Chlamydia Screening in Tower Hamlets Dr Jane Hutchinson 14th January 2016

Headlines Reducing undiagnosed Chlamydia remains a key Public Health Outcome Framework indicator across the UK The detection rate indicator (DRI) required to reduce the incidence of infection is 2,300 cases per 100,000 population annually. In 2014 DRI in TH was 1877 19/33 Local Authorities in London 127/326 LA in England Whilst improvement has been made, locally we remain some way from the DRI

Chlamydia testing among 15-24year olds in Tower Hamlets Test service type Year Number accepting a test Coverage Notes GUM 2013 2014 4506 5090 10.8% 12.2% Pop estimate = 41,719 SRH 2389 2447 5.8% GP 2707 2998 6.5% 7.2% Pharmacy 84 42 0.1% TOP 192 30 <0.05% NK & Other 626 732 1.9% Total 10404 11339 24.9% 27.2%

Chlamydia diagnoses among 15-24 year olds in Tower Hamlets Test service type Year Number of tests Number of infections Positivity DRI GUM 2013 2014 4506 5090 322 450 7.1% 8.8% SRH 2389 2447 154 156 6.4% GP 2707 2998 109 137 4% 4.6% Pharmacy 84 42 8 <5 9.5% - TOP 192 30 6 3.1% NK & Other 526 732 27 37 5.1% Total non-GUM 5898 6249 304 333 5.2% 5.3% Total 10404 11339 626 783 6% 6.9% 1501 1877

How are we driving improvement? Increasing accessibility to testing: Self sampling available across range of settings including >40 Community Pharmacies Increase in targeted campaigns promoting testing to 15-24 year olds Preventing spread and re-infection: Focused efforts to improve partner treatment and testing PN outcome rate in GUM, pharmacy & CASH = 1.05 achieved (vs. 0.6 BASHH/NCSP standard) Improving retest rates among those diagnosed with infection at 3 months (currently 35%; includes GP)

What do we want from General Practice? Follow EMIS prompt and offer annual screen to any 15-24 year olds accessing practice 20-24 year olds & MSM in Tower Hamlets have higher rates of infection than national average Continue to treat and initiate partner notification for any patients diagnosed 41% of people attending as contacts of infection locally tested positive for Chlamydia Ensure all patients diagnosed with Chlamydia are offered a retest after 3 months 7% of patients test positive at this time Inform patients of this when you treat them