1. Integrating Sexual Health Services Helen Lumb Claire Major

2. Existing Services – need for change GUM & Family Planning provided by separate Trust and 3 management teams GUM & Family Planning provided by separate Trust and 3 management teams Increasing patient demand Increasing patient demand Single handed consultants Single handed consultants Limited scope for expansion Limited scope for expansion Duplication of service delivery Duplication of service delivery Paper based systems Paper based systems

3. The ‘Vision’ To provide a holistic and equitable sexual health service to all clients by the most appropriately trained professional, regardless of background, and in the most appropriate place, within agreed resource boundaries

4. Process of Change WAG direction & funding WAG direction & funding Shared vision Shared vision Senior buy in and leadership Senior buy in and leadership Commissioners agreement Commissioners agreement Public & Staff involvement Public & Staff involvement

5. Process of Change Cont Project plan Project plan Local service specification Local service specification New IT system New IT system Revised clinic structure Revised clinic structure Roles & responsibilities Roles & responsibilities Training Training

6. What has worked well Project structure Project structure Communication Communication Delegation of tasks Delegation of tasks Scope for service development Scope for service development Increasing understanding of services Increasing understanding of services Increased skill base Increased skill base

7. Integration barriers Lack of dedicated project time Lack of dedicated project time Decision over lead Trust Decision over lead Trust Commissioning Leads Commissioning Leads Realistic/stringent deadlines Realistic/stringent deadlines Funding restrictions Funding restrictions Changing roles Changing roles Clinic availability Clinic availability Designing the unknown Designing the unknown

8. Next Steps IT system IT system Agree Clinic Timetable Agree Clinic Timetable KPIs KPIs Public Launch – PR programme Public Launch – PR programme Further development of Primary Care Further development of Primary Care Mainstreaming outlying services Mainstreaming outlying services A well earned rest! A well earned rest!

9. Contact Details Olwen Williams – Director of Sexual Health Services, Tel: 01745 534798 Olwen Williams – Director of Sexual Health Services, Tel: 01745 534798 Email: Olwen.Williams@cd-tr.wales.nhs.uk Olwen.Williams@cd-tr.wales.nhs.uk Helen Lumb - Assistant Director of Commissioning and Performance, Tel: 01978 346535 Helen Lumb - Assistant Director of Commissioning and Performance, Tel: 01978 346535 Email: Helen.Lumb@wrexhamlhb.wales.nhs.uk Helen.Lumb@wrexhamlhb.wales.nhs.uk Claire Major – Assistant General Manager, Tel: 01745 534618, Email: claire.major@CD-tr.wales.nhs.uk Claire Major – Assistant General Manager, Tel: 01745 534618, Email: claire.major@CD-tr.wales.nhs.ukclaire.major@CD-tr.wales.nhs.uk Yvette Drysdale – Assistant General Manager, Tel: 01745 443182 Yvette Drysdale – Assistant General Manager, Tel: 01745 443182 Email: Yvette.Drysdale@cd-tr.wales.nhs.uk Yvette.Drysdale@cd-tr.wales.nhs.uk