Terrence Higgins Trust Scotland NHS Lanarkshire report

Financial year 2014 - 2015

Rothesay House, 134 Douglas Street, Glasgow, G2 4HF Tel: 0141 332 3838

1 of 30 www.tht.org.uk [email protected]

SUMMARY

1-2-1 support Page 4 A total of 47 clients were supported over 73 separate sessions totaling 93.25 hours

Group work Page 8 Twelve group work sessions were delivered. The Lanarkshire positive men’s group was facilitated on ten occasions and Universal Connection’s ‘Mix United’ was facilitated on two occasions

Events and Training Page 9 The Lanarkshire Health Promotion Specialist distributed resources at 39 events/training sessions over 188 hours, directly contacting 5693 people with a potential reach of 30479 people

Public Sex Environment outreach Page 11 15 hours of outreach were delivered over five sessions and ten contacts were made over the financial year 139 men were contacted using mobile phone apps during outreach shifts.

Virtual sex environment outreach Page 14 A total of 80 hours of internet outreach has been provided over the last year. 4 1-2-1 private chats were recorded with Lanarkshire residents

Get Rubbered Page 17 At the end of March 2015 a total of 253 men in Lanarkshire were registered on Get Rubbered

Condom and Lubricant distribution Page 17 A total of 77 296 condoms and lubricant sachets were distributed in Lanarkshire via ‘Get Rubbered’ and events over the financial year

Volunteers Page 18 797 volunteer hours (Lanarkshire specific) were recorded for the financial year 8 individuals from Lanarkshire regularly volunteer providing admin support, outreach, event staffing and support and welfare rights support and advice.

Press coverage Page 19 THT has been named in 13 articles in the NHS Lanarkshire area.

HIV point of care testing Page 20 83 clients have been seen at Terrence Higgins Trust Scotland’s ‘fastest’ services in Cumbernauld and East Kilbride. 161 Lanarkshire residents have accessed HIV testing through all testing clinics and postal testing.

Additional value, staff development and case studies Page 25

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Abbreviations

CDS Condom Distribution Scheme CL+D Community learning and development DWP Department for work and pensions GCU Glasgow Caledonian University GMH Men’s Health GPS Global Positioning System GR Get Rubbered Hep C Hepatitis C HIV Human Immunodeficiency Virus HPS Health Protection Scotland HSBC Hong Kong, Shanghai Banking Corporation IDAHO International day against homophobia LGBT , gay, bisexual and MSM Males who have sex with males NATSAL National Survey of Sexual Attitudes and Lifestyles (UK) NCL New College Lanarkshire NHS National Health Service PEP Post exposure prophylaxis PrEP Pre exposure prophylaxis PSE Public sex environment RCGP Royal College of General Practitioners SMMaSH Social Media, Men who have sex with Men and Sexual Health Study THT Terrence Higgins Trust THTS Terrence Higgins Trust Scotland VSE Virtual Sex Environment WAD World AIDS Day

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1-2-1 SUPPORT

One-to-one support is categorised as any activity where the distribution of resources and/or a valued discussion with appropriate referral has been made. A total of 47 clients were supported in a 1-2-1 setting totaling 93.25 hours.

New Clients All Clients Hours

Gender Total Total Percentage Total Percentage

Female 6 6 12.77 % 4.00 4.29 % Male 26 41 87.23 % 89.25 95.71 % Total 32 47 100.00 % 93.25 100.00 %

New Clients All Clients Hours

Age Range Total Total Percentage Total Percentage 15 and Under 2 2 4.26 % 2.25 2.41 % 16 - 17 5 5 10.64 % 3.17 3.40 % 18 - 24 8 11 23.40 % 24.75 26.54 % 25 - 34 7 10 21.28 % 30.00 32.17 % 35 - 44 8 14 29.79 % 27.50 29.49 % 45 - 54 1 3 6.38 % 3.08 3.31 % 55 - 64 0 1 2.13 % 2.00 2.14 % Unknown 1 1 2.13 % 0.50 0.54 % Total 32 47 100.00 % 93.25 100.00 %

New Clients All Clients Hours

Sexuality Total Total Percentage Total Percentage Bisexual 4 5 10.64 % 10.92 11.71 % Declined 1 1 2.13 % 1.50 1.61 % Gay Man 17 31 65.96 % 72.58 77.84 % Heterosexual 8 8 17.02 % 6.00 6.43 % Other 2 2 4.26 % 2.25 2.41 % Total 32 47 100.00 % 93.25 100.00 %

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New Clients All Clients Hours

Ethnicity Total Total Percentage Total Percentage British English 0 1 2.13 % 0.50 0.54 % British Scottish 29 41 87.23 % 83.50 89.54 % Other Mixed 0 1 2.13 % 0.50 0.54 % Other White 1 2 4.26 % 7.25 7.77 % Pakistani 1 1 2.13 % 1.00 1.07 % Unknown 1 1 2.13 % 0.50 0.54 % Total 32 47 100.00 % 93.25 100.00 %

New Clients All Clients Hours

HIV Status Total Total Percentage Total Percentage HIV Negative 13 15 31.91 % 23.25 24.93 % HIV Positive 4 17 36.17 % 46.33 49.69 % Not Tested 9 9 19.15 % 20.75 22.25 % Unknown 6 6 12.77 % 2.92 3.13 % Total 32 47 100.00 % 93.25 100.00 %

New Clients All Clients Hours

Partner of PWHIV Total Total Percentage Total Percentage No 31 45 95.74 % 92.00 98.66 % Yes 1 2 4.26 % 1.25 1.34 % Total 32 47 100.00 % 93.25 100.00 %

New Clients All Clients Hours

Local Authority Total Total Percentage Total Percentage Glasgow City 3 5 10.64 % 7.00 7.51 % North Lanarkshire 18 22 46.81 % 40.08 42.98 % South Lanarkshire 11 19 40.43 % 43.92 47.10 % Stirling 0 1 2.13 % 2.25 2.41 % Total 32 47 100.00 % 93.25 100.00 %

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Interventions Interventions Hours Clients Intervention Delivery New Total Percentage Total Percentage Total Means Face-to-face, Centre- 2 5 6.85 % 6.50 6.97 % 5 based Face-to-face, Detached 43 46 63.01 % 66.42 71.22 % 30 Groupwork 2 4 5.48 % 5.50 5.90 % 4 Outreach 1 1 1.37 % 1.00 1.07 % 1 Telephone 13 13 17.81 % 9.58 10.28 % 11 Text/Mobile App 4 4 5.48 % 4.25 4.56 % 4 Total 65 73 100.00 % 93.25 100.00 %

Interventions Hours Clients Referral Source Total Percentage Total Percentage Total Clinic - Historic 13 17.81 % 7.75 8.32 % 10 Clinic – New 1 1.37 % 6.00 6.43 % 1 Education Service 1 1.37 % 1.50 1.61 % 1 Family Member 1 1.37 % 0.75 0.80 % 1 Other – Criminal Justice 2 2.74 % 3.25 3.49 % 2 Other NHS Service 3 4.11 % 6.00 6.43 % 2 Outreach 1 1.37 % 0.75 0.80 % 1 Psychiatrist 1 1.37 % 1.00 1.07 % 1 School 2 2.74 % 1.67 1.79 % 2 Self 37 50.68 % 47.83 51.30 % 23 Social Services 4 5.48 % 7.25 7.77 % 3 THT Internal 5 6.85 % 5.50 5.90 % 5 Unknown 2 2.74 % 4.00 4.29 % 2 Total 73 100.00 % 93.25 100.00 %

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Count Hours

Work Type Total Total Percentage Drugs/Alcohol: Alcohol Problems 2 1.00 1.07 % Drugs/Alcohol: Drug Problems 6 2.00 2.14 % Drugs/Alcohol: Drug/Alcohol Problems 2 1.00 1.07 % Emotional: Anxiety 5 2.50 2.68 % Emotional: Bereavement/Loss 1 0.50 0.54 % Emotional: Domestic Violence 5 6.00 6.43 % Emotional: Drug/Alcohol Problems 4 2.00 2.14 % Emotional: Eating Disorder 1 0.50 0.54 % Emotional: Emotional Support 9 7.25 7.77 % Emotional: Employment - Work Issues 1 0.50 0.54 % Emotional: Family Issues 2 1.00 1.07 % Emotional: Gender Identity 1 0.50 0.54 % Emotional: Isolation 11 6.00 6.43 % Emotional: Living with HIV 2 3.00 3.22 % Emotional: Relationships 4 2.75 2.95 % Emotional: Sexual Abuse/Rape 1 1.00 1.07 % Emotional: Sexual Compulsion 2 1.00 1.07 % Emotional: Sexual Orientation 8 7.08 7.60 % Emotional: Stress 6 4.08 4.38 % Emotional: Suicide/Self Harm 7 4.50 4.83 % Family Planning: Pregnancy Test 3 1.50 1.61 % Finances: Debt - All Other 1 1.50 1.61 % Hardship Fund: Successful 1 1.00 1.07 % HIV: HIV Basic Info 1 0.25 0.27 % HIV: HIV Testing 1 0.25 0.27 % HIV: Viral load/transmission 1 0.50 0.54 % Housing: Homelessness/Rehousing - 2 1.25 1.34 % Harrassment Housing: Homelessness/Rehousing - Non- 1 0.50 0.54 % statutory Information: Treatment Options 1 0.50 0.54 % Legal: Domestic Violence 1 1.00 1.07 % Legal: Immigration - Other 2 1.00 1.07 % Other: Safeguarding 1 0.50 0.54 % Sex Work: Safety issues 2 0.75 0.80 % Sexual Health: Pornography 3 1.08 1.16 %

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Work Type Total Total Percentage

Sexual Health: Relationships 6 3.00 3.22 % Sexual Health: Safer Sex/Transmission 2 0.75 0.80 % Sexual Health: Sexual Health 4 2.50 2.68 % Sexual Health: Sexual Orientation 4 2.00 2.14 % STI: Hepatitis C 2 1.50 1.61 % Treatment: Adherence 1 0.50 0.54 % Unknown 2 4.00 4.29 % Unknown: Disclosure of Status 1 0.50 0.54 % Unknown: Living with HIV 5 7.00 7.51 % Wellbeing: Ill Health 3 3.25 3.49 % Wellbeing: Living with HIV 3 1.50 1.61 % Work: Employment - Discrimination 1 1.00 1.07 %

Total 135 93.25 100.00 %

GROUPWORK

Lanarkshire positive men’s group The Lanarkshire positive men’s group met on ten separate occasions at a number of different locations throughout Lanarkshire following the closure of the Dalziel Centre in Motherwell by NHS Lanarkshire. This group met on the second Tuesday of each month and was supported by a THT volunteer with specialist clinical knowledge of HIV. Full terms of reference were agreed in November 2013 and reviewed with no changes in November 2014.

An average of five to ten men were present at each group with discussion topics including treatment, HIV basics, adherence, disclosure, sexual health and health and well-being. Outcomes included better understanding of HIV, the importance of adherence, increased awareness on new developments around treatment as prevention, an increase in attendance at sexual health and knowledge of access to PEP.

‘’in the group I’m just a guy seeing friends and getting support in a safe space where being HIV isn’t who I am’ Lanarkshire positive men’s group member – November 2014

MIX United Universal Connections facilitates ‘Mix United’ – a weekly group for LGBT people aged between 15 and 19 in Hamilton. The Health Promotion Specialist was invited to attend the group and was asked to lead two workshop sessions addressing transgender awareness, sexual health and HIV.

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EVENTS and TRAINING

The Lanarkshire health promotion specialist distributed resources at 39 events amassing 188 hours, directly contacting 5,693 people with a potential reach of 30,479 people.

Capacity Building Description Delivery Means Reach Hours Activities Contacts Partnership RegenFX Youth training - LGBT Training 100 2.50 1 17 equality Partnership Total (1) 100 2.50 1 17

Sector Leadership Kirklands hospital SMMaSH launch event Training 100 5.50 1 80 Royal College of GAYCON (stall and seven Other 1,000 48.00 1 180 Physicians sessions) Sector Leadership Total (2) 1,100 53.50 2 260

Workforce Development Calderside Academy LGBT training - teachers Training 800 3.00 1 17 and CL&D Coathill hospital Fastest training - sexual Face-to-face, 60 1.50 1 21 health nurses Centre-based Hamilton Town House IDAHO event Face-to-face, 1,000 7.00 1 100 Detached HSBC telephone banking in the Training 10,000 1.50 1 30 centre workplace training – Global videoconference Workforce Development Total (4) 11,860 13.00 4 168

Capacity Building Total (7) 13,060 69.00 7 445

Mass Event Description Delivery Means Reach Hours Activities Contacts Gay Event Glasgow Glasgow Pride Outreach 5,000 8.00 1 620 Gay Event Total (1) 5,000 8.00 1 620

General Public Event Airdrie Town Hall WAD cinema event Outreach 100 3.00 1 21 New College Lanarkshire – World AIDS Day event Outreach 600 5.50 1 300 Motherwell Campus New College Lanarkshire - World AIDS Day event Outreach 1,000 5.00 1 300 Coatbridge Campus Ravenscraig football Chooselife 5-a-side Outreach 800 6.50 1 230 facility men’s event General Public Event Total (4) 2,500 20.00 4 851

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Mass Event Description Delivery Means Reach Hours Activities Contacts Young People Event NCL Coatbridge Refreshers event Outreach 800 5.50 1 304 NCL Cumbernauld Refreshers event Outreach 500 5.00 1 182 NCL Cumbernauld Diversity week event Outreach 500 5.00 1 135 NCL Motherwell Refreshers event Outreach 1,000 5.00 1 397 NCL Motherwell Diversity week event Outreach 500 5.00 1 220 NCL Cumbernauld Freshers fair Outreach 800 4.50 1 513 NCL Coatbridge Freshers fair Outreach 800 4.50 1 240 NCL Motherwell Freshers fair Outreach 1,000 5.00 1 400 South Lanarkshire College Freshers fair Outreach 500 8.00 2 320 South Lanarkshire College Health event Outreach 500 4.00 1 80 South Lanarkshire Council Diversity and health Outreach 200 4.50 1 97 choices event UWS Hamilton campus Health and abilities fair Outreach 900 6.00 1 19 Young People Event Total (12) 8,000 62.00 13 2,907

Mass Event Total (17) 15,500 90.00 18 4,378

Training Description Delivery Means Reach Hours Activities Contacts Capacity Building Training Cardonald College Students HIV training Training 31 2.50 1 31 NCL Coatbridge HIV testing, treatment, Training 22 2.00 1 22 care and support NCL Coatbridge Access to nursing - HIV Training 21 2.00 1 21 training NCL Coatbridge Nursing students Training 80 3.00 2 40 training South Lanarkshire College Access to nursing - HIV Training 120 1.50 1 62 training Capacity Building Training Total (5) 274 11.00 6 176

Corporate Training Glasgow Centre Based Safeguarding Training 30 3.00 1 28 Corporate Training Total (1) 30 3.00 1 28

Young People's Sexual Health Airdrie Academy S5/6 HIV and sexual Training 500 5.00 1 137 health training Hamilton Grammar School S5 sexual health training Training 100 1.00 1 52 Hamilton Grammar School Sexual health and Training 62 1.00 1 62 relationships

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Training Description Delivery Means Reach Hours Activities Contacts

Hamilton Grammar School Sexual health and Training 73 1.00 1 73 relationships Hamilton Grammar School Sexual health s5 training Training 100 1.00 1 47 Hamilton Grammar School S6 sexual health and Training 180 3.00 1 85 relationships Lanark Grammar S4 Syphilis and sexual Training 600 3.00 1 210 health session Young People's Sexual Health Total (7) 1,615 15.00 7 666

Training Total (13) 1,919 29.00 14 870

THT Total (37) 30,479 188.00 39 5,693

PSE OUTREACH

15 hours of outreach were delivered over 5 sessions and 10 contacts were made over the financial year. Each outreach session requires the workers to visit two public sex environment sites namely Strathclyde Park and Cathkin Braes. Both sites are still very quite and have still recovered from the effects of the local access closures surrounding the Commonwealth Games in 2014.

The Health Promotion Specialist works closely with local Police Officers with responsibility for equalities work to share information about current trends and local crimes, raise awareness of personal safety and act as a third party homophobic crime reporting resource. Partnership work from February 2013 consisted of a staged approach in raising awareness of the changing nature of PSE sites to more ‘public zones’ with the oncoming Commonwealth games and the two sites event centres for the Triathlon and Mountain Biking. Both Lanarkshire PSE sites had restricted access or were closed between May and September 2014. During this time VSE outreach was increased.

ETHNICITY NUMBER Caucasian 9 Asian 1

AGE RANGE NUMBER 31-35 2 36-40 1 41-45 2 46-50 2 50+ 3

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SEXUAL IDENTITY NUMBER Bisexual (Identified as married to a female) 1 Gay 9

DURATION OF CONTACT IN MINUTES NUMBER 1-9 5 10-15 5

Total Issues Discussed Interactions Sexual Health 10 Personal Circumstances 10 THT –what we do 2 HIV Testing 5 Confidentiality 6 STIs 2 Sauna user 4 Condoms by Post/CDS 3 3rd Party Report - Violence 1 THT fastest 4 Chemsex 3 HIV 3 Hepatitis Vaccination 6 Mobile phone apps 9 Personal safety 10

Safer Sex Materials Distribution Total Units Condom Pack (2 extra strong with 4 lube) 4

Resource Distribution Total THT Scotland– safer cruising 2 THT Scotland – HBV vaccination 6 THT – PEP wallet card 3

REFERRED TO NUMBER Lanarkshire sexual health service 2 Free condoms – no fuss (CDS) 3 NHS Lanarkshire smoking cessation 2 THT fast test clinics 4

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VSE outreach in PSE sites. A total of 139 men interacted with THTS staff through profile on Grindr, Scruff and Squirt GPS based apps. THTS staff carry smartphones and iPads for VSE outreach in PSE sites when there are few men using the sites or the weather is not conducive to outreach. VSE outreach is also undertaken during HIV fastest clinics, when the health promotion specialist is using public transport or has time between appointments. The following tables contain basic demographic and referral data. Due to the nature of VSE outreach and their GPS based service, the locations of interactions are based on the closest urban centre.

LOCATION NUMBER Airdrie 14 Bellshill 12 Cambuslang 8 Coatbridge 3 Cumbernauld 21 East Kilbride 40 Glasgow (Cathkin Braes) 14 Hamilton 5 Larkhall 2 Motherwell 4 Plains 3 Rutherglen 4 Uddingston 1 Wishaw 8 Total 139

SEXUAL IDENTITY NUMBER Bisexual 29 Gay 110

ETHNICITY NUMBER Caucasian 77 Asian 13 Black 3 Mixed race 16 Unknown 30

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AGE RANGE NUMBER 18-21 6 22-25 14 26-30 35 31-35 37 36-40 19 41-45 10 46-50 3 Unknown 15

REFERRALS TO NUMBER Broken Rainbow (LGBT Domestic Abuse service) 2 GP Practice 17 NHS Lanarkshire Sexual Health services 58 NHS Lanarkshire Sexual Health (website) 27 NHS Lanarkshire HIV and Hepatitis (website) 55 PEP 86 THT – Counselling 6 THT – Fastest clinic 109 THT - Get Rubbered (website) 62 THT – Hardcell (website) 8 THT – MyHIV (website) 22 THT - Volunteering 23 THT - Website 45

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VIRTUAL SEX ENVIRONMENT (VSE) OUTREACH

The following data is extracted from THTS’s Glasgow-based VSE outreach shifts for the Lanarkshire region. It is important to remember that not everyone discloses their true area of residence - e.g. men from the Lanarkshire region may be more likely to state that they live in Glasgow (more heavily populated chatroom) to increase online interest in their profile. They will also typically be present in the Glasgow room therefore we promote regional-specific services and events in all rooms. In our experience as VSE workers, the more respectful relationships we build online, the more likely it is that Gaydar users disclose their actual area of residence. The THTS outreach workers record the number of people present in the chatroom each evening (and occasional afternoons) that we visit the Lanarkshire chatroom. From April 2014 to March 2015 this has varied between 4 and 10 people with the average being 8 men at any one time. The VSE workers will usually spend up to one hour chatting in the room – however, ongoing private chats away from the public room can occasionally affect how much interaction we are able to offer. Between the stated dates the VSE workers have spent up to 80 hours in the Lanarkshire chatroom. The information that follows is a breakdown of services promoted and topics discussed in the chatroom There were 4 private chats initiated by contacts during the stated period. SERVICES and EVENTS PROMOTED IN SERVICES and EVENTS PROMOTED IN CHATROOM CHATROOM C-Card service Sexual Health – service location (East Kilbride) Equality Network – LGBT Sexual Health - Testing information European HIV Testing Week Sexual Health – Lanarkshire – lanarkshiresexualhealth.com Gay Outdoor Club STI info – Genital Warts Gaycon 2014 STI info – Gonorrhoea, Syphilis, etc. Glasgow Frontrunners 5K Run Survey Promotion – Gay Men’s Health (GMH)/Glasgow Caledonian University (GCU) GUM – Coatbridge Survey Promotion – Gay Men’s Sex Survey GUM – East Kilbride Survey Promotion – Legal Highs Hate Crime reporting Survey Promotion – Living With HIV (Waverly Care) HIV Disclosure Study Survey Promotion – Migrant and Refugee ‘Hate Speech’ survey HIV Scotland – Rights at Work Survey Promotion – THT and Welfare Rights LEAP Sports - Pride House (Glasgow 2014 THT - Confident Families Commonwealth Games) LINK SCOTLAND RESIDENTIAL THT - Drugf*cked Mindfulness Meditation Course THT – Fastest (Lanarkshire) MyHIV THT - Fastest DIRECT PEP THT - Get Rubbered Perth Residential Weekend THT - Hardcell THT – Our presence on Grindr, GROWLr, RECON, Positive Person's Forum - feedback SCRUFF PrEP THT - Think To Test “tHIVnk You’re Negative?” THT Scotland services Pride - Glasgow 2014 THT - “Building Better Relationships” Workshop Prostate Cancer info World Aids Day events Safer Sex – Issues World Hepatitis Day Safer Sex – on holiday Viagra/other generic

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PRIVATE CHAT STATISTICS

SEXUAL IDENTITY NUMBER Open-Minded 0 Bisexual 2 Gay 2 Not known (e.g. online messaging, phone call) 0

AGE RANGE NUMBER 18-21 0 22-25 0 26-30 1 31-35 1 36-40 1 41-45 0 46-50 0 50+ 1

ETHNICITY NUMBER Caucasian 4

DURATION OF CONTACT IN MINUTES NUMBER 1-9 1 10-15 0 16-25 0 26-35 1 36-45 1 46-55 0 55+ 0 Not applicable (i.e. online messaging, etc.) 1

REFERRALS MADE BY VSE WORKERS TO NUMBER CONTACTS: GP Practice 1 THT Get Rubbered 4 THT Lanarkshire services 1 THT Fastest DIRECT 1 THT Fastest (Lanarkshire) 1 THT Hardcell 1 Sandyford Erectile Dysfunction clinic 1

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GET RUBBERED AND CONDOM AND LUBRICANT DISTRIBUTION

GET RUBBERED

Get Rubbered is THTS’s free condoms and lubricant by post scheme. Men apply either online or by post to receive condoms and lubricant. Information resources are also supplied in the mail outs to keep men up to date with sexual health information, as well as other topics including mental health, Hepatitis B vaccination, Lanarkshire CDS and local events.

In January 2014 THTS changed the way they provide the Get Rubbered service in Lanarkshire. Users now receive condoms and lubricant on a bi-monthly basis and are directed to NHS Lanarkshire’s ‘free condoms – no fuss’ should they require extra stocks.

April May June July August September Joined 5 3 4 7 9 5 Left 7 2 0 2 6 1 Total 223 224 228 233 236 240 October November December January February March Joined 5 4 10 3 4 7 Left 4 1 8 0 7 0 Total 241 244 246 249 246 253

These figures do not mirror the condom and lubricant total stock output in Lanarkshire as this table only records joining and leaving as opposed to actual numbers receiving condoms posted on a bi-monthly basis. The following table denotes the number of condoms and lubricant distributed through Get Rubbered as ‘GR’ - all other condom and lubricants listed have been distributed through 1-2-1 support, groupwork, events or PSE outreach.

RESOURCE TYPE NUMBER GR Pasante protector, large, king size, trim or 34 632 Mates SKYN condoms GR Mates Silky Smooth lube (10ml) 34 632 TOTAL GR condoms & lubricant 69 264 RESOURCE TYPE NUMBER Mates protector 1296 Pasante naturelle 2016 Pasante flavoured 312 Pasante large 432 Pasante trim 119 Pasante fizzy cola 144 Pasante black 144 Pasante glow 144 Pasante unique 50 Pasante sensiva 108 Pasante female condoms 32

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RESOURCE TYPE NUMBER Pasante halo 576 Pasante ribbons 288 Pasante heart 103 Mates SKYN (latex free) 141 TOTAL non-GR condoms 5905 Pasante Gentle Lite Lube 10ml 329 Pasante Silky TLC lube 10ml 1208 Mates Silky smooth Lube 10ml 590 TOTAL non-GR lubricant 2127 TOTAL condoms and lubricant distributed 77 296

VOLUNTEERS

THT Scotland has eight Lanarkshire residents actively volunteering with us. Financial year 2014-15 saw a total of 797 hours of Lanarkshire work completed by volunteers.

All volunteers with THTS must complete induction training which covers data protection, confidentiality, organisational policies and procedures and basic HIV. This training is then followed by more specialist topics depending on volunteer roles which may include sexual health and contraceptive methods, customer care (telephony, reception duties), health promotion and equalities.

Volunteering activities included: Events support – college and community LGBT, HIV and sexual health events. Clinical support – meet and greet services at fastest clinics in East Kilbride and Cumbernauld. Groupwork – meet and greet and specialist advice. Get Rubbered – administration, management, packing and mail outs.

THTS volunteers also gave their time in representing the charity at the HIV drug therapy Glasgow conference in October 2014. This event brought together International HIV specialists and was held over five days. Volunteers also attended ‘The Gathering’ – a volunteering conference organised by the Scottish Council for Voluntary Organisations, over two days in February 2015.

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PRESS COVERAGE

Terrence Higgins Trust press office in London coordinates all press and media work throughout the United Kingdom. Below are local press statistics where THT has been either mentioned, or the sole organisation mentioned in press coverage.

DATE RESOURCE CONTEXT NUMBER March Hamilton Coverage of THT’s visit with students and staff at New 12,553 2015 Advertiser College Lanarkshire as part of its diversity week March Lanark & Coverage of THT’s visit with students and staff at New / 2015 Carluke College Lanarkshire as part of its diversity week Advertiser March Airdrie & Coverage of THT’s visit with students and staff at New 9,447 Coatbridge College Lanarkshire as part of its diversity week Advertiser Feb 2015 Motherwell Article about New College Lanarkshire’s Health and / Times (online) Wellbeing event, where THT held a stall

Feb 2015 Motherwell New College Lanarkshire held a health and wellbeing event 9,122 Times across its Motherwell, Coatbridge and Cumbernauld st campuses on 21 January. THT is mentioned as one of the organisations offering advice to students at the event Sept Cumberland Coverage of THT in Scotland attending Fresher’s Week at 21,368 2014 News New Collage Lanarkshire Sept 2014 Wishaw Press ChooseLIFE 5-a-side football event. THT mention as a stall / holder April Carluke and Readers letter highlighting HIV and poverty report. / 2014 Lanark Gazette Mentions THT support and hardship fund May 2014 Motherwell Alcohol intake 'linked to risky sex', THT quote from The / Times Mirror used Dec 2014 Wishaw Press World AIDS day events – THT mentioned / Dec 2014 Airdrie & World AIDS day events – THT mentioned / Coatbridge Advertiser Dec 2014 Bellshill World AIDS day events – THT mentioned / Speaker Dec 2014 Hamilton World AIDS day events – THT mentioned Advertiser

Below is a copy of a letter sent into the Carluke and Lanark Gazette in April 2014 by a Lanarkshire THT supporter.

HIV poverty Dear Ed, – More than 15 years after modern antiretroviral medication transformed HIV into a manageable condition, Terrence Higgins Trust’s new report HIV & Poverty (www.tht.org.uk/poverty) reveals a shocking picture of financial hardship among people with HIV in the UK. The charity has seen a 15 per cent increase in people accessing its Hardship Fund, which helps people with HIV in severe financial need cover basic living costs such as food, clothing and heating.

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As the full impact of the Government’s welfare reforms starts to be felt, it is vital that our council considers the needs of local people with HIV in its plans, and that financial, social and emotional support is available for those whose condition affects their ability to work. HIV and poverty should not be linked. But, without adequate support, financial stress, poor diet, and other factors associated with poverty can lead to mental and physical ill health for people with HIV, in turn making it harder for them to re-enter employment. Let’s do all we can to make sure that HIV and poverty no longer so often go hand in hand. – Yours etc.,

POINT OF CARE TESTING

The Health Promotion Specialist for Lanarkshire currently facilitates two HIV Point of Care testing clinics in Lanarkshire: Cumbernauld Central Health Centre, Tuesdays 5-7pm weekly. Murray Owen Centre, East Kilbride, Thursdays 5-7.30pm weekly.

Currently the service only offers HIV testing with results in 20 minutes, but 2015 will see the introduction of Chlamydia, Gonorrhoea and Syphilis testing.

The following tables provide demographic data for people who have attended the two Lanarkshire clinics and one satellite clinic in New College Lanarkshire – Coatbridge Campus.

Gender Total Female 27 Male 56 Total 83

Age Range Total 16 - 24 30 25 - 34 28 35 - 44 13 45 - 54 8 55 - 64 4 Total 83

Sexuality Total Bisexual 7 Heterosexual 56 Homosexual 19 Other 1 Total 83

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Ethnicity Number White British 67 Irish 1 Other 4 Asian or Asian British Indian 1 Pakistani 4 Black or black British African 4 Other ethnic groups Any other ethnic group 1 Not stated Chose not to disclose 1 Total 83

Local Authority Total Ayrshire- East 1 Ayrshire – South 1 Falkirk 3 Glasgow City 10 Inverclyde 1 Lanarkshire - North 33 Lanarkshire - South 20 Renfrewshire 1 Stirling 1 Unknown – refused 12 Total 83

Glasgow and West of Scotland HIV POCT data.

The Following data has been collated from HIV POCT clinics in Glasgow, Glasgow Caledonian University and Forth Valley Colleges (three sites). 46 Lanarkshire residents accessed HIV testing through these sites.

Gender Total Female 82 Male 226 Total 308

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Age Range Total 16 - 24 107 25 - 34 112 35 - 44 35 45 - 54 36 55 - 64 12 65+ 1 Declined 6 Total 308

Sexuality Total Bisexual 28 Declined 5 Heterosexual 168 Homosexual 98 Unknown 9 Total 308

Ethnicity Number White British 181 Irish 8 Other 60 Mixed White and black Caribbean 1 White and black African 2 White and Asian 3 Any other mixed background 3 Asian or Asian British Indian 8 Pakistani 8 Bangladeshi 2 Any other Asian background 2 Black or black British Caribbean 1 African 20 Any other black background 2 Other ethnic groups Chinese 3 Any other ethnic group 3 Not stated Chose not to disclose 1 Total 308

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Residence district Total Residence district Total Angus 1 Inverclyde 2 Argyll and Bute 2 Lancaster 1 Belfast 1 Luton 1 Clackmannanshire 7 Merton 1 East Ayrshire 1 North Ayrshire 4 East Dunbartonshire 1 North Lanarkshire 31 East Renfrewshire 4 Perth and Kinross 1 Edinburgh, City of 3 Renfrewshire 12 Falkirk 4 South Ayrshire 2 Fife 1 South Lanarkshire 15 Glasgow City 168 Stirling 2 Greenwich 1 Unknown 36 Highland 1 West Dunbartonshire 5 Total 308

THT Scotland Fastest Direct – Postal HIV testing 32 Lanarkshire residents accessed HIV testing through this service.

Gender Total Female 38 Male 332 Total 370

Age Range Total 16 - 24 115 25 - 34 153 35 - 44 57 45 - 54 37 55 - 64 7 65+ 1 Total 370

Sexuality Total Bisexual 24 Heterosexual 62 Homosexual 284 Total 370

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Ethnicity Number White British 313 Irish 5 Other 22 Mixed White and black African 1 White and Asian 2 Any other mixed background 1 Asian or Asian British Indian 1 Any other Asian background 1 Black or black British African 10 Other ethnic groups Chinese 4 Not stated Chose not to disclose 10 Total 370

Residence district Total Residence district Total Aberdeen City 28 Inverclyde 2 Aberdeenshire 12 Midlothian 4 Angus 7 Moray 4 Argyll and Bute 2 North Ayrshire 2 Clackmannanshire 2 North Lanarkshire 21 Dumfries and Galloway 3 Orkney Islands 1 Dundee City 10 Perth and Kinross 4 East Ayrshire 5 Renfrewshire 6 East Dunbartonshire 4 Scottish Borders 10 East Lothian 4 Shetland Islands 1 Edinburgh, City of 72 South Ayrshire 3 Eilean Siar 4 South Lanarkshire 11 Falkirk 8 Stirling 5 Fife 26 Unknown 2 Glasgow City 77 West Dunbartonshire 3 Highland 14 West Lothian 13 Total 370

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ADDITIONAL VALUE

Other services within Terrence Higgins Trust Scotland provide additional value to existing Lanarkshire services through projects which receive funding outwith NHS Lanarkshire funding streams.

Confident Families Confident Families provides practical and emotional support to people in Scotland who are living with or affected by HIV and is funded through the Big Lottery Fund. We know that families in the 21st Century take many forms - same-sex parents, stepfamilies, one-parent families, extended families and families with carers. For someone living with HIV, a family can even be a network of close friends.

Through Confident Families people can access:

 information and advice  groupwork  counselling  residential weekends  activities for children and young people.

Financial Futures Financial Futures gives grants supporting people living with HIV or Hepatitis C who are financially excluded or experiencing financial problems in Ayrshire & Arran, Greater Glasgow & Clyde, Grampian, Fife, Forth Valley, Lanarkshire and Tayside. This project is funded through the Big Lottery Fund and services include:  one to one financial advice  drop-in information surgeries on money management  group work activities  help to fill out benefit/welfare and other forms  representing service users as required. E.g. ATOS, DWP medical assessments, Court, housing matters  access to THT hardship Fund and Crisis Grants  applications to Scottish Welfare Fund.

Facebook and Twitter THTS staff and volunteers regularly post on the THT Scotland Facebook page and twitter feeds. Our Facebook page is followed by 934 people. Our Scotland twitter account has 1,657 followers and our THT UK account has 14, 700 followers. Our most retweeted Lanarkshire tweet was promoting the Cumbernauld HIV fastest clinic (27th January) which was read by 768 people and retweeted 5 times.

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EVENTS

Gaycon – 23-24th October 2014 This has been recorded on page 8 of this report however THTS played a lead role in the planning and coordination of this National conference and in the delivery of sessions to delegates.

Sessions delivered include: SMMaSH: Social Media, Men who have sex with Men and Sexual Health Study: Partnership working to conduct an interdisciplinary, mixed-methods exploratory study (which was also delivered at the International AIDS Conference in Sydney 2014) An easy finger prick with fast results (HIV fastest) Sexual health and LGBT young people – The way forward Suicide and self harm in MSM Get F@*%ed Film – Men Only Tayside (THTS and NHS Tayside) Personal Communities, ‘Peership’ and Practice – exploring the sexual health of young gay and bisexual men in Scotland

Scottish Symposium on the Third National Survey of Sexual Attitudes and Lifestyles (Natsal 3) – 22nd May 2014 The Health Promotion Specialist for Lanarkshire attended this event at the Merchant’s Hall in Edinburgh, along with many other key staff in the field of sexual and reproductive health, including other colleagues from Terrence Higgins Trust Scotland. The conference provided great insight into emerging research which has shown a change in the way that men who have sex with men think about sex, sexual health, HIV and hepatitis B. The conference provided a forum for some excellent networking and sharing of resources with other organisations and individuals, as well as a greatly appreciated learning opportunity for the Lanarkshire worker.

T in the Park – 10th – 14th July 2014 Seven THTS staff members and volunteers attended T in the Park IN 2014. Terrence Higgins Trust Scotland were part of the Charity Village alongside other large National charities such as Turning Point, British Heart Foundation, British Red Cross, Crew, Fife Gingerbread, the Medical Research Centre and many more. THTS emphasised on NHS Tayside’s MOT health promotion messages and services as T in the Park is located within Tayside.

Health boards which provided a selection of resources and condoms and lube included NHS Lanarkshire, NHS Fife, NHS Ayrshire & Arran and NHS Tayside.

Over 12,000 condoms were distributed over the three days and over 320 people took part in qualitative interventions about sexual health and relationships. This included a STI quiz and other interactive competitions both face to face and via social media. This built on the successes of the previous year where it was noted that T in the Park was an excellent opportunity to showcase THTS’s work in Scotland.

LINK Scotland THTS are a partner organisation of the LINK Scotland partnership alongside GMH and Waverley Care. Due to the closure of GMH services in Glasgow and the reduction of staff across their charity, THTS have agreed to chair the group from now on. The group meets monthly in order to

26 of 30 plan future events and explore funding opportunities. In this recording period THTS have led two separate events for Scotland's gay and bisexual men living with HIV. These include the "Spice up your sex life" workshop in Edinburgh on the 26th of July and the “Building better relationships" residential in Perth on the 19-21st of September. Over 30 men from across Scotland were present at these events.

Cumbria Pride In June 2014 THTS staff and volunteers were invited to provide a health information stall at Cumbria Pride.. Four THTS volunteers supported and helped out on the day. Although THTS does not have a contract in the area, the event did help build a closer working relationship with the Cumbria pride event organisers. THTS is currently making plans to attend the Cumbria Pride event on Saturday 20th June 2015 where he will assist running a health promotion stall. He hopes to use this event for future pride events in the area his post covers.

Pride Scotia Edinburgh was held on Saturday 21st June 2014. THTS staff, along with volunteers and supporters of THTS assembled outside the Scottish Government building before marching up the Royal Mile to the Edinburgh City Chambers for speeches and then on to Bristo Square for a Festival at Teviot Row House. The weather on the day was very sunny and this promoted a large crowd taking part in the march and the following pride festival. Teviot Row House contained the sexual health stalls which were attended by THTS and other organisations including GMH, Waverley Care, HIV Scotland and Police Scotland.

Personal development

The Lanarkshire Health Promotion Specialist is responsible for his own continuous personal development. He has attended and completed the following training courses and seminars:  SMMaSH ‘Social Media: Men who have sex with men and Sexual Health in Lanarkshire’ – May 2014  National Survey of Sexual Attitudes and Lifestyles NATSAL 3 – May 2014  ‘Opening doors: Prostitution awareness’ - NHS Ayrshire and Arran - June 2014  Health and safety and incident reporting – THT – June 2014  THT clinical conference (Birmingham) – THT – June 2014  LGBT human rights and the Commonwealth conference – July 2014  ‘RCGP- Detection, Diagnosis and Management of Hepatitis B and C’ – October 2014  Terrence Higgins Trust Staff Conference 2014: Building on the legacy, the next five years – November 2014  Staff myHIV and Online Services Update – THT - November 2014  Chlamydia testing, Gonorrhoea testing and results management training – THT – January 2015  Mental Health First Aid – NHS Lanarkshire – February 2015

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Case Studies

Case Study 1.

‘Brian’ met the Lanarkshire health promotion specialist during an HIV outpatient clinic in Monklands Hospital. He had recently moved back to Lanarkshire to stay with family following a break up with his partner and subsequently experienced verbal and physical attacks due to his HIV status, and homophobic abuse from his family. This forced him to present as homeless and relocate to a ‘scatter flat’ (emergency housing) at the time he first engaged with THTS.

The Lanarkshire health promotion specialist was able to establish his immediate needs and initially supported him to attend his clinical appointments. Further support for ‘Brian’ included the provision of a number of food bags as he had no money, followed by referral into the THT hardship fund, from which he was awarded money for clothing, food and energy bills.

Once Brian felt more secure, the health promotion specialist referred him into THTS’s ‘Financial Futures’ project who provided assistance in applying for Employment Support Allowance, a community care grant and two emergency fuel payments. He was also supported in his application for a council house and after six weeks in emergency accommodation, was allocated a one bedroomed, fully furnished mid-terrace bungalow. Brian attends THTS’s monthly Lanarkshire positive men’s group when the health promotion specialist is able to provide transport, as public transport from his home town stops during the afternoon. He is actively looking for employment and seems to be enjoying emotional stability and looking for a new relationship.

Case Study 2.

Mr B initially contacted THTS to report a homophobic crime as THTS is a member of Police Scotland’s third party reporting scheme. He was advised of this service through word of mouth. Mr B had been physically assaulted, threatened with a crowbar and robbed while in a cruising area by two men in balaclavas the previous evening. Mr B’s statement was taken by the Lanarkshire Health Promotion Specialist and logged as a intelligence report with Police Scotland as he was not willing to provide his personal details for fear of being judged for procuring sex in a public place. Mr B phoned the Lanarkshire worker back at a later date to access one to one support by telephone. He then arranged to meet the Lanarkshire worker in person and discussed a number of issues including his use of public sex environments, his emotional health, sexual health and drug use. He was referred into a range of services as a result of this one to one session and is still engaged with THTS while accessing additional support from the Lanarkshire harm reduction team.

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Case Study 3.

The Lanarkshire health promotion specialist originally met Jay when delivering a sexual health training session within a Lanarkshire school. Jay approached the THTS worker and asked if he could talk about ‘transgender things’ following the topic of gender and sexual identities during the training session. Jay disclosed that he wanted some help as he felt he was a boy but he didn’t feel able to discuss this with anyone and didn‘t know where to turn. The Lanarkshire worker advised him that there were a number of different people he could speak to, and highlighted that there was a group in Lanarkshire for LGBT young people. Jay was given the contact details for ‘Mix Utd’ – a group for LGBT young people held weekly in Hamilton, and Sandyford’s Gender Identity Services in Glasgow. Disclosing his gender dysphoria to a trusted adult was also discussed. As a result of this one to one session, Jay has accessed the gender identity service within Sandyford and is confirmed as a regular attendee of LGBT youth’s fortnightly Glasgow group.

Case Study 4.

‘Sean’ presented at a Lanarkshire HIV fastest clinic after hearing about the service from the Lanarkshire Health Promotion Specialist who was providing outreach on VSE mobile applications. Sean had just broken up from a five year relationship after he discovered his male partner was being unfaithful and was concerned about sexually transmitted infections and HIV. Sean had never tested for HIV before so was exceptionally nervous. The Health promotion specialist was able to talk with Sean about his concerns around the HIV testing process, testing window period, HIV transmission routes and risks, and his emotional health needs relating to his relationship break up. Sean’s test result was negative. Following this news Sean became very upset and advised that his ex partner had not only been having sexual relationships with other men, but also using ‘Legal Highs’ and attending sex parties. Sean was reassured about his HIV test result but advised to attend a sexual health clinic for a full sexual health screen – the processes of obtaining samples for other sexually transmitted infections were discussed to enable him to attend a clinic without fear of the unknown. Sean has since attended clinic to re-test with a new partner to ensure they are both HIV negative before they stop using barrier protection.

Case Study 5.

A female client presented at a Lanarkshire HIV fast test clinic and declined to provide any personal information on the clinical paperwork. This is an option available to people who present for testing but is unusual. The female advised she had no risk factors recognised on the testing paperwork and declined to advise why she wanted to test so normal procedures were followed including her understanding of transmission routes, confidentiality and additional support available to her. Her test result came back negative and she seems exceptionally relieved. She then disclosed that she was an NHS staff member who had received a needlestick injury over two years ago

29 of 30 but was too frightened to test with an NHS clinic or through occupational health as she believed it would affect her ability to practice nursing. She was informed about guidance released for HIV infected healthcare practitioners and access to post exposure prophylaxis for occupational exposure to HIV and other blood borne viruses. She advised that she would tell her colleagues about our testing service and thanked the Health Promotion Specialist for his reassurance, professionalism and empathy throughout the testing procedure.

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