87. Specialist gynaecological investigation and management of abnormal uterine bleeding in women using contraception

Details
Parent Category: Sexual Health Pathways
Category: SRH Complex

Primary Tariff Rate: £
Additional Tariff Rate: £

    Pathway Detail

    Management of Complications / Intractable side-effects of Contraception

     

     

     

    Comments   

    # Vikki Pearce 2016-03-01 17:48
    consumables need reviewing - IUD?IUS/Implant seem to be in a full cost twice.
    Reduce to 33:33:33 split
    # Usha Kumar 2016-03-03 15:28
    Dear Vikky,
    This pathway was also amended in 2012, but not reflected above. We had removed all consumables except male condoms. The recommendation to the grouper was that if any additional contraception is supplied/LARC procedure performed, it should trigger an additional payment under standard SRH or LARC.
    # Pathway Analytics 2016-06-17 16:07
    [CM]Changed
    Inserted slide from #115 changed title to Specialist gynaecological investigation and management of abnormal uterine bleeding in women using contraception
    # Usha Kumar 2016-06-20 10:36
    Pipelle biopsy tube and cost of histo-pathology (for endometrial biopsy,,cervica l polyp) to be added to consumables.
    # Pathway Analytics 2016-06-20 10:37
    Remove following triggers from SRH Complex currency:
    Remove SRH Care Activity code 25 | Colposcopy Treatment
    [CM]Propsed/agreed/changed:
    Remove SRH Care Activity code 37 | Medical Gynaecology
    Remove SRH Care Activity code 38 | Care of Prostatitis
    Remove SRH Care Activity code 39 | Genital Dermatoses
    Remove SRH Care Activity 29U | Other Gynaecology Treatment & Care - Urology
    Remove SRH Care Activity code 29D | Other Gynaecology Treatment & Care - Dermatology
    # Pathway Analytics 2016-06-20 10:56
    [CM]Proposed/agree:
    Add Pipelle biopsy tube to Specialist gynaecological investigation for 10% of patients
    Add pathology endometrial biopsy for cervical polyp hysteroscopy
    remove "gynaecological investigation and" from title
    # Pathway Analytics 2016-10-24 14:09
    [CM]changed
    Reduced consultation from 25 to 10 min
    Added new step Examination and investigation 25 mins.
    Consolidate Biopsy and blood tests into examination and investigation steps
    Add follow-up visit Blend Dr 10 mins for 40%
    Mefenamic acid (500mg tablets) 500mg 3 x per day for 2 weeks in 10% of cases
    Tranexamic acid 500mg tab 1gram 3 x per day for 2 weeks in 10% of cases
    Primolut N 5mg 3x per day for 3 weeks in 10% of cases
    Iron tablets Ferrous sulphate 200mg 3x per day for 2 weeks in 10% cases
    COC pills in 30% of cases for 3 months
    Full blood count on 50% of cases
    Coagulation profile in 1% of cases
    # Pathway Analytics 2016-10-24 14:34
    [CM]changed
    Reduced consultation from 25 to 10 min
    Added new step Examination and investigation 25 mins.
    Consolidate Biopsy and blood tests into examination and investigation steps
    Add follow-up visit Blend Dr 10 mins for 40%
    Mefenamic acid (500mg tablets) 500mg 3 x per day for 2 weeks in 10% of cases
    Tranexamic acid 500mg tab 1gram 3 x per day for 2 weeks in 10% of cases
    Primolut N 5mg 3x per day for 3 weeks in 10% of cases
    Iron tablets Ferrous sulphate 200mg 3x per day for 2 weeks in 10% cases
    COC pills in 30% of cases for 3 months
    Full blood count on 50% of cases
    Coagulation profile in 1% of cases
    Cervical smear test in 10% of cases
    Add Pathology step and move Pathology into it

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