Teenage Pregnancy Topic Group Scrutiny Seminar Provision and access to sexual health services for young people Sue Beck 18 May 2006

Sexual Health Sexual and reproductive health should be viewed as a positive concept Sexual health is an integral part of a fulfilling and healthy life

What makes a good service? Research with young people has identified the features of a trusted and accessible service as: age specific confidential non-judgmental staff accessible locations and opening hours a friendly atmosphere publicity in places where young people meet.

Family Planning Services across Hertfordshire 2 different management arrangements for clinical services across the county West Hertfordshire Hospital NHS Trust provide services through the sexual health directorate East and North Herts Services are hosted by South East Herts Primary Care Trust

Location of Family Planning Clinics West Hertfordshire 7 sites Borehamwood Garston Hemel Hempstead Potters Bar St Albans South Oxhey Watford East and North Hertfordshire 12 sites Bishops Stortford Buntingford Hatfield Hertford Hitchin Hoddesdon Letchworth Royston Stevenage Waltham Cross Ware Welwyn Garden City

Number of Sessions West Hertfordshire 18 sessions each week 15 are open access, self referral 3 are appointment only East &North Hertfordshire 17 sessions each week (plus one monthly) All open access, self referral

Opening Times West Hertfordshire each session 2 hours primarily evenings (Monday to Friday) 2 Saturday clinics East & North Hertfordshire each session 2 hours primarily evening clinics (Monday to Friday)

Range of Services Offered Pregnancy testing Full range of contraceptive methods Long term contraceptive methods Sexual health advice and information Termination of pregnancy referral Free condoms Free emergency hormonal contraception

Additional Condom Provision Free condoms are also available in West Hertfordshire through community clinics and some other venues Free condoms available in East and North Hertfordshire through the C Card condom scheme

Outreach Family Planning Services West Hertfordshire Service is involved in delivery of Sex Education Programmes in a high percentage of local secondary schools Service provides training to other professional groups East & North Hertfordshire Service is involved in delivery of Sex Education Programmes in some local secondary schools Service provides training to other professional groups

Genito Urinary Medicine Services (GU) West Hertfordshire All GU sessions are open to young people Dedicated under 20s integrated Family Planning and GU session at Watford Sexual Health Centre. Similar one to open shortly in St. Albans GU Clinic System of joint working with the local Teenage Pregnancy Midwife in Watford East & North Hertfordshire All GU sessions are open to young people GU services provided at Hertford county hospital and Lister hospital

Sexual Health Services provided by Other Organisations Colleges provide daytime clinics for students during term time: Hertford Regional College: Ware Centre and Broxbourne centre Oaklands College: St Albans, Smallford and Welwyn Garden City campuses

Other Sexual Health Services Face to Face, one evening clinic Stevenage Some of the Youth Information Enquiry shops also provide condoms and pregnancy testing available

General Practice GPs provide Information and advice Contraception Emergency Hormonal Contraception Limited sexual health screening

Quality Services Dedicated and experienced staff Staff training available on a regular basis Clear protocols e.g. on confidentiality, child protection