PHE data sources for STI & HIV Geraldine Leong Field Epidemiology services South East and London

Outline Background to available data HIV/STI web portal PHE fingertips (Public health profiles) - Sexual health data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV & STI datasets STI Genitourinary medicine clinic activity dataset (GUMCAD) Chlamydia testing activity dataset (CTAD) Gonococcal resistance to antimicrobials surveillance programme (GRASP) HIV HIV & AIDS new diagnoses database (HANDD) Surveillance of prevalent HIV infections diagnosed (SOPHID) Recent infections testing algorithm (RITA) HIV & AIDS reporting system (HARS) data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Sexually transmitted infections Numbers and rates of STIs Breakdowns by population characteristics Provision of services Patient flow Chlamydia screening Partner notification https://www.gov.uk/government/collections/sexually-transmitted- infections-stis-surveillance-data-screening-and-management data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

GUMCAD version 2 What is GUMCADv2? An anonymised patient level electronic dataset Collects information on diagnoses made and services provided by GUM clinics and other commissioned services Who needs to collect? All level 3 and commissioned level 2 sexual health services i.e. GUM clinics, enhanced general practices, SRH services, young people’s services, integrated SH services Reporting time period Each extract covers one calendar quarter https://www.gov.uk/genitourinary-medicine-clinic-activity-dataset-gumcadv2 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

GUMCAD version 3 Improve public health value of GUMCAD v2 through collection of behavioural and partner notification variables. Piloted in 2013/2014 at 6 sexual health services. Second phase commenced in July 2015 https://www.gov.uk/guidance/genitourinary-medicine-clinic-activity-dataset- gumcadv3-pilot Data items: Sexual behaviour Drug use Previous STIs Partner notification data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Services included in the second phase of the GUMCAD v3 pilot London sites data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Drug use & sex in MSM* *n=428 attendances from male patients coded as homo- or bisexual who reported at least one male sex partner in the last 3 months data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Chemsex drugs & injection in MSM* *n=428 attendances from male patients coded as homo- or bisexual who reported at least one male sex partner in the last 3 months. data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP) https://www.gov.uk/government/publications/gonococcal-resistance-to- antimicrobials-surveillance-programme-grasp-report There has been an alert regarding the high-level azithromycin in N. gonorrhoea data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Chlamydia Testing Activity Dataset What is CTAD? An anonymised patient level electronic dataset Collects information on individuals tested for chlamydia Replaced NCSP from 2012 Who needs to collect? All NHS/LA commissioned laboratories Reporting time period Each extract covers one calendar quarter http://www.chlamydiascreening.nhs.uk/ps/info-management.asp http://www.chlamydiascreening.nhs.uk/ps/resources/ctad/CTAD%20Commissioning%20Guide_2013% 20Update.pdf data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV Notifications of first UK diagnoses, first diagnosis of AIDS and deaths Recently acquired HIV infection Late HIV diagnoses Diagnosed HIV prevalence Numbers accessing HIV related care Uptake of HIV testing in GUM clinic attendees Breakdowns by population characteristics https://www.gov.uk/government/collections/hiv-surveillance-data-and-management data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV and AIDS Reporting System What is HARS? New electronic HIV surveillance system replacing SOPHID and HIV & AIDS new diagnoses database (HANDD) Aims to: - reduce burden for reporting sites - increase the efficiency of HIV surveillance - enhance standard HIV surveillance outputs - produce quality of care indicators - directly support commissioning services data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HARS rollout progress in London (n=28) January 2015 to March 2016 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HARS submission by quarter - London data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Other datasets Topic Organisation Sexual and reproductive health activity datasets: Contraception (SRH services) Conceptions Abortions data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV/STI web portal https://www.hpawebservices.org.uk/HIV_STI_WebPortal/Login.aspx HIV/STI web portal (need to register with your local FES office: Josh.forde@phe.gov.uk or Geraldine.leong@phe.gov.uk ) Automated reports: STI diagnoses and services CTAD reporting Local Authority Sexual health Epidemiology Reports (LASERs) data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Annual data tables 2015 STI Data release on Tuesday 5th July 2016 https://www.gov.uk/government/statistics/sexually-transmitted-infections-stis- annual-data-tables Annual data tables: STI data tables for GUM and secondary level services HIV data tables https://www.gov.uk/government/statistics/hiv-annual-data-tables data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Sexual & reproductive health profiles PHE fingertips http://fingertips.phe.org.uk/ http://fingertips.phe.org.uk/profile/sexualhealth Sexual health by local authority on the PHE fingertips to be updated on Tuesday 5th July 2016. data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Acknowledgements Hamish Mohammed - GUMCAD team Cuong Chau - HIV team data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016