROGRAMME DESCRIPTION
The programme covers the curriculum specified by the FSRH. The Training programme director is Dr Sharon Moses who is a Consultant in Sexual and Reproductive Health (SRH). Dr Manika Singh (Consultant SRH), Dr Lucinda Farmer (Associate Specialist in SRH) are the educational supervisors based at Unity Sexual Health in Central Clinic Bristol and Dr Rachel Westwick (Consultant SRH) is an educational supervisor based in Swindon at the Great Western Hospital. The CSRH programme lies within the School of O&G in Severn, Head of School is Miss Johanna Trinder based at St Michaels Hospital, Bristol.
The CSRH curriculum is divided into three phases of a six-year programme (indicative): Phase 1 (ST1-3), Phase 2 (ST4-5) and Phase 3 (ST6) training.
Phase 1
Phase 1 Training occurs from ST1 to ST3. During this phase, trainees need to achieve basic competencies in SRH, gynaecology and STI care. They will divide their time between each field of care in order to do so. This is the time when trainees will start to gain experience in CSRH but built on a solid foundation of experience from hospital obstetrics and gynaecology.
O&G training will be delivered mainly from St Michaels Hospital where there will be the opportunity to be part of the on call rota. Please visit the Severn School of Obstetrics and Gynaecology website to obtain further information about the St1 and St2 posts at St Michael’s Hospital.
SRH and STI care is located at Unity Sexual Health based at Central Health Clinic, see the Unity website for service information.
Phase 2
Phase 2 Training occurs from ST4 to ST5. During Phase 2, CSRH trainees will continue to develop their SRH, abortion, gynaecology and STI competencies. They will have attachments to Public Health and SARC (Sexual Assault Referral Centres) and gain further experience in Psychosexual Medicine.
Training in the above will mainly be at Unity Sexual Health with gynaecology provided from local and regional hospitals, Public Health (based at Bristol City Council) and for certain aspects of abortion care training may be delivered in Gloucester and Cardiff. Currently menopause training is delivered at a specialist clinic in Cwmbran.
Phase 3
Phase 3 Training occurs in ST6. During this phase, in addition to completing all clinical and nonclinical competencies, including systems management and leadership, the trainee prepares to transition to a consultant role.
Further curriculum information is available on the FSRH website.
Progression through training
The trainee will be expected to maintain the FSRH’s e-portfolio and complete all the modules of the curriculum. The trainee will be expected to complete the PGA in medical education (SRH) and the MFSRH. The trainee will be supported to complete the Diploma in GUM if they wish to do so.
The trainee will have an annual ARCP to determine progression into the next year of training these are run nationally for CSRH and are currently held virtually.
Unity Sexual Health Services
Unity Sexual Health is a partnership of service providers who have come together to deliver an innovative model of integrated sexual health, including pregnancy advisory services for Bristol, North Somerset and South Gloucestershire (BNSSG).Unity Sexual Health is provided by UHBW in partnership with the following organisations:
- Brook young peoples’ services to deliver sexual health services to < 20 yr olds
- MSI Reproductive Choices, British Pregnancy Advisory Service (BPAS) and North Bristol NHS Trust to deliver termination of pregnancy (TOP) services
- Terrence Higgins Trust and Eddystone Trust to deliver health promotion and outreach services
WISH the level 3 integrated Sexual Health Service in Weston Super Mare integrated in to UHB in November 2021.
Unity Central in Bristol is based at Central Health Clinic, Tower Hill, Bristol, BS2 OJD. Integrated contraception and sexual health and pregnancy advisory (abortion care) services are delivered from here, providing a central hub co-ordinating services, clinical governance, training and education. The service interfaces with The Bridge, a Sexual Assault Referral Centre (SARC) which occupies the second floor of Central Health Clinic. There are a further 12 Unity sites provide specialist Sexual Health Clinics in community settings including 9 young peoples’ clinics.
Unity Central, where the post holder will be based, is run with a combination of telephone triage and appointments, booked face to face appointments and specialist clinics. The clinics are staffed by a multi-professional team including Consultants, doctors in training, nurses, health advisors and nursing assistants. Specialist clinics are run for: complex contraception, male & female psychosexual care, herpes counselling, vulval problems, male chronic urethritis & pelvic pain. There are regular clinics providing PrEP. Fast-track access is provided for adolescents and commercial sex workers, the latter in conjunction with outreach work to on and off-street workers, young people at risk of sexual exploitation and men in sex encounter establishments.
In 2020/21 Unity saw 40,285 Level 3 attendances, there were 10 new HIV diagnoses and 3,740 patients had contraception issued.
The Pregnancy Advice Service at Unity Central is the main route of access for NHS funded abortion for women who live in BNSSG. The service offers advice about abortion and unplanned pregnancy, clinical assessment and then booking of the abortion procedure where required. Early medical abortions are provided from this setting. In 2020/21 2338 patients were seen in this service.
The psychosexual service receives approximately 350 referrals per year. The service is provided by a multidisciplinary team which includes doctors, a Sexual Therapist, and a consultant Liaison Psychiatrist.
The Bridge, Sexual Assault Referral Centre, opened in 2008, and provides forensic and support services to survivors of sexual assault (children and adults). It is jointly funded by, and works in close collaboration with, the Avon & Somerset Police.
HIV treatment services in Bristol are not part of Unity Sexual Health but are based within Southmead Hospital, in North Bristol Trust, under the clinical leadership of Dr Mark Gompels.
Teaching
There are formal programmes of education run within the acute and primary care trusts where the trainee will be based.
CSRH trainees in St1 and St2 will have the opportunity of attending weekly teaching as part of the Pan Bristol Obstetrics and Gynaecology teaching program.
Trainees are also able to attend the regional training days run by the South West (Severn and Peninsula) departments in Obstetrics and Gynaecology (SWOT and Logbook days).
Unity Sexual Health have weekly multidisciplinary departmental teaching meetings as well as having quarterly half day teaching and training sessions. During the attachment to public health the trainee will have opportunity to attend training workshops and sessions relevant to their training which are run in this department.
Health Education England - South West-Severn runs a comprehensive range of generic courses including teaching, appraisal, leadership and management.
Support and Facilities
There is a shared office space with computer facilities available at Central Health Clinic. Library facilities are available within the Education Centre at UHBWFT and also at Bristol University medical school.