Sphere Clinics


Sphere clinics - enhanced GP contraceptive and sexual health services:

  • Sexual health information and advice
  • Contraceptive methods, including long acting reversible contraception
  • Chlamydia screening
  • STI testing and treatment
  • HIV testing.

Who to Refer

Sphere clinics are free and confidential open to anyone in Bedfordshire.  Patients do not have to be registered with the practice to use the Sphere clinic.

  • Problems with choice of contraceptive methods
  • Investigation and treatment of problems with oral contraceptives
  • Cu and medicated IUD insertion
  • Emergency IUD insertion
  • Diaphragm fitting and follow-up
  • Contraceptive implant insertion and removal
  • Screening asymptomatic women for STIs
  • Screening asymptomatic men for STIs
  • Testing symptomatic men for STIs
  • Treating STIs
  • Treatment of first episode herpes
  • Treatment of genital warts (+ ref for all modalities)
  • Tests of cure STIs
  • Contact tracing/partner notification
  • Management of recurrent herpes (including suppressive Rx) and initiation of suppressive treatment
  • Management organic sexual dysfunction

Assessment for TOP (self referral)

Please note: when seeking/receiving advice in regard to patient care and making referrals, NHS Connecting for Health Information Governance standards and policies must be adhered to.

Who not to Refer

Those requiring HIV treatment and care - please refer to GUM.

Complex/recurrent STIs that are not responding to treatment - please refer to GUM.


British Association of Sexual Health and HIV (BASHH): http://www.bashh.org/

Last updated: 26/04/2012

Update due: 26/04/2013