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Opportunities in Sexual and Reproductive Healthcare

This presentation by Evelyn Kerr, a Consultant in Community Sexual and Reproductive Healthcare, explores key trends and changes in sexual and reproductive health in Suffolk. It discusses population rates, fertility rates, abortion rates, and the use of contraception, both nationally and worldwide. The talk also addresses current challenges, including funding cuts, and explores opportunities for collaborative efforts in reproductive health. It emphasizes a patient-focused, life-course approach and the importance of the Women's Health Taskforce.

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Opportunities in Sexual and Reproductive Healthcare

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  1. Opportunities in Sexual and Reproductive Healthcare Date 25th June 2019 Evelyn Kerr MRSRH, MRCOG Consultant in Community Sexual and Reproductive Healthcare

  2. Sexual and Reproductive Health in Suffolk • Key trends and changes over time • Population rates, fertility rates, abortion rates, use of contraception in Suffolk • National and worldwide trends • Current challenges and work to address these • Funding cuts • Opportunities on how we can work better together to address reproductive health • Women's health taskforce • Patient focused • Life course approach to women's health

  3. https://fingertips.phe.org.uk/profile/wider-determinants/data#page/3/gid/1938133119/pat/6/par/E12000006/ati/102/are/E10000029/iid/90362/age/1/sex/2https://fingertips.phe.org.uk/profile/wider-determinants/data#page/3/gid/1938133119/pat/6/par/E12000006/ati/102/are/E10000029/iid/90362/age/1/sex/2 https://www.suffolkobservatory.info/population/ Suffolk 756,978 people in 2017 Marmot indicators Generally similar to east of England Healthy life expectancy at birth (female) 65.1 (2015-17)

  4. Population projections

  5. Contraception

  6. Attendance data in iCASH Suffolk

  7. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/763174/2017-abortion-statistics-for-england-and-wales-revised.pdfhttps://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/763174/2017-abortion-statistics-for-england-and-wales-revised.pdf

  8. Current challenges

  9. Sexual health reconfiguration • 2016-2020 sexual health budget reduced by £1million • iCASH redesign • Reduction in spokes from 7 to 2 • Reduction in hub clinic hours 6 hours in Ipswich and 5 hours in BSE • Cessation of psychosexual service • Asymptomatic online testing • Increasing LARC capacity of GP Practices • Increase in pharmacy role in EHC, chlamydia screening & treatment • Protecting vulnerable groups • Coordinated sexual health promotion and campaigns

  10. Oppourtunities

  11. “I was referred here by my GP to have a coil fitted to help with my period, only to be told today you do not fit coils for this purpose, which I am upset about, especially as my GP does not have any available appointments for this service”

  12. Current challenges Funding cuts and impact on access to contraceptive services Contraceptive vs. non-contraceptive need Pathways unclear for women Waiting times and inefficiencies in delivery across the system Workforce and future planning People/ groups not accessing services – unmet need Potential impact on the system Demand greater than capacity in primary care Demand greater than capacity in iCaSH Increase in unplanned pregnancies Increase in abortion and repeat abortion Inefficient service delivery i.e. inappropriate appointments/ use of multiple services Women’s Health Community pharmacies Abortion services GP practices (GMS/ PMS) Integrated sexual health services (iCaSH) Acute hospitals What outcomes do we hope to see?

  13. Thank you • Questions ?

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