1. A Productivity Tool for Health Advising Richard Williams Western Sussex Hospitals Trust

2. I’VE GOT THIS GIRL, SHE’S CHLAMYDIA POSITIVE. SHE THINKS HER DRINK MIGHT HAVE BEEN SPIKED. OH, AND HER PARTNER’S BISEXUAL AND USED NEEDLES – BUT DON’T WORRY, SHE DOESN’T WANT AN HIV TEST, SHE JUST WANTS THE TREATMENT…

3. CAN YOU SEE HER FOR A QUICK CHAT?

5. Context Understanding the Health Advising role Business/management culture Difficulties measuring efficacy/productivity Evidence

8. The Productivity Tool DimensionMeasureRationaleEvaluation

9. The Productivity Tool DimensionMeasureRationaleEvaluation Clinical (F2F & non F2F) Teaching & Training Development Activity supportive of health advising Activity supportive of clinic Value Added

10. Clinical F2F DimensionMeasureRationaleEvaluation Clinical F2F

11. DimensionMeasureRationaleEvaluation Clinical F2F PN Provider Notification Prevention Health Education WeSSI Referrals received Referrals made Consultations (complexity) Consultations (number)

12. Clinical F2F DimensionMeasureRationaleEvaluation Clinical F2F PNIncrease detection, Tx STI/HIV Provider Notification PreventionReduce acquisition STI/HIV Health EducationReduce psychological morbidity WeSSI 2ndary prevention, PN reduce morbidity, risk management Referrals received Referrals made2ndary prevention, reduce morbidity Consultations (complexity) Safeguarding, prevention, reduce morbidity Consultations (number) Indication of workload

13. Clinical F2F DimensionMeasureRationaleEvaluation Clinical F2F PNIncrease detection, Tx STI/HIV Audit Provider Notification Audit PreventionReduce acquisition STI/HIVAudit (process & outcome) Health EducationReduce psychological morbidity Patient Satisfaction Questionnaire WeSSI 2ndary prevention, PN reduce morbidity, risk management Audit (interventions, new information received) Referrals receivedLog (Inpatients, Antenatal) Referrals made2ndary prevention, reduce morbidity Log (Psychology) Consultations (complexity) Safeguarding, prevention, reduce morbidity Log (PEPS, SA, U16, CSW) Consultations (number) Indication of workloadLog (face 2 face, telephone)

14. Clinical non F2F DimensionMeasureRationaleEvaluation Clinical Non F2F

15. Clinical non F2F DimensionMeasureRationaleEvaluation Clinical Non F2F Recall system Comprehensive patient management ? Positive results? Liaison (other depts, primary care) ?

16. Teaching and Training DimensionMeasureRationaleEvaluation Teaching and Training

17. DimensionMeasureRationaleEvaluation Teaching and Training STIF Introduction to HIV HIV Awareness Observation (Competency) Increase detection, Tx STI/HIV Improve PN Reduce stigma Risk management (confidentiality) Log (teaching & training) Evaluation forms

18. Development DimensionMeasureRationaleEvaluation Development

19. DimensionMeasureRationaleEvaluation Development PN: Community contact cards Partner information leaflets PN Competency pack GMFA online PN service PEP: Patient information leaflets Initiate new practice to drive up standards Log

21. Activity supportive of health advising DimensionMeasureRationaleEvaluation Activities supportive of health advising

22. Activity supportive of health advising DimensionMeasureRationaleEvaluation Activity supportive of health advising Supervision (peer & managerial) Maintain professional standards Log Supervision (external) Log Appraisal Maintain professional standards and identify gaps Log CPDLog

23. Activity supportive of clinic DimensionMeasureRationaleEvaluation Activity supportive of the clinic

24. Activity supportive of clinic DimensionMeasureRationaleEvaluation Activity supportive of the clinic MeetingsCoordination, continuity communication, and consistency of practice Log (PEP, A-N, CG) Conference feedback Maintain professional standards Log

25. Value Added DimensionMeasureRationaleEvaluation Value Added

26. DimensionMeasureRationaleEvaluation Value Added Involvement on national/local bodies (SSHA, BASHH) Assist in setting national/local standards Log Submission of abstracts Giving presentations Share best practice and maintain professional standards Log

27. Benefits Overview of service Highlights gaps - extra resources Highlights work - reassurance Plan and set priorities Demonstrates value - productivity Report

28. ONCE UPON A TIME

30. “THE McSCREEN”

31. OH YES!

32. Audit DimensionMeasureRationaleEvaluation Audit PN (C4, B) Maintain and improve practice Log Provider notification Log HIV PNLog CHIVALog