Centralised Result Management Bureau Merle Symonds, Lead Health Adviser Leni Edmonds, Results Administrator

Some Context Four legacy organisations 3 Acute NHS Trusts 1 PCT 4 GUM Services 1 CASH Service 1 Chlamydia Screening Programme Variation in: Systems, automation and turnaround times Resource associated with results management PN processes and reported KPIs (0.1 - 0.6)

Process Single networked information system Centralised management team Centralised diary management Automated results management system (99.8% TAT <72hrs) Close oversight and process management Granular reporting of PN / Real time reporting

Outcomes £118,000 reduction associated staffing costs Reduction in sampling incidents (avg 5 datix reports per month) 85% of all results management managed on an automated basis (>800,000 tests per annum). Treatment rates (CT and GC – 99.7%)

Outcomes PN outcomes (2015/16) Retest rates (CT) 37% CT – 1.05 (HCW verified 0.61) GC – 0.88 (HCW verified 0.55) Retest rates (CT) 37% Reinfection rate (CT) 7% 29% growth in DRI between 2013-15

Primary Care Support Significant transformation of primary care sexual health (integrating the NCSP, guidance for commissioners, DH 2012) General Practice Cessation of NCSP forms GPs manage all aspect of pathway Monthly failsafe to assure Rx and option for PN support Community Pharmacy 46 Services on LES (EHC, HIV, CT/GC testing/Rx and epidemiological Rx) Results management team notify and initiate PN.

Primary Care Outcomes Limitations 60% growth in GP screening in past 3 years 400% growth in Pharmacy screening in past 18 months Limitations GP – Limited ability to qualify PN activity or measure meaningful outcomes Pharmacy – Significant support required to mobilise and support pharmacy Issues re: assuring safeguarding

Key Points Centralised, interoperable systems are key Limited utility in absence of a skilled workforce Measuring and verifying PN is pivotal However further work required to validate outcomes. Commissioning of services needs to consider structural support (training, governance, quality assurance) alongside cost