PHE data sources for STI HIV Geraldine Leong

PHE data sources for STI & HIV Geraldine Leong Field Epidemiology services South East and London

Outline • Background to available data • HIV/STI web portal • PHE fingertips (Public health profiles) - Sexual health 2 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV & STI datasets STI Genitourinary medicine clinic activity dataset (GUMCAD) Chlamydia testing activity dataset (CTAD) Gonococcal resistance to antimicrobials surveillance programme (GRASP) HIV 3 HIV & AIDS new diagnoses database (HANDD) Surveillance of prevalent HIV infections diagnosed (SOPHID) Recent infections testing algorithm (RITA) HIV & AIDS reporting system (HARS) data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Sexually transmitted infections o Numbers and rates of STIs o Breakdowns by population characteristics o Provision of services o Patient flow o Chlamydia screening o Partner notification https: //www. gov. uk/government/collections/sexually-transmittedinfections-stis-surveillance-data-screening-and-management 4 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

GUMCAD version 2 What is GUMCADv 2? • An anonymised patient level electronic dataset • Collects information on diagnoses made and services provided by GUM clinics and other commissioned services Who needs to collect? • All level 3 and commissioned level 2 sexual health services i. e. GUM clinics, enhanced general practices, SRH services, young people’s services, integrated SH services Reporting time period • Each extract covers one calendar quarter https: //www. gov. uk/genitourinary-medicine-clinic-activity-dataset-gumcadv 2 • https: //www. gov. uk/genitourinary-medicine-clinic-activity-dataset-gumcadv 2 5 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

GUMCAD version 3 • Improve public health value of GUMCAD v 2 through collection of behavioural and partner notification variables. • Piloted in 2013/2014 at 6 sexual health services. • Second phase commenced in July 2015 • https: //www. gov. uk/guidance/genitourinary-medicine-clinic-activity-datasetgumcadv 3 -pilot • Data items: Sexual behaviour Drug use Previous STIs Partner notification 6 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Services included in the second phase of the GUMCAD v 3 pilot 7 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Drug use & sex in MSM* *n=428 attendances from male patients coded as homo- or bisexual who reported at least one male sex partner in the last 3 months data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Chemsex drugs & injection in MSM* *n=428 attendances from male patients coded as homo- or bisexual who reported at least one male sex partner in the last 3 months. 9 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Gonococcal Resistance to Antimicrobials Surveillance Programme (GRASP) https: //www. gov. uk/government/publications/gonococcal-resistance-toantimicrobials-surveillance-programme-grasp-report There has been an alert regarding the high-level azithromycin in N. gonorrhoea 10 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

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Chlamydia Testing Activity Dataset What is CTAD? • An anonymised patient level electronic dataset • Collects information on individuals tested for chlamydia • Replaced NCSP from 2012 Who needs to collect? • All NHS/LA commissioned laboratories Reporting time period • Each extract covers one calendar quarter http: //www. chlamydiascreening. nhs. uk/ps/info-management. asp http: //www. chlamydiascreening. nhs. uk/ps/resources/ctad/CTAD%20 Commissioning%20 Guide_2013 %20 Update. pdf 12 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV • Notifications of first UK diagnoses, first diagnosis of AIDS and deaths • Recently acquired HIV infection • Late HIV diagnoses • Diagnosed HIV prevalence • Numbers accessing HIV related care • Uptake of HIV testing in GUM clinic attendees • Breakdowns by population characteristics https: //www. gov. uk/government/collections/hiv-surveillance-data-and-management 13 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV and AIDS Reporting System What is HARS? • New electronic HIV surveillance system replacing SOPHID and HIV & AIDS new diagnoses database (HANDD) Aims to: - reduce burden for reporting sites - increase the efficiency of HIV surveillance - enhance standard HIV surveillance outputs - produce quality of care indicators - directly support commissioning services 14 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HARS rollout progress in London (n=28) January 2015 to March 2016 15 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HARS submission by quarter - London 16 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Other datasets Topic Organisation Sexual and reproductive health activity datasets: Contraception (SRH services) Conceptions Abortions 17 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

HIV/STI web portal https: //www. hpawebservices. org. uk/HIV_STI_Web. Portal/Login. aspx HIV/STI web portal (need to register with your local FES office: Josh. forde@phe. gov. uk or Geraldine. leong@phe. gov. uk ) Automated reports: STI diagnoses and services CTAD reporting Local Authority Sexual health Epidemiology Reports (LASERs) 18 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

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Annual data tables 2015 STI Data release on Tuesday 5 th July 2016 https: //www. gov. uk/government/statistics/sexually-transmitted-infections-stisannual-data-tables Annual data tables: STI data tables for GUM and secondary level services HIV data tables https: //www. gov. uk/government/statistics/hiv-annual-data-tables 20 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

Sexual & reproductive health profiles PHE fingertips http: //fingertips. phe. org. uk/profile/sexualhealth Sexual health by local authority on the PHE fingertips to be updated on Tuesday 5 th July 2016. 21 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016

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Acknowledgements Hamish Mohammed - GUMCAD team Cuong Chau - HIV team 23 data sources for sexual health – London public health knowledge and intelligence network meeting – 27 June 2016