Table 1

List of clinical presentations and diagnoses considered as complex or visual

Complex—any clinical consultation with
Male and female	Age under 18 years
	Child sexual exploitation
	Domestic violence
	Substance misuse
	Genital herpes diagnosis or swab taken
	HIV risk factor
	Health adviser input at initial visit
	Multiple diagnoses on genitourinary medicine clinic activity dataset (GUMCAD)9 coding (B, C1, C2, C4, C4N, C6A, C6B, C6C, C7, C8, C9, C11A, C11D and C12)
	Postexposure prophylaxis following sexual exposure
	Language interpreter service by phone used
	D2B9 code (requiring other services and/or treatment)
	Sexual assault
	Use of telephone translation service
Female only	Contraception
	Symptoms of pelvic pain, dyspareunia and postcoital bleeding
	Pregnant
	Female genital mutilation
Male only	Bisexual
	Men who have sex with men
	Syphilis (heterosexual men only)
	Testicular pain
	Chronic pelvic pain syndrome
Visual check/examination
Male and female	Genital warts
Male and female	Pediculosis pubis/scabies
Male only	Balanitis
Male only	Syphilis
Microscopy
Male only	Urethral/rectal smear
Non-complex
Male and female	Asymptomatic and not considered complex
Speculum sample
Female only	Microscopy for diagnosis of vaginal discharge irritation