PHS Sexual Health Specifications

Updated Public Health Levonorgestrol PGD

The latest PGD for Levonorgestrol can be found here.

Service Aim

  • To provide extended access through the NHS to advice and Emergency Hormonal Contraceprtion (EHC) as part of the Public Health Service (PHS) element of the community pharmacy contract.

Service Outline

  • The PHS Sexual Health service consists of the Emergency Hormonal Contraception (EHC) service

  • The service is provided and funded as a national NHS service by NHS Scotland through the PHS element of the community pharmacy contract and comply with policies and standards set by the NHS for the provision of such services

  • A pharmacist who chooses not to supply EHC on the grounds of religious, moral or ethical reasons must treat the matter sensitively and advise the client on an alternative local source of supply (such as another pharmacy, GP or sexual health service). (see RPSGB Medicines, Ethics and Practice Guide)

  • If a client is showing symptoms that indicate another sexually transmitted infection then they must be advised and encouraged to attend the local specialist sexual health service, GUM clinic or their GP practice for further investigation.

  • The pharmacist must ensure, where appropriate, that the client is counselled on other sexual health matters and related topics. Written information should also be available on these topics

  • The pharmacist must use their professional judgement to consider, and where appropriate, act on any child protection issues brought to their attention. This should be in line with the local child protection procedures and any national or local guidance on under 16s sexual activity.

Service Standards

  • There is an accompanying service specification and set of standards for EHC provision

  • To allow use of Levonorgestrel (POM) under the PHS, a National PGD has been developed

  • The pharmacist providing the service should ensure that a standard operating procedure is in place which covers all aspects of service provision.


  • The pharmacist providing the service must practise within their own competency

  • Distance learning resource packages are available from National Education Scotland (NES) Pharmacy for pharmacists who wish to develop their knowledge and skills in sexual health services

  • The pharmacist providing the service must be aware of and operate within the national service specifications.

Record keeping

It is a requirement of the service that appropriate records, including patient medication records, are kept and maintained by the pharmacist, to enable verification of service provision and training requirements, and to provide information for internal and external audit and evaluation purposes.


Payments for supplying EHC are as follows:

  • Payment of £25 per EHC Intervention

  • Reimbursement for Levonorgestrel or Ulipristal prescribed using CPUS Prescription form

  • Contractors should remember to prescribe either Levonorgestrel 1500mcg, Levonelle 1500 or  Ulipristal Acetate 30mg to ensure payment for medicine supply.

Contractors should consult their Public Health Service Payment report sent by PSD to ensure they are receiving this payment.

Background Information

RPSGB Medicines, Ethics and Practice (current edition)

Local child protection protocols and policies

NES Child Protection distance learning pack

NES Sexual and reproductive health e-learning – access via NES Portal

GPHC guidance on consent, sexual boundaries, confidentiality and provision of pharmacy services affected by religious moral beliefs.