1. Background

The London Sexual Health Programme was concerned that Sexual and Reproductive Health clinics were not being adequately funded and there were disincentives to develop integrated services that bettered served patients and offered better public health outcomes. There was also concern that much of the complex GUM care undertaken was not being adequately funded. Furthermore, commissioners felt they were commissioning services ‘blind’, with insufficient information being delivered too late to impact their decisions.

Pathway Analytics was commissioned to support the London Sexual Health Programme develop a set of currencies and tariffs to promote the delivery of integrated sexual health care in London. The brief given was to develop a set of tariffs that would:

  • Promote best interests of the patient and public health
  • Ensure open access services are maintained
  • Promote the integration of GU and Sexual and Reproductive Health services
  • Offer value for money and affordability and not destabilise either services, providers or commissioners
  • Provide robust and defensible tariffs and currencies
  • Promote use of clinical best practice care pathways
  • Currencies and tariffs should be setting-independent
  • The information management burden should be kept to a minimum

Furthermore, there was no central authority prepared to mandate national implementation; adoption would have to be based on local decisions.

The development of the Integrated Sexual Health Tariff was driven by four expert working groups drawn from sites across London.

  • Clinical Working Group
  • Commissioning Working Group
  • Data Management Working Group
  • Finance Working Group