BASHH 2008 National Audit of Sexual History Taking Case Notes Audit (detailed data)

Number of cases (N= 4121)

Age distribution (N= 4121)

Gender distribution (N= 4121) - ordered by female cases

Sexual preference Male cases, n= 2061

Sexual preference Female cases, n= 2060

Ethnic category (N= 4121)

New/Re-book New=3242, Rebook=879 (27%)

Re-book presentations, n=879 (27%)

Non-documentation of specified components about contacts: Male heterosexual cases (N=1857) Component of sexual history Current sexual contact Number (%, regional range %) Previous sexual contact Number (%, regional range %) Presence or absence of symptoms/problems in this sexual partner 1158 (62, 36-90)1070 (58, 32-91) Oral sex- giving or not giving1114 (60, 27-85)941 (51, 24-80) Oral sex- receiving or not receiving1105 (60, 27-82)924 (50, 26-82) Information about any risk presented by this sexual partner 967 (52, 23-76)900 (49, 31-68) If oral sex took place, was the use or non- use of condoms documented 822 (44, 5-67)709 (38, 12-60) Vaginal sex – having or not having319 (17, 3-48)454 (24, 13-57) If vaginal sex took place, was the use or non-use of condoms documented 173 (9, 3-20)345 (19, 8-32) Duration of this relationship172 (9, 3-20)422 (23, 8-43) Information about the relationship to the contact 120 (7, 0-20)354 (19, 11-36) Gender of this sexual partner87 (5, 0-15)280 (15, 3-26)

Non-documentation of specified components about contacts: Male bi/homosexual cases (n=204) Component of sexual history Current sexual contact Number (%, regional range %) Previous sexual contact Number (%, regional range %) Presence or absence of symptoms/problems in this sexual partner 128 (63, )127 (62, ) Information about any risk presented by this sexual partner 90 (44, 0-75)91 (45, 0-80) If oral sex took place, was the use or non- use of condoms documented 71 (35, 0-57)68 (33, 0-50) Oral sex- receiving or not receiving 58 (28, 0-75)67 (33, 0-60) Oral sex- giving or not giving 55 (27, 0-75)68 (33, 0-60) Anal sex- giving or not giving 34 (17, 0-39)47 (23, 0-40) Anal sex- receiving or not receiving 30 (15, 0-39)46 (23, 0-50) If anal sex took place, was the use or non- use of condoms documented 25 (12, 0-31)40 (20, 0-40) Duration of this relationship 22 (11, 0-25)42 (21, 0-36) Gender of this sexual partner 9 (4, 0-10)32 (16, 0-27) Information about the relationship to the contact 9 (4, 0-25)39 (19, 0-50)

Non-documentation of specified components about contacts: Female heterosexual cases (n=2039) Component of sexual history Current sexual contact Number (%, regional range %) Previous sexual contact Number (%, regional range %) Anal sex - receiving or not receiving1246 (61, 39-88)1000 (49, 33-68) Presence or absence of symptoms/problems in this sexual partner 1244 (61, 32-84)1067 (52, 28-77) Oral sex - receiving or not receiving1198 (59, 32-86)966 (47, 28-68) Oral sex - giving or not giving1186 (58, 35-87)962 (47, 28-68) Information about any risk presented by this sexual partner 1012 (50, 16-74)917 (45, 29-65) If oral sex took place, was the use or non-use of condoms documented 975 (48, 17-71)770 (38, 9-60) If anal sex took place, was the use or non-use of condoms documented 910 (45, 14-67)742 (36, 16-56) Vaginal sex – having or not having324 (16, 2-34)503 (25, 13-36) If vaginal sex took place, was the use or non- use of condoms documented 176 (9, 3-20)437 (21, 9-40) Duration of this relationship163 (8, 1-26)483 (24, 17-41) Gender of this sexual partner113 (6, 2-21)403 (20, 11-39) Information about the relationship to the contact 113 (6, 2-17)449 (22, 10-36)

Non-documentation of specified components about contacts: Female bi/homosexual, most recent contact (n=21) Component Current sexual contact Number (%, regional range %) Previous sexual contact Number (%, regional range %) Oral giving11 (52, 0-100)10 (48, 0-100) Contact problems11 (52, 0-100) Oral receiving10 (48, 0-100) Anal receiving10 (48, 0-100)8 (38, 0-100) Anal + condoms9 (43, 0-100)7 (33, 0-100) Contact risk9 (43, 0-100)10 (48, 0-100) Oral + condoms7 (33, 0-100)8 (38, 0-100) Vaginal5 (24, 0-100)6 (29, 0-100) Vaginal + condoms5 (24, 0-100)6 (29, 0-100) Relationship duration3 (14, 0-100)2 (10, 0-33) Relationship type1 (5, 0-33)2 (10, 0-33) Gender00

Other sexual history components: male cases Male cases, n= 2061 Component National average(%) Regional Range (%) Reason for attending 100 ( ) Current medication 95 ( ) Previous healthcare 94 ( ) Drug allergy/reactions 94 ( ) Previous STIs 93 ( ) Look-back at least 3 months 91 ( ) Current/previous conditions related to sex health 84 ( ) Present/past injecting drug use: 80 ( ) Sex with another man 68 ( ) Non-drug allergy/reactions 65 ( ) Sex abroad (other than with a travelling partner) 62 ( ) Previous HIV testing: 61 ( ) Giving money for sex: 36 ( ) Receiving money for sex 31 ( ) Medical treatment abroad with BBI risk 23 (5 - 51)

Other sexual history components: female cases Female cases, n= 2060 Component National average (%) Regional Range (%) Reason for attending 99 (98-100) Current medication 95 (75-100) Drug allergy/reactions 95 (77-100) LMP 94 (87-99) Current contraception 94 (90-98) Previous healthcare 93 (80-100) Look-back at least 3 months 92 (86-98) Previous STIs 92 (86-99) Current/previous conditions related to sex health 85 (68-100) Cervical cytology 84 (73-94) Present/past injecting drug use: 80 (57-97) Non-drug allergy/reactions 65 (31-87) Sex abroad (other than with a travelling partner) 61 (30-92) Previous HIV testing: 60 (20-88) Receiving money for sex 31 (4-76) Giving money for sex: 28 (4-75) Medical treatment abroad with BBI risk 22 (3-63)

Other components of the clinical record (N= 4121) Component National average (%) Regional Range (%) Offer of a chaperone for examination 54( ) Anogenital examination findings87( ) Assessment of eligibility for hepatitis B vaccination 47( ) Assessment of eligibility for hepatitis C testing 41( ) Method of giving results83( ) Follow-up plan for care79(61 – 98)

Legibility of the clinical record (N= 4121) Component National average (%) Regional Range (%) Completely legible95( ) Signed and accompanied by a name legibly written 81( ) Electronic record2(0 - 17)

See Summary Presentation

Acknowledgements The work done by all NHS staff who submitted data and supported the Audit is gratefully acknowledged. The work done by those running the pre-pilot and pilot phases is gratefully acknowledged The work done by the Regional Chairs and staff in NHS Trusts/Clinics is gratefully acknowledged Membership of National Audit Group, April 2007: Chris Carne (Chair), David Daniels (vice-chair), Hugo McClean (Hon Sec), Anatole Menon-Johansson (Director of Development), Raymond Maw (N.Ireland and BCCG chair), Ed Wilkins (BHIVA Representative), TC Harry (Anglia), Gail Crowe (Essex), Ravindra Gokhale (Merseyside), Ann Sullivan (N Thames), Eva Jungmann (N Thames), Sarup Tayal (Northern), Ashish Sukthankar (North-West), Adil Isaac (Oxford), Steve Baguley (Scotland), Arnold Fernandes (South-West), Cindy Sethi (SE Thames), Steven Estreich (SW Thames), Jyoti Dhar (Trent), Helen Bailey (Wales), Sarah McAndrew (Wales), Reena Mani (Wessex), Kaveh Manavi (West Midlands), Amy Tobin-Mammen (Yorkshire), Paul Bunting (Co-opted Member), Irene Vaughan (Co-opted Member), Mike Walzman (Co- opted Member),Nicola low (Co-opted Member) The advice and support of Hilary Curtis in designing the on-line questionnaires and in collecting, processing and tabulating the audit data into a national aggregate and regional aggregates is gratefully acknowledged