1. & Being a Clinical Lead In It
Sexual health
& Being a Clinical Lead In It

2. Difficulties as sexual health clinical lead
No definition of sexual health
No job description
No ‘champion’ in PCT management
No lead practice nurse
No clear lines of accountability
Meetings frequently cancelled
My many competing commitments

3. Scope of ‘sexual health’
Sexually transmitted diseases
HIV/AIDS - and others
Prevention - mostly not a clinical area
Treatment - primary care or GUM?
Contraception
Teenage pregnancy strategy?
Termination of pregnancy services?
Psychosexual problems/erectile dysfunction etc???

4. National guidance, targets, strategies
Look at good practice elsewhere
Bradford-wide
strategies
How to improve sexual health in NBPCT?
Liaison, with Public Health, F/P, GUM
Training for Primary Care Staff
Liaison with PCT groups with overlapping remit eg young people
Map existing provision in PCT

5. National guidance, targets, strategies
National Strategy for Sexual Health and HIV 2001
Provisions of new GMS contract for levels of service in Sexual Health
Teenage pregnancy strategy

6. Sexual Health Implementation Group (Bradford wide)
All PCTs
Health Promotion
Social Services
Voluntary Sector
Education

7. Liaison with Public Health, FP services, GUM, microbiology (Bradford wide)
GUM monitoring group (no longer meeting)
Proposed clinical sexual health group (not met yet)

8. Existing PCT provision
Most contraception now practice based
Much FP work by practice nurses
TOP contract with Lilac clinic inadequate
Shipley Young People’s Health project
STDs - partly primary care, partly GUM clinic
Variation between practices and probably within practices

9. Overlap with other PCT activities
Young people’s health group
Cervical smear targets
Commissioning for TOPs
? Mental health (psychosexual)
? Urology (erectile dysfunction)

10. Training for primary care staff
Identify needs of each group of staff
Identify areas of training needed
E g organising user friendly services, diagnosis of STDs, referral, treatment, contact tracing
Provide training, e g at PLTs

11. Look at good practice elsewhere
Why reinvent the wheel?

12. What we need now GP lead with time, energy and commitment
Practice nurse lead with time, energy and commitment
PCT manager with clear remit to support clinical leads