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Issue details

Genito Urinary Medicine (GUM) – Cross Charging

Purpose of Report: This report outlines the revised approach to cross charging for Genito-Urinary Medicine. Cross charging relates to sexual health services provided by out of area providers to City of York residents. Cross charging guidance suggests that it is for local determination how these arrangements work and solutions that meet the needs of local areas and local populations should be in place.

The Executive Member is asked to agree to support the approach adopted by the Yorkshire and Humber Sexual Health Commissioners network.

To give more time for consideration of any legal and financial implications arising from the report, this item has been deferred to 27 June Decision Session for Executive Member for Adult Social Care and Health.

This report will now be considered by the Executive Member on 25 July 2016 to allow for further discussion with the Vale of York Clinical Commissioning Group regarding integrated sexual health provision.




Decision type: Non-key

Decision status: Decision Made

Wards affected: (All Wards);

Notice of proposed decision first published: 18/04/2016

Decision due: 25/07/16 by Executive Member for Adult Social Care and Health

Lead member: Executive Member for Adult Social Care and Health

Lead director: Director of Public Health

Department: Directorate of Communities & Neighbourhoods

Contact: Philippa Press Email: philippa.press@york.gov.uk, Sharon Stoltz, Director of Public Health, City of York Email: sharon.stoltz@york.gov.uk Philippa Press 01904 555756 and Sharon Stoltz 01904 553224.

Consultation process

In August 2013 the Department of Health issued Guidance for Local Authorities ‘Sexual Health Services: Principles for Cross Charging’ to ‘provide further information and recommend key principles for local authorities and their advisers to consider.’


In 2013 members of the regional Yorkshire and Humber Sexual Health Commissioning Forum had contacted the Department of Health to request further clarity relating to cross charging. The Department of Health responded to say that they had no plans to issue further guidance and that authorities should find local solutions.


At a Regional Sexual Health Commissioners meeting all regional commissioners agreed to adopt a region wide approach to cross charging as this will encourage a consistent, equitable, fair and transparent approach to cross-charging and billing for out of area service users from both a commissioning and provider perspective.


The Association of Directors of Public Health for Yorkshire and Humber agreed that all Local Authorities in the region will adopt the following principles:

1.    Authorities will only pay for invoices for GUM activity within the national tariff cost envelope (the tariff currently in force is the 2014/15 tariff)

2.    Authorities will not reimburse invoices for contraception activity

3.    Authorities will not pay charges for market forces factor (MFF)

4.    Before making payment invoices and supporting data will clearly provide all the required information.


Agenda items


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