Sexually transmitted infections trends and challenges 25 th

Trends in STIs Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual

Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working

Gonorrhoea diagnostic rate / 100, 000 Suffolk Cambridgeshire Community Services NHS Trust: providing regional

Syphilis diagnostic rate / 100, 000 Suffolk Cambridgeshire Community Services NHS Trust: providing regional

Syphilis is on the rise in the east of England Posted on February 21,

Challenges Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services

House of Commons Health and Social Care Committee Sexual health Fourteenth Report of Session

Challenges • • Funding and commissioning Service delivery Prevention Workforce Cambridgeshire Community Services NHS

Funding and commissioning • • Inadequate funding Complexity and fragmentation Local variation Length of

Local authority spending on sexual health has decreased Cambridgeshire Community Services NHS Trust: providing

Service delivery • • Quality of care Accessibility Testing and screening Pr. EP Cambridgeshire

Testing and screening • Antibiotic resistance • Mycoplasma genitalium – Testing – Resistance •

Prevention • Major hit from funding reductions • Behavioural trends – Apps – Condomless

Workforce • Morale: British Association of Sexual Health and HIV describe staff morale as

Where next? • Success stories • Recommendations of Health Select Committee Cambridgeshire Community Services

Success stories Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health

HIV testing coverage, total (%) Suffolk Cambridgeshire Community Services NHS Trust: providing regional integrated

Recommendations of Health Select Committee Cambridgeshire Community Services NHS Trust: providing regional integrated contraception

“Some areas have managed to negotiate their way around the bureaucratic obstacles and work

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Sexually transmitted infections – trends and challenges 25 th June 2019 Dr Sarah Edwards Consultant in Sexual Health Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Trends in STIs Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Gonorrhoea diagnostic rate / 100, 000 Suffolk Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Syphilis diagnostic rate / 100, 000 Suffolk Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Syphilis is on the rise in the east of England Posted on February 21, 2019 In the east of England there were 301 diagnoses of syphilis in 2017. This is an 11% increase from 2016 and an 82% increase over the last 5 years. · New social media campaign launches across the region to raise awareness #syphilisbanana Public Health England (PHE) in partnership with the 12 local authorities across the region and the Terrence Higgins Trust (THT) have today launched a social media campaign aimed at raising awareness of the rise in syphilis. . Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Challenges Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

House of Commons Health and Social Care Committee Sexual health Fourteenth Report of Session 2017– 19 Report, together with formal minutes relating to the report Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Challenges • • Funding and commissioning Service delivery Prevention Workforce Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Funding and commissioning • • Inadequate funding Complexity and fragmentation Local variation Length of contracts Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Local authority spending on sexual health has decreased Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Service delivery • • Quality of care Accessibility Testing and screening Pr. EP Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Testing and screening • Antibiotic resistance • Mycoplasma genitalium – Testing – Resistance • Cervical screening Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Prevention • Major hit from funding reductions • Behavioural trends – Apps – Condomless sex – Chemsex • Education Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Workforce • Morale: British Association of Sexual Health and HIV describe staff morale as at “breaking point”. Of respondents to their 2018 members survey, 81% reported that staff morale had decreased within their service in the past year with 49% reporting that staff morale had greatly decreased. • Recruitment: – GUM training 12/46 posts filled this year Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Where next? • Success stories • Recommendations of Health Select Committee Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Success stories Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

HIV testing coverage, total (%) Suffolk Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

Recommendations of Health Select Committee Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )

“Some areas have managed to negotiate their way around the bureaucratic obstacles and work more effectively together. This needs to happen everywhere in order to put patients first, and more should be done to make joint working easier” Cambridgeshire Community Services NHS Trust: providing regional integrated contraception and sexual health services (Working in partnership with Terrence Higgins Trust in Bedfordshire, Cambridgeshire, Norfolk and Suffolk and with Brook in Bedfordshire. )