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Establishing a sexual health network in Grampian

Establishing a sexual health network in Grampian. North East Sexual Health Update 25 September 2008 David Cooper Sexual Health Network Manager. Main drivers. Unplanned pregnancy. Increase in sexually transmitted infections.

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Establishing a sexual health network in Grampian

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  1. Establishing a sexual health network in Grampian North East Sexual Health Update 25 September 2008 David Cooper Sexual Health Network Manager

  2. Main drivers • Unplanned pregnancy • Increase in sexually transmitted infections • Poor sexual health and the association with deprivation, poverty and social exclusion • Improve accessibility and integration of sexual health services

  3. Arrival Reception Café Healthpoint The Point Transport Station Integrated Sexual Health Service Therapies Physiotherapy SALT Dietetics Podiatry Cardiac Rehab Pulmonary Rehab Learning (classroom and clinical skills) Staff (undergraduate and post graduate) Multi-agencylearning Self Care Vol. Sector Diagnostics and Treatment Minor Surgery Out-Patients (e.g. Community cardiology) X Ray Ultrasound Dentistry The Aberdeen Community Health and Care Village

  4. Main strategic drivers • Grampian’s inter-agency sexual health strategy 2006 • “Respect and responsibility” January 2005 • NHS Quality Improvement Scotland Standards for sexual health services. March 2008 • NHS Quality Improvement Scotland – Quality Assurance Programme Guidance for MCNs. April 2008

  5. £15m for Scotland 2005 – 2008 with £407,000 going to Grampian.

  6. NHS QIS Standards 1. A comprehensive range of specialist sexual health services is provided locally and individuals with the greatest need are treated as a priority. 2. The public has access to accurate and consistent information about sexual health relevant to its needs.

  7. 3. NHS boards ensure the development and delivery of integrated approaches to sexual health improvement, particularly in relation to young people. 4. Individuals who are diagnosed with a STI see an appropriately trained member of staff to organise partner notification.

  8. 5. Individuals attending for ongoing HIV care are offered high quality sexual and reproductive healthcare to improve personal wellbeing and to minimise the risk of transmitting infections to others. 6. Women receive safe termination of pregnancy with minimal delay, followed by contraceptive advice and psychological support.

  9. 7. Men who have sex with men who are at risk of sexually transmitted hepatitis B are offered vaccination. 8. All individuals have access to intrauterine and implantable methods of contraception. 9. All staff who deliver sexual health services are adequately and appropriately trained.

  10. Networks

  11. Concept of Managed Clinical Networks (MCNs) goes back to 1998. • HDL 2007 – further revised guidance aimed at strengthening MCNs’ authority and influence over way resources are allocated.

  12. “Linked groups of health professionals and organisations from primary, secondary and tertiary care working in a co-ordinated manner, unconstrained by existing professional and existing organisational boundaries to ensure equitable provision of high quality, clinically effective services throughout Scotland”. (SEHD – 1999)

  13. The sexual health network aims to support and guide all sexual health provision, promotion and prevention, and ensure equitable provision of high quality clinically effective care for all people across Grampian.

  14. Core principles for network development • The three main components to the Quality Assurance Programme are: • core principals • standards • performance assessment

  15. Clear management arrangements and leadership of the network • A defined network structure setting out the points at which the service is to be delivered and the connections between them • Annual work plan • The use of a documented evidence base by the network

  16. The multi disciplinary and multi professional constitution of the network • A patient-focused approach • The use of a network quality assurance programme • Optimising the network education and training potential and continuing professional development • Generating better value for money

  17. Evolution not revolution A little more

  18. The challenges ahead • Involvement of GPs • Involvement of Primary Care (e.g. community pharmacists) • Involvement of local authorities at strategic level • Involvement of (young) people not just using clinical services • Addressing remote and rural issues

  19. Evening Express 8 Sept. 2008 Press & Journal 8 Sept. 2008

  20. Grampian’s Sexual Health Network – putting the sex back into managed networks

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