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�x�/�nnDL�NATIONAL SEXUAL HEALTH AND HIV STRATEGY: Progress to date


This page last updated 25 September 2000
 HYPERLINK http://www.doh.gov.uk/nshs/background.htm http://www.doh.gov.uk/nshs/background.htm
1.Strategy Groups
A core group has been set up to carry the work in developing a strategy. This group has established two subgroups; one to look specifically at services and one to look at sexual health promotion. Both these subgroups now meet regularly and have co-opted other members from the professional groups involved in sexual health. The groups are initially carrying out a mapping exercise to establish what are the current levels of morbidity, need and provision. An analysis will be carried out of the differing levels of need, demographics/social factors and services. Evidence of good practice from England and elsewhere will be considered in making strategic recommendations.

Separate subgroups have been set up to look at commissioning issues and also at gathering data/evidence on sexual health.

An external steering group has been established. They will sign off the developing strategy and will play a role in considering how to ensure its implementation.

Contacts are being made with the Royal Colleges and other professional bodies to involve them early on in the strategic process.
2.Consultations
A written consultation has been widely distributed. Nearly five hundred replies have been received. Analysis has been carried out.

A young people's consultation has just finished. This included consulting with specific groups such as ethnic minorities and young people in care.

A specific consultation exercise with ethnic minorities took place to identify the particular needs of those groups.

A written consultation with gay men and lesbian women has been completed.

3.Resources
A calculation of the current cost of sexual health (services and morbidity) is underway. Further work on cost benefits has been commissioned in order to identify the resources required for the strategy and the long-term health gains/savings.

4.Stakeholder involvement

Meetings have been held with:

�Regional Directors of Public Health, �DfEE �Social Care �Commission for Racial Equality �Royal Colleges - General Practitioners, Obstetrics and Gynaecology (+ Faculty of Family Planning), Physicians and Nursing. �Association of Genitourinary Medicine and Medical Society for the Study of Venereal Diseases.

A cross-departmental seminar was held in January to ensure linkages and awareness of overlapping work.

Meetings have been held with the All Party Parliamentary Group on AIDS, Population Development and Reproductive Health, Pro Choice and Pro Life.

5.The key issues
Subgroups looking at sexual health promotion and services have been working on key issues.
�Service Models
Improving sexual care provision is likely to involve skilling up primary health care practitioners to provide basic and broad based sexual health care as well as developing more specialised community based sexual health care provision. This would need to be in collaboration with specialist sexual health care providers and raises questions on the minimum expected provision at different service levels and how this work would be co-ordinated.
�Service Standards
The development of widely owned sexual health standards is key to the development of this strategy. As well as standards relating to clinical practice, standards relating to access and communication between services may be important. The development of services standards raises questions regarding the areas in which they may be developed and how they can be used as a mechanism to ensure that the wide range of practitioners involved in sexual health work to an appropriate level.
�Targeted groups
Work is underway to identify the needs of special groups and how these can be identified and met by services and health promotion.
�Commissioning
The strategy will suggest commissioning mechanisms, which will actively encourage collaboration between sexual health services and will attempt to ensure sexual health service commissioning is a priority in all areas of England. 

Minimum standards of health promotion/HIV prevention are being developed, with supporting proposals for methodologies and good practice. The information needs and appropriate mode of delivery for vulnerable or hard to reach groups are being identified e.g. sex education for `special needs' groups, the need for information in the higher/further education groups & sexual health promotion in youth offending institutions.
�Training and education
The need to skill up all professionals in wider sexual health has been identified. Training in communication skills, values and attitudes is also seen as key.
�Timescale
The draft strategy will be issued in November 2000 for consultation.

Further information will shortly be added on outcomes of specific consultations and current work in progress.

Published by the Department of Health
� Crown Copyright 2000




Regional Consultation meeting (LEEDS): 7th September 2000

This was attended by Dr Pattman, Newcastle GUM. Helen McIlveen, North Tyneside was also present. It had been oversubscribed by 100 people. 
Main points from Dr Pattman;
Purpose of the meeting was not for consultation but a testing out of ideas already drafted in the strategy.
Acknowledged pressures on GUM by reporting a recent national survey showing waiting lists of 2-3 weeks for appointments. The CMO had seen this and was �concerned�
Family Planning also facing similar pressures
Consultation had been with a variety of stakeholders (see above)
Underpinning the Strategy are 									a) lifelong sexual health in a seamless fashion						b) substantial widening of workforce � upskilling particularly nurses and GP�s. Training 	strategy 	for this not clear
Funding mechanism to retain open access to GUM still thought crucial
No intention to create a single sexual health specialty. Better links between parts needed
Development of standardised practice, proper competence and national frameworks a priority.
Joint ownership of evidence based sexual health projects emphasised ie chlamydia screening programmes
Need for adequate resources/funding (no indication of new funding as of yet)
Strategic role of health promotion
Importance of Health Advisers to lead on partner notification whilst recognising that others will be involved in this work.
Need for professional education and training to be substantially developed
Activity/Morbidity data collection systems: needs to be expanded. Confidentiality an issue here.
Improving access to pregnancy termination services an issue in some parts of the country

The document is to be launched Nov/Dec 2000 with a formal 3 month �consultation� period for written comments.

  
Compiled by: Chris Faldon Newcastle GUM Clinic




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