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Review of Sandyford Services

A report conducted by Nicky Coia and Rosie Ilett PAGE 2 SANDYFORD PHASE 3

Who was this work conducted with and for what reason?

This was an analysis of existing data sets Therefore although there used to inform future planning for service delivery, both in terms of population sub were no direct participants groups that should be prioritised and involved in the work it did geographic areas of concern. explore epidemiological data and service use data to construct a definitive description of sexual health need. PAGE 3 SANDYFORD PHASE 3

What are the key findings of this report?

There are 14 Intermediate Data Zone areas in NHSGGC where there is elevated need in relation to sexual health. This was described by matching three indicators. HIV prevalence, Teenage pregnancy prevalence and the proportion of the population living in income deprivation.

13 of the areas are in City Council • Young men are much less likely to use area with some larger areas of concern specialist sexual health services with emerging in , and young men aged under 16yrs largely surrounding areas, and Ibrox and absent from attendance data. Tradeston/Greater . • This pattern is most pronounced in Outwith Glasgow city the Ferguslie Park West Dunbartonshire. area of Paisley is of concern. • Inverclyde is the one area where there There are areas in the health board where is a slightly greater attendance of the teenage pregnancy rate is as much as young males. four times higher than the national average, an effect masked when rates are reported • Young MSM also very rarely attend in larger area domains such as local specialist sexual health services with authority boundaries. almost no under 16 year olds having attended in the last five years. The review explored patterns of use at specialist sexual health services and the • Some of the services provided at the following emerged: time of the review meant young people in more affluent areas had better access • Overall use of specialist services by to services than young people in some young people has fallen across the much less affluent areas. health board area. • In most areas the proportion of young • Where Sandyford services are provided people aged under 16 yrs who attend in local areas, young people aged under specialist services in a given year is 20yrs are more likely to use these local between 3% -20% raising concerns about services than attend a service elsewhere. unmet needs for the remaining sexually active population of young people. PAGE 4 SANDYFORD PHASE 3

What are the implications of the findings?

The findings are already being used to In the 14 areas of greatest need identified inform service changes with plans now partnership working among local advanced to relocate some services to stakeholders could find creative ways free up resources to be deployed in other of implementing health improvement more needy areas. interventions for young people.

There is a need to make the specialist It is important that in these areas of sexual health services relevant to the needs greatest need there is specialist of young men and encourage their access. services available to young people.