COVID-19

During the restriction of movements as a result of the COVID-19 outbreak all scheduled meetings listed on the North Yorkshire Partnership website will not be taking place or will be carried out virtually. For further information please contact the named contact for the relevant meetings or email nypartnerships@northyorks.gov.uk

Links to accessible information and translations into community languages can be found here

Professional portal

This page is aimed at professionals who wish to sign up to deliver a public health commissioned service.

Here you will find details of service specifications, patient group directions (PGDs) and all the appropriate forms required to sign up to a service with detailed instruction on who and where to send completed paperwork.

Click on the service you require to find instructions on how to sign up as a provider. 

Smoking cessation services

Stop Smoking Services 

Community Specialist Stop Smoking Service

The community based stop smoking support in North Yorkshire is delivered by the Living Well SmokeFree team. 

Find out more about our smoke free service here.
 

Referral process 

Health professionals can refer patients by using the forms below and emailing them to stop.smoking@northyorks.gov.uk or by phone: 01609 797272.   

Referral form

Maternity referral form
 

Eligibility criteria

  • Would like to stop smoking (or adopt a harm reduction approach) and receive support from the Specialist Smoke Free Service;
  • Is not receiving a stop smoking service from another provider;
  • Is a tobacco smoker that resides in North Yorkshire, works in North Yorkshire or is registered with a North Yorkshire GP;
  • Is above the age of 12.

Any potential client who does not meet all of these criteria will not be eligible to access the Specialist Smoke Free Service.
 

Pharmacy In-House Specialist Stop Smoking Service Information

North Yorkshire Pharmacies can sign up to provide in-house specialist stop smoking support, a NRT voucher scheme and varenicline PGD supply, please find relevant details below:

 

             Example of NRT voucher - voucher pads available to order here
             Example change of NRT mid voucher - voucher pads available to order here
             New voucher cross function
             Change of voucher process
             GP letter process

 

            Varenicline screening questionnaire
            Example letter of recommendation for Varenicline supply
            PGD pharmacist assessment
            Example letter of recommendation – follow up supply
            Example GP notification letter of Varenicline initiation
            Record of supply of Varenicline
            NYCC PGD for the supply of Varenicline
            Declaration of competence for smoking cessation services
            GPhC standards for registered pharmacies

 

For further information please contact Nicola Dixon on socialservices.contractingunit@northyorks.gov.uk or 01609 536503

 

GP In-House Specialist Stop Smoking Service Information

North Yorkshire GPs can sign up to provide in-house specialist stop smoking support, please find the relevant details below:

 

For further information please contact Nicola Dixon on socialservices.contractingunit@northyorks.gov.uk or 01609 536503 
 

Stop Smoking Specialist Advisor Training

The following training is available for providers of specialist stop smoking service and must be completed as per the service specifications prior to service delivery:

  • Level 1 and 2 (essential for service delivery)
  • NRT Voucher Training
  • Very Brief Advice (VBA)

For more information on training contact Living Well Smokefree: stop.smoking@northyorks.gov.uk  01609 797272  


Smoking Cessation Formulary

This formulary should be used alongside relevant clinical guidelines to ensure provision of clinically and cost effective medicines as part of evidence-based treatment intervention.

 

Useful Contact Numbers

  • Contracting – Nicola Dixon, Senior Contracting Officer, 01609 536503
  • Claims and Payments – Phillippa Sellstrom, Health Improvement Manager, 01609 536836
  • Ordering of mouth pieces for CO monitors - email stop.smoking@northyorks.gov.uk or use the order form
  • Pharmoutcomes or Outcomes4Health Queries – helpdesk@phpartnership.com or 01983 216699

 

Sexual health services

Community Sexual Health services

**Please be aware that due to COVID-19, YorSexualHealth are limiting face to face contact at the clinics.**
 

The North Yorkshire Public Health team commissions a fully Integrated Sexual Health Service, currently provided by York Teaching Hospital NHS Foundation Trust; branded as YorSexualHealth.

Find out more about this service here.

There is also a specific professionals page, which is designed to answer any specific questions you may have.
 

Eligibility Criteria and Referral Process

YorSexualHealth accept self-referrals, GP referrals and online referrals.

For telephone advice, you can call the central booking team on 01904 721111.

YorSexualHealth are commissioned to provide an open-access, free and confidential sexual health services across North Yorkshire. They offer the following services:

  • Contraception (including the costs of Long-Acting Reversible Contraceptive (LARC) devices and prescription or supply of full range of methods, including condoms) and advice on preventing unintended pregnancy, in specialist services
  • Sexually transmitted infection (STI) testing and treatment in specialist services, chlamydia screening as part of the National Chlamydia Screening Programme (NCSP), HIV testing including population screening in primary care and general medical settings, partner notification for STIs and HIV.
  • Sexual health aspects of Sexual Health counselling.
  • All sexual health specialist services, including young people’s sexual health services, targeted outreach, HIV prevention and positive support for people living with HIV, sexual health promotion including campaigns and a training programme for the wider workforce.


Sexual Health in Primary Care

Primary Care provide an element of the wider sexual health service commissioned by the North Yorkshire Public Health team, which contributes to the overall delivery of the local sexual health system. These contracts are delivered by participating GP practices signed up to the Public Health Approved Provider List.
 

Targeted Primary Care Sexual Health Service Provided in GP Practices.

The service specification for this service can be found here.
 

GP Practices opting to deliver services as part of the North Yorkshire Approved Provider List must deliver all of the following services within the ‘Sexual Health Basket’:

  • LARC (Long–acting reversible contraception) service to women of all ages – subdermal implant (SDI) or intra-uterine system / intrauterine device (IUS/IUD)
  • Chlamydia screening service to under 25 year olds (as part of the National Chlamydia Screening Programme)
  • Free condoms to under 25 year olds
  • Provision of sexual health information to service users
     

Currently, 71 out of 73 GP Practices across North Yorkshire have signed up to deliver this element of the service. The full breakdown of these practices can be found here.
 

If you don’t already deliver this service and would like to find out more about how to add this service as part of the Public Health Approved Provider List, please contact: Nicola Dixon on 01609 536503 or Nicola.dixon@northyorks.gov.uk

 

The Sexual Health Medicines Formulary can be located here.
 

Targeted Primary Care Sexual Health Service Provided in Community Pharmacies.

The service specification for this service can be found here.
 

Community Pharmacies also provide a component of the wider sexual health service commissioned by the North Yorkshire Public Health team. Participating pharmacies in North Yorkshire must do so under the Approved Provider List.

The providers opting in to deliver this service must deliver all services within the ‘Sexual Health Basket’. These include:

  1. The provision of free emergency hormonal contraception (EHC) to service users aged 13 years to 24 years.
  2. Provision of Chlamydia screening kits to under 25 year olds (as part of the NCSP – national chlamydia screening programme)
  3. Free condoms to under 25 year olds
  4. Provision of sexual health information to service users

This provision aims to increase the awareness and access, especially among young people, of the availability of free EHC for 13 to 24 year olds. The targeted work also aims to improve access to ‘self-administered’ Chlamydia screening kits and increase the numbers of test samples returned for analysis.
 

Current pharmacies signed up to provide targeted Primary Care Sexual Health Services can be found here.
 

There are two authorised PGDs in use for the delivery of the Targeted Primary Care Sexual Health Services in Community Pharmacy; levonorgestrel and ulipristal.
 

If you don’t already deliver this service and would like to find out more about how to add this service as part of the Public Health Approved Provider List, please contact: Nicola Dixon on 01609 536503 or email Nicola.dixon@northyorks.gov.uk

 

Community drug and alcohol services

North Yorkshire Horizons is commissioned to provide support to adults across North Yorkshire.

Compass REACH is commissioned to provide support to young people across North Yorkshire.
 

Find out more about these services here.

 

Eligibility Criteria and Referral Process

North Yorkshire Horizons accepts referrals from anyone, via their Single Point of Contact or email:

North Yorkshire Horizons is available for adults (aged 18 years and over) present in the North Yorkshire County Council area who:

  • Misuse illicit and illicitly obtained prescription drugs, and new psychoactive substances;
  • Are harmful drinkers or alcohol dependent – in line with NICE alcohol use disorders pathway and Clinical Guideline 115;
  • Subject to clinical need, North Yorkshire Horizons will deliver pharmacological treatment interventions for under 18 year olds. Care co-ordination and other treatment interventions will be provided by the Local Authority commissioned young people’s Service. 
     

Compass REACH operate an open referral system which means that as well as taking self-referrals, they also accept referrals from parents and carers. Professionals are also welcome to refer but are asked to complete a referral form. If you’d like to talk over anything, calls are welcomed on either:

  • 01609 777662
  • 0800 0087452

Compass REACH offer face-to-face support for any Young Person struggling with the following areas:

  • drugs and / or alcohol have become a pretty big problem for you and are starting to impact on your daily life so you want some help in sorting it out.
  • you’re starting to struggle with aspects of your emotional wellbeing, also known as ‘mental health’, and want some help to stop it getting worse.
  • you need access to contraception, are having unsafe sex, are currently in an unhealthy relationship, or you feel pressured into having sex either by a partner or peer. We can help with all these things


General practice based drug treatment shared care service

North Yorkshire Horizons supports a number of GP practices to deliver drug misuse treatment. North Yorkshire Horizons supports practices to deliver treatment clinics on a regular basis with these practices. Horizons’ Recovery Co-ordinators also support these practices to comply with commissioner and national reporting requirements, and claim payment from North Yorkshire County Council via PharmOutcomes.
 

Useful contacts:

If you don’t already deliver this service and would like to find out more, please contact:

  • Service - Nicky Booth, Area Manager for North Yorkshire Horizons – 01723 330730
  • Contracting with NYCC - Nicola Dixon on 01609 536503 or email Nicola.dixon@northyorks.gov.uk
     

RCGP substance misuse certificate:

Practices are expected to have at least one designated clinician who oversees the delivery of the service within the practice and who has completed the RCGP Level 1 certificate in drug misuse and/ or re-certification if more than 5 years has elapsed since completion of their certificate.

Spectrum Learn and Develop RCGP Certificate in the Management of Drug Misuse – Part 1

Spectrum Learn and Develop RCGP Certificate in the Management of Drug Misuse – Part 2

Spectrum Learn and Develop RCGP Management of Drug Misuse – Re-Certification
 

Useful documents:

Shared Care Drug Misuse – Service Specification  

Medicines Formulary
 

The current list of practices who deliver this service can be found here
 

GP Pharmacological abstinence therapy service – alcohol misuse

North Yorkshire County Council funds GP practices to support the progress that their patients have made through a medically assisted alcohol withdrawal with North Yorkshire Horizons. North Yorkshire Horizons initiates prescribing of acamprosate/ disulfiram/ naltrexone as clinically appropriate, and then refers the individual to their GP for on-going but time limited continuation of prescribing, and appropriate medication reviews (usually for up to 12 weeks).
 

Useful contacts:

Useful documents:

Medicines Formulary 

GP Pharmacological Abstinence Therapy Supervision Service Specification

Example discharge letter template


The current list of practices who deliver this service can be found here
 

Pharmacies – Supervised Consumption

North Yorkshire County Council funds a number of community Pharmacies across North Yorkshire to provide a supervision service for people who are prescribed an opiate substitute medication and associated support from Horizons. Pharmacies are expected to work with North Yorkshire Horizons to arrange suitable alternative business continuity arrangements in the event that they cannot deliver the commissioned service for a time-limited period or on a permanent basis.  
 

Useful contacts:

Useful documents:

Supervised Consumption Service Specification 
 

Payment:

Claims are submitted to North Yorkshire County Council each month via PharmOutcomes. Pharmacies must register each customer using the ‘supervised consumption – registration’ template, and then submit the supervision activity associated with that individual on the ‘supervised consumption – supervision’ template.

Contact Pharmoutcomes on: helpdesk@phpartnership.com or 01983 216699
 

CPPE certificate:

Practices are expected to have at least one Pharmacist who oversees the delivery of the service who has completed the CPPE substance misuse certificate - https://www.cppe.ac.uk/programmes/l?t=Substance-A-12&evid=50002  


The current list of practices who deliver this service can be found here
 

Pharmacies – Needle Exchange and Harm Reduction Service

North Yorkshire County Council commissions community Pharmacies to provide Needle and Syringe Programme and Harm Reduction services. Participating Pharmacies receive support from North Yorkshire Horizons including the provision of stock, training, monitoring and waste collection.
 

Useful contacts:

  • Service – Jenna Wing, Area Manager for North Yorkshire Horizons – 01723 330730   
  • Contracting with NYCC - Nicola Dixon on 01609 536503 or email Nicola.dixon@northyorks.gov.uk
     

Useful documents:

NSP and Harm Reduction Service Specification 
 

Payment:

Claims are submitted to North Yorkshire County Council each month via PharmOutcomes. Pharmacies must register each customer using the ‘needle exchange – registration’ template, and then submit exchange activity associated with that individual on the ‘needle exchange with paraphernalia’ template.

Contact PharmOutcomes on: helpdesk@phpartnership.com or 01983 216699
 

CPPE certificate:

Practices are expected to have at least one Pharmacist who oversees the delivery of the service who has completed the CPPE substance misuse certificate - https://www.cppe.ac.uk/programmes/l?t=Substance-A-12&evid=50002 


The current list of practices who deliver this service can be found here

 

Take Home Naloxone

Regulations introduced in 2015 and amended in 2019 widened the availability of Naloxone, a medicine which reverses the effects of a heroin (or other opiate) overdose. North Yorkshire Horizons provide training on naloxone and supply kits to organisations to support this intervention being available for administration in emergency situations.
 

Guidance from PHE can be found below which offers an overview of this provision and North Yorkshire Horizons are on hand if you’d like to become involved in the local arrangement:

Widening the availability of naloxone  
 

North Yorkshire Horizons have also created a Standard Operating Procedure to offer guidance around the safe storage of Naloxone, as well as the competency levels around the administering of Naloxone.
 

This SOP document can be found here for reference.
 

If you’re interested in participating, or would just like some further information, please contact:

Jenna Wing, Area Manager for North Yorkshire Horizons - 01723 330730.
 

Drug and Alcohol Related Deaths Confidential Enquiry

North Yorkshire County Council manages a confidential enquiry process in order to promote system learning and mitigate and reduce harms. We work closely with North Yorkshire Horizons and other key partners to gain a holistic overview and share learning to the required sources.
 

To report a drug or alcohol related death, or for further information, please contact:

NYDARD@northyorks.gov.uk
 

Drug Early Warning and Alert Protocol

The Drug Early Warning and Alert Protocol is the process through which local, regional and national illicit drug intelligence is reported, investigated and cascaded across the North Yorkshire ‘system’ (e.g. statutory agencies, services). It has been designed to reduce the risk of potential harm or death related to drug misuse. It is intended for a professional audience – not the public. To report any information you are concerned about you can contact the Public Health team via:
 

It’s important to remember that the Drug Early Warning and Alert Protocol does not replace the responsibility of professionals to report concerns to the Police (Intelligenceunit@northyorkshire.pnn.police.uk), or refer to Children or Adult Safeguarding or services.
 

A One Minute Guide has been created to offer a full overview and is available here.