Sexual Health Needs Assessment for Gloucestershire Appendices Contents Appendix 1 Membership of Sexual Health Strategic Partnership Group ................................ 3 Appendix 2 Sources of sexual health data and surveillance .................................................. 5 Appendix 3 Public Questionnaire .......................................................................................... 8 Appendix 4 Stakeholder Questionnaire ................................................................................. 9 Appendix 5 Location of Sexual Health Services (2014) ....................................................... 10 Appendix 6 Avenger Task Force ......................................................................................... 29 Appendix 1 Membership of Sexual Health Strategic Partnership Group NAME Area of representation. Including details of individual currently on Board. Sarah Scott (Chair) Public Health Consultant in Public Health Gloucestershire County Council Karen Pitney Public Health Public Health Outcome Manager Gloucestershire County Council Sheema Rahman Public Health Health Protection Practitioner Gloucestershire County Council Rona MacDonald Clinical Specialist Lead Clinical Lead. Sexual Health Services Gloucestershire Care Services Sally Snowden Service Management Matron Manager Sexual Health Services Gloucestershire Care Services Tbc Specialist Commissioning NHS England Robin Agascar MBE Community representation Healthwatch Gloucestershire Peter Steel Substance Abuse Services Chief Executive Independence Trust Val Welsh/Sonia Pearcy Nursing Representative Sexual Health Lead Nurse representative Gloucestershire Care Services Dr Alison Tuck General Practice GP Tewkesbury Gloucestershire Clinical Commissioning Group representative Jan Courtney Education Lead for Health and Wellbeing (Education and Learning) Gloucestershire County Council Pauline Edwards Children In Care Lead Nurse for Children in Care Gloucestershire Care Services Fiona Castle Community Pharmacy Chief Officer Local Pharmaceutical Committee Rob England Gloucestershire Youth Support Service Service Manager Prospects Services Andrew Evans HIV Prevention and Social Care Services Eddystone Trust Appendix 2 Sources of sexual health data and surveillance Genitourinary Medicine Clinic Activity Dataset for STIs (GUMCAD) Each Genitourinary medicine (GUM) clinic and Enhanced Sexual Health Service (ESHS) is required to generate a quarterly data extract of all patient attendances and associated diagnoses (coded using KC60/SHHAPT/READ codes) at GUM clinics/ESHSs by patient PCT of residence, Lower Super Output Area of residence, gender, age, sexual orientation, ethnicity and country of birth for emailing to PCTs, SHAs and the Health Protection Agency (now Public Health England). All specified fields are mandatory. The data is collected quarterly. The GUMCAD return includes patient demographic details collected at patient registration at their first attendance and clinical and risk factor data collected during the patient consultation. The GUMCAD data are collected and analysed to monitor trends in new diagnoses of sexually transmitted infections (STI) and other sexual health problems and to determine which specific groups are at particular risk. This information is used to inform the public health response by: Improving the planning and management of services Developing, adapting and refining interventions Monitoring the effectiveness of sexual health policies Chlamydia Testing Activity Dataset (CTAD) The Chlamydia Testing Activity Dataset (CTAD) is a universal disaggregate dataset for the collection of data on all NHS and LA/NHS-commissioned Chlamydia testing carried out in England. CTAD replaces the National Chlamydia Screening Programme (NCSP) core data return and the non-NCSP non-GUM aggregate data return. Full implementation of CTAD became mandatory in April 2012, with a six month dual-reporting period running from April to September 2012. The CTAD dataset is comprised of all Chlamydia Nucleic Acid Amplification Test (NAAT) tests for all ages, from all venues and for all reasons. CTAD enables unified, comprehensive reporting of all Chlamydia data, to effectively monitor the impact of the NCSP through estimation of population screening coverage, proportion of all tests that are positive and diagnosis rates. Local authority/NHS commissioned laboratories should submit this data on a quarterly basis to the Public Health England (PHE) via a secure web portal. Survey of Prevalent HIV Infections Diagnosed (SOPHID) The number of persons receiving HIV-related treatment or care is collected by the Survey of Prevalent HIV Infections Diagnosed (SOPHID). These national and local data help inform HIV prevention strategies, estimate the overall HIV prevalence in the UK and allocate funding for HIV treatment and prevention. SOPHID is a cross-sectional survey of all persons who attend for HIV-related care at an NHS site in England, Wales and Northern Ireland (E, W & NI) within a calendar year. Scottish data collected by Health Protection Scotland (HPS) and paediatric data (children aged under 15) collected by the National Study of HIV in Pregnancy and Childhood (NSHPC) and the Collaborative HIV Paediatric Study (CHIPS) are included in the final UK totals. HIV/AIDS new diagnoses Voluntary reports of HIV diagnoses in England, Wales and Northern Ireland are sent to the PHE’s Centre for Infections. Reports are received from laboratories and clinicians. Laboratory report forms provide the initial information relating to HIV diagnoses. Subsequently clinician report forms contain much more detailed epidemiological information than laboratory forms and are essential in describing the HIV epidemic. For a variety of reasons, it is not always possible for a clinical report form to be completed (for example, the patient does not return to the clinic for their result) which is why it is essential that laboratories also report HIV diagnoses. Without information from laboratories we may underestimate the total number of HIV diagnoses. Clinician reports are also sent in the event of the first AIDS diagnosis or death in an HIV infected individual in England, Wales and Northern Ireland. Data includes; All adults (15 years and above at diagnosis) diagnosed with HIV infection in England, Wales and Northern Ireland All adults (15 years and above at diagnosis) with a first AIDS diagnosis in England, Wales and Northern Ireland All deaths in HIV-infected adults (15 years and above at death) in England, Wales and Northern Ireland HIV and AIDS Reporting System (HARS) PHE has developed a dataset, the HIV and AIDS Reporting System (HARS). This system will eventually replace SOPHID and new HIV diagnoses. The HARS dataset will be attendance based, disaggregate and submitted on a quarterly basis. Data collected includes information on services, HIV clinic attendance, demographics, diagnosis, treatment, clinical details and death. The primary aim of HARS is to collect information to inform the public health response to HIV, this includes monitoring the number and risk factors of those newly diagnosed and accessing HIV care. It is also used to target and evaluate prevention policies. The secondary aim is to use the information collected through surveillance to produce aggregated outputs to inform commissioning through payment by results; the information collected through HARS will directly inform the commissioning of services. The tertiary aim is to use the information collected through HARS to monitor the access to and the quality of care received by HIV patients. Office for National Statistics Conception Data The Office for National Statistics (ONS) release conception statistics for different age groups, including under-16 and under-18 age groups. Under-18 conception statistics for England are used to monitor reductions in teenage pregnancies. National level, under 18 and under 16 conception statistics are published on the ONS website (covering England and Wales and England). Both annual and quarterly data are available. Statistics include: number of conceptions rate per thousand females aged 15-17 (13-15 for under-16 conceptions) percentage of conceptions leading to abortion. ONS also publish annual under-18 conception statistics for English regions and local authorities at top-tier and district level. Appendix 3 Public Questionnaire This questionnaire can be found using the following link: http://www.gloucestershire.gov.uk/CHttpHandler.ashx?id=62872&p=0 Appendix 4 Stakeholder Questionnaire This questionnaire can be found using the following link: http://www.gloucestershire.gov.uk/CHttpHandler.ashx?id=62873&p=0 Appendix 5 Location of Sexual Health Services (2014) Location What delivered Where Post Code Cheltenham ● Contraception ● full range of Benhall Clinic, Sandford Road, GL53 7AN BASHH Cheltenham Cheltenham ● Contraception Services ● GUM St. Pauls’ Wing, Cheltenham GL53 7AN services to BASHH level 2 ● HIV General Hospital, College Road, services ● Pregnancy Advisory Cheltenham Services and abortion Cheltenham ● Additional Young Peoples Yorkleigh Surgery, 93 St George's GL50 3ED Sexual Health Services Rd, Cheltenham Cheltenham ● Additional Young Peoples Portland Practice, St Pauls GL50 4DP Sexual Health Services Medical Centre,121 Swindon Road, Cheltenham Cheltenham ● Public Health Nursing Service Pate's Grammar School, Princess GL51 0HG extended drop-in. ● C-card Elizabeth Way, Cheltenham distribution and registration Cheltenham ● Sexual Health Clinic Gloucester College