If you are a GUM service and occassionally offer contraception, then (for tariff purposes) we do not require you to complete a full SRHAD return for the contraception element of the care. All you need to do is code for the activity you are providing and use the GUMCAD patient details.
Here are some examples:
A patient receives STI tests and contraception advice but no method, you can code any one of these ways:
- T2 for the test and P3 for the contraception advice, both in GUMCAD
- T2 for the test and P3 for the contraception advice, both in GUMCAD AND Contraception Main Method Status 4 in SRHAD
- We recommend you do not omit P3 in GUMCAD as this will devalue your GUMCAD return to the HPA.
A patient receives STI tests and a pregnancy test, you can code any one of these ways:
- T2 for the STI test in GUMCAD AND SRH Care Activity 2 in SRHAD
- P3 should only be used in connection with contraception services (not including condom provision).
If you are a GUM service and you already make a complete SRHAD return you should not use the P3 code.
If you are a contraception service and provide occasional STI tests or interventions, you can similarly attach GUMCAD SHHAPT code to you patient record without having to complete a full GUMCAD return for tariff purposes. However, we do not encourage this as the HPA would prefer you to complete the GUMCAD2 report.
Where there is duplication of activity in GUMCAD and SRHAD, for example, P3 and SRH Care Activity code or contraception code, only one tariff payment will be triggered. It is not possible to receive two SRH Standard tariffs for the same patient visit. Similarly, if a combination of SRH Standard and SRH Complex tariffs are triggered, the payment will be limited to SRH Cmoplex only as part of the normal tariff rule set.
For further advice, please seek the detailed guidance available here:
http://www.pathwayanalytics.com/cms/faqs/item/410-where-can-i-find-the-gumcad-guidance-documents
and
http://www.pathwayanalytics.com/cms/faqs/item/411-where-can-i-find-the-srhad-guidance-documents