Why sexual health
Sexual health documentation is complex, sensitive and structured. Generalist tools fit none of those three.
The scale of the work
4.5m
consultations in 2025
221
services reporting to GUMCAD
72%
of London’s new STI diagnoses via specialist services
Three things that make the record different
The conversation is sensitive
Consultations cover sexual history, identity, coercion and safeguarding, in open-access services built on confidentiality. Any tool in the room must earn the patient’s trust first, and declining must cost nothing.
The record is structured
Services complete proformas in Lilie or Inform that drive UKHSA returns: GUMCAD, SRHAD and HARS. Prose leaves clinicians re-keying. The draft has to arrive in the fields.
The buyer is a committee
Clinical lead, Caldicott Guardian, clinical safety officer, security, EPR administrator, CCIO and commissioner all have questions. A supplier must answer them in writing before the first encounter.
Why generalist scribes have not arrived
Ambient scribes are now mainstream in general practice and hospitals, but generalist products were not designed for sensitive-care governance or the SRH proforma. Sensitive services want evidence from comparable services.
Mental health now has specific guidance in development. Sexual health has none yet, and we intend to help the sector set its own standard.
What a specialist workflow looks like
Capture only what is permitted. Draft to the proforma. Show the source for every line. Export nothing until the clinician confirms. Measure total effort, including review.