What guidance exists to support remote consultations in sexual and reproductive health services? A review of the policy and practice literature.
Abstract
INTRODUCTION: The use of remote consultations, such as appointments via telephone, video, online or text in sexual and reproductive health services (SRHS) across the UK, has expanded in recent years. This review synthesises grey literature from different organisations to identify current practice and guidance for remote consultations.
METHODS: We searched for a range of grey literature document types, including unpublished reports, evaluations, published standards, guidance, blogs and opinion pieces. The searches were conducted between March 2023 and July 2024 using Google, as well as the Healthcare Management Information Consortium database and preidentified organisational websites (eg, the British Association for Sexual Health and HIV, the Faculty of Sexual and Reproductive Healthcare). Data extracted included terminology, challenges to implementation and linked guidance and equity considerations in the use of remote consultations in SRHS. Narrative synthesis was used to analyse findings.
RESULTS: The available guidance on implementing and delivering remote SRHS is modest in scope and volume and draws on a sparse evidence base. Existing guidance recommends the use of safeguarding assessments and checklists to support pathways from remote into in-person care. While remote consultations were seen as potentially enhancing equity, challenges included differences in technology access and digital literacy. Equity-related guidance included prioritising disadvantaged groups for in-person appointments and flexible care pathways.
DISCUSSION AND CONCLUSIONS: The grey literature highlights the potential of remote SRHS to improve access and equity while also identifying risks in implementation and outcomes. There is an ongoing requirement for detailed, evidence-informed guidance that incorporates service user perspectives.
Date
2025-08-25
Type
Article
Subject
Reproductive health, Sexual health, Telemedicine, Reproductive health services
Collections
Citation
Spurway C, Williams I, Bohm C, Ayinde OC, Burns F, Gibbs J, Josh J, Munro H, Solomon D, Woode Owusu M, Ross JDC, Jackson LJ. What guidance exists to support remote consultations in sexual and reproductive health services? A review of the policy and practice literature. Sex Transm Infect. 2025 Nov 17;101(8):539-545. doi: 10.1136/sextrans-2025-056519.
Journal / Source Title
Sexually Transmitted Infections
DOI
10.1136/sextrans-2025-056519
PMID
40854800
Publisher
BMJ Pub. Group
Publisher’s URL
http://sti.bmjjournals.com/