LCR Sexual Health Strategy Project Board 5 January 2016 Project Status Report

Project Status – October 2016 Overall Status Status Change Plan G No change Benefits Budget Project Lifecycle Stage Initiate R A G Summary of Project Progress against plan Overall project status GREEN Leicestershire Strategy approved at Cabinet 19 April 2016 Rutland Strategy approved 21 June 2016 Project Implementation Document (PID) signed off at Implementation Board 6 October 2016 C-card service commenced 1/7/16 and transition progressing ahead of plan. First bi-annual Sexual Health Commissioners Meeting on 6 July 2016 Quarterly Implementation Board meetings in place to oversee progress.

Key achievements and successes this period CCG LLR Collaborative Commissioning Board agreed s75 mechanism to commission IUS for non contraceptive purposes via local authority sexual health services & GP IUD/S contracts. C-card & sexual health signposting included in Rutland community prevention & wellness service tender. LCR RSE evaluation report complete. Sexual Health Service and new SARC provider contacts in place. Sexual Health service demand & capacity work completed. Changes agreed to reduced opening times at Loughborough hub by 12 hours per week to increase capacity at St Peters hub, sustain activity at LCR spokes and start Leicestershire outreach sessions for sex workers. (Implementation from February 2017) Pilot online STI self-sampling service agreed. Contract in place for 2000 screens across LLR to commence January 2017. LCR GP LARC audits reviewed and responses sent to practitioners. (98 IUD/S and 98 SDI audits from 60 practices) 26 Local IUT & SDI Letter of competence (LoC) recertification reviewed, with approval of 5 IUT and 14 SDI. 7 applications awaiting further information to complete assessment.

Project Milestone Progress Key Milestone Baseline Target Date Status Comments and mitigation Proposed revised target date for approval SH Strategy Implementation Board & SH Commissioners meetings held & TOR agreed 6/7/16 G First meetings held, TOR amendments made. Future meeting dates set. 2nd commissioner meeting rescheduled for 23rd January 2017 Identify commissioning arrangements for menorrhagia 31/10/16 10/16 Joint Collaborative Commissioning Board (CCG) agreed s 75 mechanism to commission IUS for non contraceptive purposes via Local Authority Sexual Health services & GP IUD/S community based services. S 75 development to be progressed Start Implementation of C-Card 1/7/16 Service commenced 1/7/16. Transition progressing well. Leicestershire: 10 sites transitioned, 12 new sites 90% former safer sex sites booked for training November 2016. Rutland: 9 sites transitioned. Pregnancy testing sites to be reviewed by end December 2016 to determine next steps.

Project Milestone Progress Key Milestone Baseline Target Date Status Comments and mitigation Proposed revised target date for approval Map Psychosexual pathways 30/11/16 G Discussion with LCR CCGs confirmed preference for referral to UHL services for non-sexual health pathways. E.g. sex addiction Agreement needed across LLR to progress implementation of pathways. Support offer for teenage parents to be confirmed. (Leicestershire only) 1/7/16 TBAG meetings & Baby Box commissioned to 31/3/17. Funding bids being progressed to continue work Longer term support offer needed as part of 0-19 work from April 2017.

Project Milestone Progress Key Milestone Baseline Target Date Status Comments and mitigation Proposed revised target date for approval Relationship & Sex Education (RSE) evaluation complete 1/1/17 G Evaluation complete. Findings of evaluation to be considered & plan agreed. SH communication group established 1/10/16 A Workshop held to identify approach & priorities. Lead to take forward next steps. Awaiting recruitment of new post in Leics PH. (Programme Delivery Manager) March 2017 SH training Task & finish group 6/10/16 Scoping of training work presented to Implementation Board. Contact made with key stakeholders to organise first meeting Follow up actions/dates to be agreed Understand SH opportunity in community prevention & wellbeing service in Rutland. tbc Service procurement complete. C-card and signposting to Sexual health Services included. C-card training to be organised following contract mobilisation.

Project Milestone Progress Key Milestone Baseline Target Date Status Comments and mitigation Proposed revised target date for approval Review ISHS clinics for at risk groups 31/10/16 A Sexual health service capacity & demand work completed by SSOTP. Proposed changes to county hub (Loughborough Health Centre) agreed by commissioners to enable increased capacity at city based hub, sustain activity at county spokes & strat delivery of county outreach sessions for sex workers. To commence implementation Feb 2017

Project Milestone Progress Key Milestone Baseline Target Date Status Comments and mitigation Proposed revised target date for approval Review HIV self sampling & community testing protocols & pathways. 1/8/16 A HIV community based testing clinical governance meeting held 18/10/16. Reporting documentation in place. Quarterly meetings established. Draft referral pathways, HIV testing protocols & training requirements to be finalised. Current providers have protocols in place. Feb 2017 Completion of LARC competency audit for 15/16 1/11/16 G LCR Audits reviewed and responses communicated to practitioners. (98 IUD/S & 98 SDI audits from 60 practices). Overview report to go to SH Commissioner meeting January 2017 Completion of SRH standard audit Report considered at SH Commissioning meeting July 2016 Follow up actions/dates to be agreed Planning Implementation of online self sampling service 1/9/16 Plan agreed for online STI self-sampling service pilot of 2000 screens across LLR. Contract in place to commence January 2017. Pilot to start January 2017. Review after 3 months.

Project Milestone Progress Key Milestone Baseline Target Date Status Comments and mitigation Proposed revised target date for approval Increase links between sexual violence prevention & SH services 1/12/16 A a) ISHS & SARC managers in contact. b) linking CSE to RSE/healthy schools agenda to be considered within PH RSE/PSHE review c) CSE links to be included within SH comms group. SARC website links added to SH website & First Contact website. Plans identified Feb 2017

3 Month Forward Look Key activity, Milestones and Challenges over the next period (January –March 2017) milestones include: Final approval of commissioning meeting ToR New Public Health postholder Programme Delivery Manager induction to include background in relation to SH Communication group workshop proposals Establish SH training task & finish group, hold initial meeting and collate existing information relating to training audits and training availability. Support bidding process for continued offer for teenage parents. (Baby Box scheme) Review of RSE evaluation and develop plan Progress development of s75 agreement commissioning arrangements for menorrhagia Confirm agreement psychosexual services across LLR and develop referral pathways. Termination of Pregnancy report to be considered by SH strategy group 23/1/16. Review HIV self sampling and community testing protocols and pathways Consider options/commissioning responsibility for chlamydia screening in maternity/antenatal & prisons NHSE & LCR sexual Health service to discuss service specification for cervical cytology delivery in SHS. Explore options to improve access to LLR safeguarding training for sexual health service. Produce summary of LARC audit responses & review audit format for 2017/18 submissions. Follow up actions re: SRH standard audit Planning implementation of online STI self sampling service Confirm milestones for ISHS re-procurement & gain LA agreement for LLR procurement model Follow up actions from SV delivery group meeting Termination of Pregnancy paper to Commissioning Group Progress federation pilot re: LARC fitting

Key Decisions for Project Board To review progress of implementation plan To note actions and risks To agree actions/revised timescales & milestones as detailed above. To agree the revised sexual health dashboard indicators