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Sexual Health, Reproductive Health and HIV Needs Assessment for The

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Sexual Health, Reproductive Health and HIV Needs Assessment for The Sexual Health, Reproductive Health and HIV Needs Assessment for the London Borough of Sutton January 2016 Page 1 Acknowledgements The structure of this report is based on the Department of Health National Support Teams for Sexual Health and Teenage Pregnancy “How to Guide” to Sexual Health Needs Assessment (SHNA). All other sources of information are appropriately cited throughout the document. Author Clare Ridsdill-Smith with thanks to Public Health Sutton - Dr Nicola Lang, Bethan Davies, Hayley Peek, Sylvia Godden, Helen Imison GIS Team - Phil Giraud Sutton CCG - Sarah Taylor, Sue Roostan, Sian Hopkinson, Sharron Bowden, Sarah Raheem and Lou Naidu Sutton and Merton Community Services- Dr Ruth Clancey, Liz Sherlock, the School Nursing Team, Chris Lovelace St Helier Hospital - Dr Steve Estreich, Dr Ceri Slater and Yvonne Walker SWAGNET- Janine Railton, Leanne Bobb NHS England - Josh Ford, Jess Peck and Nóra Simon The Havens - Mathy Rajanikanth and Simon Cordon Page 2 Contents Acknowledgements ...................................................................................................................................... 2 Contents ....................................................................................................................................................... 3 Abbreviations ................................................................................................................................................ 6 1 Executive Summary ............................................................................................................................... 7 Background and scope ............................................................................................................................... 20 Section 1: Overview .................................................................................................................................... 20 1.11 Contraception ........................................................................................................................... 20 1.12 Termination of pregnancy ......................................................................................................... 21 1.13 Teenage pregnancy .................................................................................................................. 21 1.14 Sexually transmitted infections (STIs) ....................................................................................... 21 1.15 Re-infection with a sexually transmitted infections (STIs) .......................................................... 23 1.16 Human Immunodeficiency Virus (HIV) ...................................................................................... 23 1.17 Female Genital Mutilation ......................................................................................................... 24 1.18 What this means for Sutton ....................................................................................................... 24 Section 2: National Policy Context .............................................................................................................. 26 1.19 Wider Policy Context ................................................................................................................. 26 1.20 SH, RH, HIV health and wellbeing ............................................................................................ 26 1.21 Commissioning SH, RH and HIV services ................................................................................. 27 Section 3: Local Strategic Context .............................................................................................................. 29 Section 4: Sutton’s population and local sexual health, reproductive health and HIV epidemiology ....... 32 1.23 Sutton’s population ................................................................................................................... 32 1.24 Fertility ...................................................................................................................................... 33 1.25 Teenage conception ................................................................................................................. 33 1.26 Contraception ........................................................................................................................... 34 1.27 Sexually transmitted infections (STIs) ....................................................................................... 37 1.27.1 Diagnosed incidence of STIs ................................................................................................. 37 1.27.2 Chlamydia ............................................................................................................................. 37 1.27.3 Gonorrhoea ........................................................................................................................... 38 1.27.4 Syphillis ................................................................................................................................. 39 1.27.5 Human Papilloma Virus (Genital Warts) ................................................................................ 39 1.27.6 Genital Herpes ...................................................................................................................... 40 1.27.7 STI Prevention Groups .......................................................................................................... 41 1.27.8 Reinfection rates ................................................................................................................... 42 1.28 HIV ........................................................................................................................................... 43 1.29 People living with HIV ............................................................................................................... 43 1.30 What this means for Sutton ....................................................................................................... 44 Section 5: Description of current services ................................................................................................... 46 1.31 Sex and Relationship Education ............................................................................................... 46 1.32 Prevention and signposting ....................................................................................................... 46 1.33 HPV Vaccination Programme ................................................................................................... 46 1.34 Community Pharmacy ............................................................................................................... 46 Page 3 1.35 General Practice ....................................................................................................................... 49 1.36 GP Out of Hours Service (SELDOC) LEVEL 1 .......................................................................... 51 1.37 Contraceptive and Sexual Health Service (CaSH) .................................................................... 51 1.38 GUM ......................................................................................................................................... 53 1.39 HIV Services ............................................................................................................................. 54 1.1 Abortion services .......................................................................................................................... 55 1.1 Male and female sterilisation procedures ...................................................................................... 55 1.2 Sutton Community Gynaecology Service ...................................................................................... 56 1.3 Sexual Assault Referral Service ................................................................................................... 56 1.4 National Chlamydia Screening Programme .................................................................................. 57 1.5 Other services .............................................................................................................................. 57 1.5.1 Accident and emergency and Wilson Walk in Centre ............................................................ 57 1.5.2 HIV prevention programmes .................................................................................................. 57 1.5.3 Social Care support for people living with HIV ....................................................................... 57 1.5.4 Chlamydia testing – online service ........................................................................................ 57 1.6 South West London Clinical Services Network (SWAGNET) ........................................................ 58 1.7 What this means for Sutton .......................................................................................................... 58 1.8 Map to show location of contraception services in Sutton. ............................................................ 59 Section 6: Review of SRE and activity in local services .............................................................................. 60 1.9 Sex and Relationship Education (SRE) ........................................................................................ 60 1.10 School Nursing ........................................................................................................................
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