Buckinghamshire Sexual Health Services Needs Assessment Buckinghamshire Sexual Health Needs Assessment Report July 2015 Version: 16.0 Ref No: P647 Date: July 2015 Authors: Dr Torquil Pyper BSc PhD Dr Cecilia Pyper MBBS MFPH Tasmin Harrison BSc Sarah Seager BSc Commissioner: Angie Blackmore PHAST Report - Version 16 1 Project Title & Location Draft Report [Month] [Year] Version: 01 Ref No: Date: [date] Author: Pyper Commissioner: [commissioner], [role/title], [organisation] Buckinghamshire Sexual Health Services Needs Assessment Document Details Date of Issue: July 2015 Version: 16.0 Project description: This report has been prepared by the Public Health Action Support Team (PHAST). Commissioner Lead Contact Details Name: Angie Blackmore Role: Public Health Principal/Sexual Health Commissioner Buckinghamshire County Council County Hall, Walton Street, Aylesbury HP20 1UA [email protected] Telephone: 01296 387472 PHAST Project Lead Contact Details Name Dr Cecilia Pyper Role: Project Lead Email: [email protected] Telephone: 01865 327270 Mobile: 07802753880 PHAST Project Office Contact Details Name: Dr Catherine Brogan Role: PHAST Executive Lead Address: Public Health Action Support Team CIC Westlington Farm Dinton Bucks HP17 8UL Email: [email protected] Telephone: 020 3479 5250 Mobile: 07970 622 604 PHAST Report - Version 16 2 Buckinghamshire Sexual Health Services Needs Assessment Table of Contents 1 Executive Summary ............................................................................................................... 7 1.1 Overview ............................................................................................................................................... 7 1.2 Summary Recommendations ................................................................................................................ 8 1.3 Conclusion ........................................................................................................................................... 12 2 Buckinghamshire Sexual Health Needs Assessment 2015 ...................................................... 13 2.1 Introduction ........................................................................................................................................ 13 2.2 Background ......................................................................................................................................... 13 2.3 Commissioning Responsibilities of Sexual Health and HIV services .................................................... 14 3 Buckinghamshire Demographics ........................................................................................... 15 3.1 Population Profile of Buckinghamshire ............................................................................................... 16 3.2 Buckinghamshire Ethnicity .................................................................................................................. 19 3.3 Buckinghamshire Deprivation ............................................................................................................. 21 4 Buckinghamshire Sexual Health Services .............................................................................. 23 4.1 Buckinghamshire County Council ........................................................................................................ 23 4.2 Buckinghamshire Healthcare NHS Trust ............................................................................................. 23 4.3 Terrence Higgins Trust (THT) ............................................................................................................... 24 4.4 Community Pharmacies in Buckinghamshire ...................................................................................... 26 4.5 GP Practices ......................................................................................................................................... 26 4.6 Activity of Buckinghamshire Sexual Health Services ........................................................................... 27 5 Buckinghamshire Sexual Health Profile ................................................................................. 31 5.1 Public Health England - Sexual and Reproductive Health Profile (2015) ............................................ 31 6 Buckinghamshire’s Sexual and Reproductive Health ............................................................. 33 6.1 All new STIs ......................................................................................................................................... 34 6.2 Chlamydia ............................................................................................................................................ 37 6.3 Gonorrhoea ......................................................................................................................................... 40 6.4 Syphilis ................................................................................................................................................ 41 6.5 Genital warts ....................................................................................................................................... 42 6.6 Genital herpes ..................................................................................................................................... 43 6.7 HIV ....................................................................................................................................................... 44 6.8 Conception .......................................................................................................................................... 53 6.9 Abortion .............................................................................................................................................. 57 6.10 Contraception ..................................................................................................................................... 61 7 Domestic Violence, Sexual Relation Violence & Child Sexual Exploitation (CSE) ..................... 69 7.2 Other Sexual and Reproductive Health Indicators .............................................................................. 72 7.3 Summary ............................................................................................................................................. 83 8 The Sexual and Reproductive Health Profile of Local Authorities in Buckinghamshire ............ 86 PHAST Report - Version 16 3 Buckinghamshire Sexual Health Services Needs Assessment 9 Mystery Shopper ................................................................................................................. 91 9.1 Context ................................................................................................................................................ 91 9.2 Mystery Shopper Results .................................................................................................................... 91 9.3 Mystery Shopper Discussion ............................................................................................................... 93 10 Key Stakeholder Interview Results ....................................................................................... 94 10.1 Introduction ........................................................................................................................................ 94 10.2 Sexual Health Team ............................................................................................................................. 94 10.3 Communication ................................................................................................................................... 94 10.4 Access .................................................................................................................................................. 96 10.5 Sexual Health Promotion and Prevention Services ............................................................................. 97 10.6 Children and Young People ................................................................................................................. 97 10.7 Hard to Reach Groups ......................................................................................................................... 98 10.8 HIV Social Care .................................................................................................................................... 98 10.9 Training ............................................................................................................................................... 99 10.10 Future Commissioning ........................................................................................................................ 99 10.11 Key Recommendations from the Stakeholder Interviews .................................................................. 99 11 Bucks Sexual Health Staff Survey 2015 – Summary.............................................................. 101 11.1 Distribution ....................................................................................................................................... 101 11.2 Number of staff working from each Sexual Health Site .................................................................... 101 11.3 Sexual Health Staff Survey Results .................................................................................................... 101 12 Summary Bucks