Effectively Managing a Nurse- Led Chlamydia Screening Programme in England Sara Lavelle Chlamydia Screening Programme Lead Liverpool, South Sefton and Knowsley Chlamydia Screening Programme, UK

Objectives To demonstrate the model used for the management of a chlamydia screening programme To illustrate the results achieved within the first 18 months of screening

Background National Chlamydia Screening Programme Screening commenced in Liverpool in June 2004 Currently 77 sites offering screening Screening sites include Contraceptive Services, GPs, Walk-in Centres, Prisons, Pharmacies and Abortion Services

Screening Opportunistic screening of men and women aged under 25 years Choice to accept concomitant screening for Gonorrhoea Use of Transcription Mediated Amplification (TMA) Choice of urine, endocervical and vulvovaginal swabs

Screening Test Results Results received into central Chlamydia Screening Office (CSO) Nurse-led with steering group and senior clinician support as required Clients contacted with results by letter, telephone or text message

Treatment Treatment available at a range of sites across screening area Clients and partners seen by appointment Treatment issued by nurses trained to use Patient Group Directions (PGDs) and to instigate partner notification as per national guidelines

Non-responders Clients who do not respond to recalls for treatment are managed by Screening Programme Lead Home visits to untreated clients are undertaken as necessary Clear lines of communication with screening sites

Results Between June 2004 and December (14474 women and 1578 men) clients were screened opportunistically (94%) also accepted concomitant screening for gonorrhoea Overall prevalence was 12% for chlamydia and 1% for gonorrhoea

Treatment 1727 women and 205 men were found to be positive for chlamydia 152 women and 21 men were found to be positive for gonorrhoea Treatment completion rates were 98% for chlamydia and 93% for gonorrhoea

Partner Notification Partners notified via client or provider referral 54% of partners who were identified as being contactable were contacted 60% of those partners who were contacted were treated National standards set by Society of Sexual Health Advisors (SSHA) are 50%

Conclusions (1) Opportunistic screening for chlamydia and gonorrhoea is acceptable to clients Opportunistic screening in community setting is an effective way of screening for chlamydia and gonorrhoea

Conclusions (2) Flexibility in treatment provision promotes good treatment completion rates Nurses can be trained to issue prescription only medication via PGD Nurses are effective in instigating partner notification in community settings as per national guidelines