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1 Blackpool Teaching Hospitals NHS Foundation Trust SHARE Sexual Help & Relationship Enhancement Psychosexual Service Blackpool/Lancashire Sexual Health Services Referrer Information Leaflet People Centred Positive Compassion Excellence

2 Introduction SHARE - Psychosexual Service sits within the Contraception and Sexual Health Service, Blackpool Teaching Hospitals NHS Foundation Trust. The service hub is at ACORN Primary Health Care Centre, Accrington and satellite services are provided in a variety of locations across the geographical boundaries of Blackpool Teaching Hospital Trust and Lancashire County Council. Many people experience some difficulty in their sexual lives at different stages across their lifespan. Some of these resolve spontaneously, others require specialist input. Sometimes sexual difficulties have affected someone throughout their life, or the problem may be a more recent development. Problems encountered may be related to: Physical or medical conditions Social issues or emotional and relationship circumstances. Often there are a combination of factors contributing to the difficulty experienced. Whilst an adult service, the service can provide assessment and support for clients between for brief intervention education and normalisation regarding sex and sexual function. In addition we will work with colleagues to support younger clients from 16 experiencing gender identity issues to ensure timely referral to appropriate specialist services. Who are we? SHARE-Sexual Help and Relationship Enhancement is a specialist service that works with individuals and couples to address problems with sexual functioning, relationship issues as well as concerns regarding gender, sexuality, sexual orientation and lifestyle. The team have all completed as a minimum a Post Graduate Diploma in Psychosexual Therapy and associated specialist courses that are recognised by The College of Sex and Relationship Therapists (COSRT). We therefore abide by the COSRT code of ethics.

3 What is Psychosexual Therapy? Psychosexual therapy is a process of using a number of different psychological and/or physical approaches to help clients with sexual and relationship problems. Core conditions: Addictive and compulsive sexual behaviour Arousal disturbance (male and female) Body image issues i.e. penis size and labial concerns Erection disorder (psychogenic, organic or combined) Premature (early) ejaculation, delayed ejaculation and retrograde ejaculation Gender identity Issues Genito-pelvic pain/penetration disorder (previously dyspareunia and vaginismus) Hypoactive sexual desire disorder (male and female) Orgasmic disorders (male and female) Paraphilia Relationship issues affected by the sexual problem Sexual abuse which is impacting on sexual function and/or sexual relationships Sexuality and Sexual orientation Issues Substance induced sexual dysfunction. Please note - this is not a forensic sexology service and thereby we do not provide therapy to sexual offenders for the offending behaviour. Forensic sexology falls within the remit of Mental Health Services.

4 How to refer Referrals are received from GPs, primary and secondary healthcare practitioners, mental health services, social care and a variety of other agencies. Referrals are made directly to the service by either completion of the service referral pro forma or letter. This can be posted or ed into the service. Whilst occasionally clients self-refer, we encourage dialogue with their GP or attempt to receive permission for the service to liaise directly with the GP going forward. Referrals are received from Blackpool, Fylde and Wyre and all Lancashire wide postcode localities. If relevant, please ensure investigation and examination results are attached to the referrer information. Please note for some people genital examination can be traumatic and inadvisable at referral stage. If this is the case please note this on the referral. Received referrals will be acknowledged by or post. If further information is required, this will be requested and the referral held until the information has been received. Discharge information will be forwarded in a timely manner and this will include diagnosis, intervention, outcomes of therapy and relapse prevention. In addition if relevant, recommendations regarding prescribed treatment post discharge will be included. Out of area referrals (outside Lancashire and Blackpool) will be considered. Please contact the service to discuss further. The service can provide therapy, brief intervention, assessment, recommendations and support, specialist advice and education to clinicians and other partners. Please see overleaf for essential required referral information.

5 Appointments The service operates an appointment only system. Appointments are booked directly with the client. Choice is enabled regarding appointment times and location. Please ensure that your patient is aware of the nature of the service and that you are making a referral. Commitment to work within the service is required and it is essential that your patient understands this from the outset. Clients who fail to attend appointments will be discharged and you will be notified accordingly. Essential Required Referral Information Patient preferred method of contact Please ensure accurate information regarding any contact restrictions NHS number if available Need to know information sharing Safeguarding/RISK for both client and team SHARE Sexual Help & Relationship Enhancement Psychosexual Service Blackpool/Lancashire Sexual Health Services bfw-tr.shareblacklancs@nhs.net Website:

6 Useful contact details SHARE (Sexual Help and Relationship Enhancement Psychosexual Service): Telephone: Mobile Phone: Hospital Switchboard: Patient Relations Department The Patient Relations Department offer impartial advice and deal with any concerns or complaints the Trust receives. You can contact them via: Tel: You can also write to us at: Patient Relations Department, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool FY3 8NR Further information is available on our website: References This leaflet is evidence based wherever the appropriate evidence is available, and represents an accumulation of expert opinion and professional interpretation. Details of the references used in writing this leaflet are available on request from: Procedural Document and Leaflet Coordinator Options available If you d like a large print, audio, Braille or a translated version of this leaflet then please call: Our Four Values: People Centred Compassion Positive Excellence Blackpool Teaching Hospitals NHS Foundation Trust Author: Carole Roberts Approved by: ALTC Board (CA) Date of Publication: 16/08/2017 Reference No: BTH498 PL/1107 (v1) Review Date: 01/08/2020

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