1. Gill Bell, Nurse Consultant Sexual health Adviser, Sheffield
A Partner Notification Bureau in action: outcomes for centralised management of positive gonorrhoea and chlamydia results form primary care by a sexual health service
Gill Bell, Nurse Consultant Sexual health Adviser, Sheffield

2. Background: how the PN Bureau came about
Recommendation of the National Chlamydia Screening Programme (Beyond the National Chlamydia Screening Programme. Clarke et al 2009)
Centralised reporting of gonorrhoea positives to SHS introduced in April 2014 to manage a gonorrhoea outbreak among students
Centralised reporting of chlamydia positives introduced September 2015
Negotiated by the Sexual Health Lead for Public Health with the Local Medical Council (LMC)

3. Potential benefits of centralised management
Treatment rates
free tx option at SHS
monitoring / follow-up to verify tx
Partner notification outcomes
Expert PN support, including provider referral option
Follow-up to verify partner attendance
Improved cross-referencing of partners

4. How the PN Bureau works
All positive gonorrhoea and chlamydia results from primary care are copied to the Health Adviser team in Sexual Health Sheffield ( SHS)
GPs aware (SHS) responsible for giving the result, arranging treatment and managing PN
Patient informed will be contacted by SHS if positive result
Health Adviser admin support worker contacts GP surgery for patient phone number / address (unless known)

5. Patient management Health Adviser rings patient to discuss: Diagnosis
Treatment options (SHS, or GP if chlamydia)
Partner notification ( patient or provider referral)
Repeat test of cure / re-infection
PN discussed further face to face if attending SHS for treatment

6. Outcomes for gonorrhoea positives tested in primary care: September 2014 – August 2015
Informed
Confirmed treated
PN discussed
Partners believed
attended per case 46
(31 female) 45
(98%)
98%)
37/46
(0.80)

7. Outcomes for chlamydia positives tested in primary care: September 2014 – August 2015
Informed
Confirmed treated
PN discussed
Partners believed
attended per case
457
(352 female)
440
(96%)
448
(98%)
450/457
(0.98)

8. Key points
Centralised management of gonorrhoea and chlamydia results is feasible and effective
Treatment rates exceed NCSP standard of 95%
PN outcome rates exceed national standard of 0.6
Additional resources required: HA workload increased by 10%

9. BASHH Statement on Partner Notification (2012)
The number of all contacts whose attendance at a sexual health …was documented as reported by the index case, or by a HCW, within four weeks of the date of the first PN discussion.
BASHH PN outcome standards:
Chlamydia: 0.6 for all areas
Gonorrhoea: 0.4 in London; 0.6 outside London

10. Alternative interpretations of PN: impact on Sheffield outcomes
Measure
Gonorrhoea
Chlamydia
Number of all contacts attending before or after the index, reported by the index case, or by a HCW, within four weeks of the date of the first PN discussion.
37/46
0.8
450/457
0.98
Number of all contacts [attending] after the index, reported by the index case, or by a HCW, within four weeks of the date of the first PN discussion.
29/46
0.63
349/457
0.76