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

2. 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 ( )

3. 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

4. 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%)

5. Outcomes PN outcomes (2015/16) Retest rates (CT) 37%
CT – (HCW verified 0.61)
GC – (HCW verified 0.55)
Retest rates (CT) 37%
Reinfection rate (CT) 7%
29% growth in DRI between

6. 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.

7. 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

8. 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