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Self-referral can be used to access free NHS sexual health services without needing an appointment with your GP. This leaflet explains which services you can access.

Överblick

  • Sexual health services cover a range of needs beyond STIs and contraception.

  • These services are confidential and free of charge.

  • They offer contraception, STI testing and treatment, HIV services, and unplanned pregnancy advice.

  • Support for sexual assault, psychosexual counselling, and young people's services are also available.

  • Services vary by location across the UK.

  • You can find local services by clicking on the relevant link in the article.

  • If you cannot find what you need, check the NHS website or contact your GP.

What are sexual health services?

When you think about sexual health, your first thought might be protecting yourself against sexually transmitted infections (STIs) . We hear a lot about klamydia och HIV infection, but do you need to worry about genital herpes, genital warts eller gonorré? Do you need to get tested after a recent encounter?

Or maybe you want to know how to avoid an unplanned pregnancy. What methods of contraception are there, and how can you access them? How do you access emergency contraception if you've had unprotected sex? What do you do if you discover you are pregnant and you didn't plan it?

But there's even more to sexual health than this. Sex isn't always part of a loving relationship - you may have been sexually assaulted or raped. Even here, there's sometimes confusion: What does consenting to sex mean? What do you do if you've been sexually assaulted? Can you get counselling?

Maybe you think you might have been exposed to HIV. Can you get tested confidentially? Can you access post-exposure prophylaxis (PEP) to reduce your risk of HIV? How effective is it?

Are sexual health services confidential?

Absolutely. You can visit your GP for some sexual health services and they will keep your details completely confidential. However, if you do not want even your GP to be informed, you can visit a sexual health service in confidence. The situations in which a clinic might break confidentiality are very rare and this would generally only be done if there was felt to be a significant safeguarding issue, such as sexual abuse of a child or other vulnerable person.

The team at your sexual health clinic may ask your permission to inform your GP. There are advantages to having details of all your medical care in one place, in your GP record. However, you have every right to say no. You will still receive exactly the same care, but nobody outside the clinic (including your GP) will be informed.

Are sexual health services free?

Sexual health services, treatment for HIV and contraception are always free - there is no prescription charge, even if you usually pay for your prescriptions.

What services are available in my area?

The services available vary across the UK. Each area sets priorities for sexual health depending on the needs of their local population. For instance, students at universities might want to access services at different times from people with jobs.

Most services are provided by counties. You may find there are several clinics in your county, and some services are only provided by certain of those clinics.

Services available in some or all areas include:

  • Condom supply.

  • Contraception (including emergency contraception).

  • HIV testing (including self-testing in some areas).

  • LGBT specific services.

  • PEP (post-exposure prophylaxis) to reduce the risk of developing HIV infection if you may have been exposed.

  • Pregnancy testing.

  • PrEP (pre-exposure prophylaxis) to reduce the risk of contracting HIV in future encounters.

  • Psychosexual counselling (usually available only on GP referral).

  • Rape or sexual assault support.

  • Sexually transmitted infection screening and treatment (including self-testing in some areas).

  • Unplanned pregnancy advice.

  • Young people's services (under 22 or under 25, depending on area).

The good news is that if you click on the link for your area in the list below, you can find details of all the services offered in your area.

Unplanned pregnancy

If you have an unplanned pregnancy, you may have mixed feelings about what to do next.

In many areas you can refer yourself to discuss your options with an abortion provider. Please look on the individual pages below for your area.

Alternatively, you can contact MSI Reproductive Choices UK (formerly Marie Stopes UK) 365 days of the year on 0345 300 8090 or use their website to find out about services in your area.

Finding sexual health services

Just look below for the area you live in (mostly organised by county below) and click on the link. This will take you to a page which lists all the services in your area and explains how you can access them directly.

Please be aware that self-referral is not available in every part of the UK. If you can't find sexual health services you're looking for below, or if any of the links are not working, please search the NHS website or contact your GP.

Sexual health services in England (outside London)

Barnsley

Bedfordshire

Berkshire

Birmingham and Solihull

Bristol

Buckinghamshire

Cambridgeshire

Cheshire West and Chester

Cheshire South

Cornwall

County Durham and Darlington

Croydon

Cumbria

Derbyshire

Devon

Doncaster

Dorset

Essex

Gloucestershire

Gloucestershire South

Hampshire North East and Farnham

Hampshire Solent

Herefordshire

Hertfordshire

Kent

Lancashire

Lincolnshire

Liverpool

Manchester

Norfolk

Northamptonshire

Nottinghamshire North

Nottinghamshire Mid

Nottinghamshire South and Nottingham

Northumbria

Oxfordshire

Peterborough

Redditch and Bromsgrove

Rotherham

Sandwell

Sheffield

Shropshire

Somerset

Southampton Hampshire

Staffordshire

Stockport Lancashire

Suffolk

Surrey

Sussex

Tameside and Glossop Lancashire

Trafford Lancashire

Walsall

Warwickshire

West Sussex

Wigan Lancashire

Wiltshire

Wirral

Wolverhampton

Worcestershire

Wyre Forest

York

Yorkshire North

Yorkshire South - see individual entries for Barnsley District, Doncaster, Rotherham, Sheffield

Sexual health services in London

London (free home STI testing kit)

Central and North West London

East London

South West London

London CCGs

Hammersmith and Fulham

Haringey

Kensington and Chelsea

Lambeth

Merton

Richmond

Wandsworth

Westminster

Sexual health services in Isle of Man

Isle of Man

Sexual health services in Jersey

Jersey sexual health services

Sexual health services in Northern Ireland

Northern Ireland-wide details on sexual health services and self-referral services

Northern

Southern Trust

Sexual health services in Scotland

Scotland-wide details on sexual health services and self-referral services

Ayrshire

Borders

Dumfries and Galloway

Fife

Forth Valley

Glasgow and Clyde

Grampian

Highland

Lanarkshire

Lothian

Orkney

Shetland

Tayside

Western Isles (contraception and family planning)

Online services

SH:24 is commissioned in some areas of the UK to provide sexual health and contraception services by post - you can put your postcode into their website to see if they operate in your area.

While every effort is made to keep these details up to date, the company cannot be held responsible for links to NHS services. If you have any queries, please contact your GP.

Dr Hazell used to work as a clinical assistant in a sexual health service. She has been paid to write articles and give presentations for a variety of organisations on the subject of sexual health.

Vanliga frågor

Can I get tested for STIs at home?

Yes, some areas offer HIV, and other sexually transmitted infection screening through self-testing kits that can be used at home. You can check the services available in your local area to see if this option is provided.

What is the difference between PEP and PrEP?

PEP (post-exposure prophylaxis) is taken after a potential exposure to HIV to reduce the risk of developing an infection. PrEP (pre-exposure prophylaxis) is taken by individuals before potential future encounters to reduce their risk of contracting HIV.

How can I access emergency contraception?

Emergency contraception is available through sexual health services. These services are typically free, even if you usually pay for prescriptions. You can find details of how to access services in your area by looking up your county or region on this site.

Where can I get support if I have been sexually assaulted or raped?

Sexual health services in some or all areas offer support for rape or sexual assault. You can find specific services available by checking the links for your local area. Psychosexual counselling, which can be beneficial in these situations, is usually available on GP referral.

Are there specific sexual health services for young people?

Yes, some areas provide dedicated young people's services, typically for those under 22 or under 25, depending on the area. You can check the details of what is available in your specific location through the provided links.

What if I can't find the sexual health service I need through the provided links?

If you cannot find the specific sexual health services you are looking for, or if any of the links are not working, you should search the NHS website or contact your GP for assistance.

Vidare läsning och referenser

Om författarenVisa fullständig biografi

Författarbild

Dr Toni Hazell, MRCGP

MBBS, BSc, MRCGP, DFSRH, Dip GU med, DRCOG, DCH (London, UK, 2000)

Dr. Toni Hazell tog examen från St. Mary’s Hospital Medical School och genomförde sin VTS vid Northwick Park Hospital.

Om recensentenVisa fullständig biografi

Författarbild

Dr Doug McKechnie, MRCGP

Medicinsk skribent

MA, MBBS, MSc, DRCOG, MRCP(UK), MRCGP(2021), FHEA

Dr Doug McKechnie är en NHS-läkare som arbetar i London. Han arbetar kliniskt på heltid och är också biträdande ansvarig för modulen Klinisk och Professionell Praxis vid University College London Medical School.

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