When should I consider referring a patient with syphilis for specialist sexual health services?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

Consider referring a patient with syphilis to specialist sexual health services if:

  • They have difficulty dealing with their diagnosis or feel unable to notify their sexual partners about the infection, as specialist services can provide support with partner notification.
  • There is a need for seamless referral pathways to specialist services for partner notification and further management.
  • The case requires expert contact tracing and counselling, which should be carried out by professionals with expertise in these areas.

Referral ensures patients receive comprehensive care including partner notification support, counselling, and access to appropriate treatment and follow-up.

These recommendations align with NICE guidance on reducing sexually transmitted infections and emphasise the importance of specialist involvement in managing syphilis cases, particularly for partner notification and support.

References:

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