Publications

Publications

This page includes MEDFASH publications, as well as joint publications and those developed by MEDFASH but published by other organisations. All publications are available to download. Printed copies are available where stated.

Making it work: a guide to whole system commissioning for sexual health, reproductive health and HIV

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Published by Public Health England (PHE). Developed by MEDFASH for PHE as project delivery agent.

Publication Date: Sep 2014

This guide aims to support all those in NHS England, local authorities and clinical commissioning groups with responsibility for commissioning sexual health, reproductive health and HIV services. Produced by PHE in partnership with NHS England, the Local Government Association, the Association of Directors of Public Health and the Department of Health, it focuses on pulling the whole system together to ensure that service users experience integrated, responsive services that deliver the best outcomes.

The guide sets out 12 key principles for best practice commissioning.  It provides clarity on commissioning responsibilities across the system, makes the case for whole system commissioning and describes levers and mechanisms available to enable and support this.  It identifies how commissioners can work together collaboratively to deliver improved outcomes for service users and populations and suggests how best to commission services where more than one commissioning body is responsible.

Fifteen case studies describe existing and emerging practice to illustrate how commissioners are working collaboratively to meet the needs of their local populations. Annexes provide supplementary information including links to other key documents and an overview of the structures and responsibilities of NHS England and Public Health England.

The guide can be downloaded as a complete document or in three parts.

Download the complete guide

Download Part 1: Main guide

Download Part 2: Case studies

Download Part 3: Annexes

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Halving late diagnosis of HIV - a toolkit for local action

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This report describes work carried out by MEDFASH with the Greater Manchester Sexual Health Network piloting a process of engagement of stakeholders to ensure local delivery of the national Halve It goals.

Publication Date: Jul 2014

Halve It is a coalition of national experts working to reduce the proportion of people undiagnosed and late- diagnosed with HIV. Early diagnosis of HIV increases life expectancy, reduces the risk of hospitalisation, AIDS- related illness and associated costs, and lowers onward transmission of infection.

This document is a report of the work carried out in Greater Manchester to pilot a process for engagement of stakeholders to ensure the local delivery of the national Halve It goals. It combines a commentary on the process undertaken within Greater Manchester with a checklist of suggested key actions and reflections on how the Greater Manchester experience can inform other local areas. In the course of the work a number of learning points emerged, which are summarised below and addressed in more detail in the body of the report. Many will also have resonance for developing local action on other public health issues.

Download full report

Download executive summary

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Standards for the management of sexually transmitted infections (STIs)

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Fully revised and updated edition. Produced with the British Association for Sexual Health and HIV (BASHH) to support commissioning and provision of high quality care for STIs across all settings.

Publication Date: Jan 2014

These standards bring together the key elements of best practice that people seeking help in relation to STIs are entitled to expect, whichever service they choose to attend. They are a comprehensive revision and updating of the original 2010 edition, reflecting the major changes in sexual health commissioning arising from the Health and Social Care Act 2012 and developments in clinical practice.

The revised standards will support local authorities in commissioning and monitoring services to ensure consistently high standards of care regardless of provider. They will also support service providers in the delivery of high quality care. For the first time, they set out quality measures for services commissioned by local authorities to achieve, mirroring the approach of NICE quality standards.

The effective management of STIs, as specified in the standards, will improve health outcomes for individuals, protect the broader public health and contain costs to the NHS.

The standards are formally endorsed by the Association of Directors of Public Health, the Faculty of Public Health, the Faculty of Sexual & Reproductive Healthcare, the Genito-Urinary Nurses Association, the Local Government Association, Public Health England, the Royal College of General Practitioners, the Royal College of Nursing, the Royal College of Pathologists, the Royal Pharmaceutical Society, the Royal College of Physicians, the Society of Sexual Health Advisers and the HIV Pharmacy Association.

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Psychological support for adults living with HIV (service user leaflet)

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Standards for psychological support for adults living with HIV in the UK were published in 2011 by MEDFASH, the British Psychological Society (BPS) and BHIVA. BPS have now produced a leaflet.

Publication Date: Jan 2014

BPS awarded a grant to its Faculty of HIV and Sexual Health, to create an easy-to-read version of the 2011 publication, aimed at people living with HIV.

The development of this pamphlet was informed by focus groups with service users at Terrence Higgins Trust ( THT) and the African Health Policy Network (AHPN) in London, and George House Trust (GHT) in Manchester. 

Informative and accessible but relevant to a reader who may be questioning their own need for some psychological support, the pamphlet includes symptoms of psychological difficulties such as anxiety and depression as well as case studies of people receiving different levels of psychological support.  This 10-page version is for readers to download. 

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A comprehensive approach to HIV & STI prevention in the context of sexual health in the EU & EEA

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Published by the European Centre for Disease Prevention and Control (ECDC). Produced under a service contract by MEDFASH.

Publication Date: Dec 2013

To produce this report, MEDFASH led a team of experts from the Health Protection Agency (now Public Health England), London School of Hygiene and Tropical Medicine and University College London.

The report helps to increase the understanding of how STIs and HIV can be prevented in vulnerable groups in the context of sexual health and health promotion. It highlights the benefits of integrating HIV/STI control programmes in Europe into broader public health strategies including sexual and reproductive health.

The report presents the results of a mapping exercise of national sexual health data, programmes, activities and policies, with specific reference to the sexual health of the general population and key populations vulnerable to HIV and STIs. Sexual health indicators relevant to these groups for each of the 30 countries are presented in cross-EU/EEA data tables along with individual country profiles. A range of global publications, pan-European technical, surveillance, and guidance documents, European research projects, national policy documents and reports, and relevant academic papers are also identified.

The report sets out synergies and gaps in data, policies, and programmes highlighted by the mapping exercise, and concludes with recommendations.

 

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Novel approaches to testing for STIs, including HIV and hepatitis B and C in Europe

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Published by the European Centre for Disease Prevention and Control (ECDC). Produced under a service contract by MEDFASH.

Publication Date: Nov 2012

To produce this report, MEDFASH led a team of experts from the Health Protection Agency, UK and St George's, University of London, including members of the eSTI2 Consortium.

The report focuses on novel approaches to testing for sexually transmitted infections (STIs), HIV, hepatitis B (HBV) and hepatitis C (HCV) that are relevant for the prevention and control of these infections at EU/EEA level. It provides an overview of recent advances and identifies the opportunities and challenges they present for the diagnosis of infections and more broadly for public health.

'Novel approaches' captures both technical advances in STI, HIV, HBV and HCV tests as well as new opportunities for initiating and conducting testing and managing results, treatment and surveillance that are facilitated by recent changes in technology.

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Sexual and reproductive health and HIV

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Crucial issues for Health Joint Strategic Needs Assessment and local Health and Wellbeing Strategies. Joint briefing by MEDFASH and other leading sexual health charities for local authority elected members

Publication Date: May 2012

Local authorities will take over the commissioning of sexual health services as part of their new responsibility for public health in April 2013. This short briefing paper explains from a local perspective the benefits of investing in sexual and reproductive health improvement and HIV prevention, and sets out a checklist for local action by elected members and members of Health and Wellbeing Boards. 

The paper was jointly produced by MEDFASH with other national charities Brook, FPA, National AIDS Trust and Terrence Higgins Trust, and the professional membership bodies the British Association for Sexual Health and HIV, the British HIV Association, the Faculty for Sexual and Reproductive Healthcare of the Royal College of Obstetricians and Gynaecologists, and the National HIV Nurses Association.

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Standards for psychological support for adults living with HIV

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Produced by MEDFASH with the British HIV Association (BHIVA), British Psychological Society (BPS) and endorsed by eight leading professional organisations.

Publication Date: Nov 2011

The first ever Standards for psychological support for adults living with HIV in the UK were published in 2011 by MEDFASH with the British Psychological Society (BPS) and British HIV Association (BHIVA).

Produced in response to the recommendations of a 2010 National AIDS Trust report on the mental health needs of people with HIV, the Standards are endorsed by eight major professional organisations represented on the working party which guided their development.

The Standards describe the support that all adults living with HIV should expect to receive, from a wide range of professional groups, peers and informal providers, to enhance their mental health and their cognitive, emotional and behavioural wellbeing. They focus on:

- the promotion of mental health and wellbeing
- the early detection of psychological difficulties and
- the provision of appropriate interventions for those who need them.


A valuable tool for both providers and commissioners, the Standards support the development and maintenance of high quality, cost-effective services and care pathways for adults living with HIV.

An educational grant from Abbott has supported the development of this publication. Abbott has had no editorial input or involvement in its production. Additional contributions were received from BHIVA, the FacHIV&SH (BPS) and MEDFASH.

A limited number of hard copies are available at  £2.50 per copy for postage and packing - please email enquiries@medfash.bma.org.uk

You can download the Standards for psychological support for adults living with HIV free from this site as a pdf (file size 1.4Mb).

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HIV in Primary Care

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Booklet. Second edition 2011. An essential guide for GPs, practice nurses and other members of the primary healthcare team.

Publication Date: May 2011

By Dr Sara Madge, Dr Philippa Matthews, Dr Surinder Singh and Dr Nick Theobald.

Revised and updated for 2011, this 120-page, full-colour illustrated booklet provides essential information for GPs and the primary healthcare team on the clinical diagnosis of HIV; how to offer an HIV test and give results; primary healthcare for people with HIV, including reproductive health and immunisation; the side-effects of antiretroviral therapy, potential drug interactions and how to complement specialist care; and practice policies and systems for optimal patient care and protection of staff.

Written by GPs, HIV in Primary Care is instructive, practical and easy to use with a detailed contents list and comprehensive index.

You can download a free pdf of HIV in Primary Care (file size 3Mb). For printed copies, discounts apply to bulk orders - please email us for details at enquiries @medfash.bma.org.uk

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ECDC guidance HIV testing increasing uptake and effectiveness in the European Union

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Published by the European Centre for Disease Prevention and Control (ECDC). Produced under a service contract by MEDFASH and the Health Protection Agency.

Publication Date: Dec 2010

The aim of this guidance commissioned by ECDC is to support governments across Europe in increasing rates of HIV testing and in monitoring and evaluating their programmes for maximum effectiveness. It contains core principles for developing and implementing national HIV testing strategies. 

The guidance is supported by an evidence synthesis which reviews the scientific literature on the evidence for strategies to overcome barriers to HIV testing. A shorter ‘in brief’ version of the guidance is also available.

Download evidence synthesis

Download guidance in brief

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Tackling HIV Testing - increasing detection and diagnosis

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Online resource pack. Information sheets, slide sets and template documents to support more routine HIV testing by non-HIV specialists in secondary care.

Publication Date: Oct 2009

This is a comprehensive teaching pack for HIV-specialist clinicians or other ‘HIV champions’ who are engaged in educating their non-HIV specialist colleagues about the need to increase HIV testing rates. It includes the popular MEDFASH booklet, HIV for non-HIV specialists.

A few printed packs with data sticks also available - please email enquiries@medfash.bma.org.uk.

 Visit Tackling HIV Testing resource pack

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London sexual health indicators - a data-driven needs assessment

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Report 1 of the London sexual health needs assessment and service mapping. Prepared by the London Health Observatory and the Health Protection Agency for MEDFASH.

Publication Date: Nov 2008

The first of three reports of the first sexual health needs assessment and service mapping for London.  This project was managed by MEDFASH for the London Sexual Health Programme in 2008, in partnership with the London Health Observatory (LHO) and Health Protection Agency (HPA).

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London sexual health service mapping - results & analysis

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Report 2 of the London sexual health needs assessment and service mapping. Produced by MEDFASH based on questionnaire responses from PCT commissioners and sexual health service providers.

Publication Date: Nov 2008

The second of three reports of the first sexual health needs assessment and service mapping for London. This project was managed by MEDFASH for the London Sexual Health Programme in 2008, in partnership with the London Health Observatory (LHO) and Health Protection Agency (HPA).

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Sex and our city - project findings & recommendations for London

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Final report and recommendations of London sexual health needs assessment and service mapping. Produced in partnership with the London Health Observatory (LHO) and Health Protection Agency (HPA).

Publication Date: Nov 2008

The third of three reports of the first sexual health needs assessment and service mapping for London.  This project was managed by MEDFASH for the London Sexual Health Programme in 2008, in partnership with the London Health Observatory (LHO) and Health Protection Agency (HPA).

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HIV for non-HIV specialists

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Booklet. For healthcare professionals working in secondary care who are not HIV specialists to help them improve their skills and confidence in diagnosing HIV.

Publication Date: Sep 2008

This booklet complements the UK guidelines for HIV testing 2008 which are included as an appendix.  It contains sections for different medical specialties with full-colour illustrations to aid diagnosis.  Instructive, practical and easy to use with a detailed contents list and comprehensive index.

Free for healthcare professionals in England working in secondary care, but we charge for postage and packing on orders over 9 copies or from outside England. Please email us for a quote or to order at enquiries@medfash.bma.org.uk.

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Progress and priorities - working together for high quality sexual health

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Report produced for the Independent Advisory Group on Sexual Health and HIV. Findings and recommendations of the interim review of the last government's sexual health and HIV strategy.

Publication Date: Jul 2008

The Independent Advisory Group on Sexual Health and HIV commissioned MEDFASH to undertake a review of the National Strategy for Sexual Health and HIV. The review report highlights the changing context since the strategy's publication in 2001, outlines progress to date and identifies drivers and barriers to the strategy's implementation. It provides recommendations in five strategic priority areas for action at local, regional and national level.

Download executive summary

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10 High Impact Changes for Genitourinary Medicine 48-hour Access

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Published by Department of Health (DH). Produced by MEDFASH with the DH National Support Team for Sexual Health. Practical guide for achieving the previous GUM 48-hour access target.

Publication Date: Dec 2006

A toolkit for commissioners and providers outlining measures that can be implemented quickly, drawing on learning from the national review of GUM services managed by MEDFASH.

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Recommended standards for sexual health services

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Produced by MEDFASH for the Department of Health to support implementation of the previous national sexual health and HIV strategy. Relevant to all settings providing NHS-funded sexual health services.

Publication Date: Mar 2005

These Recommended standards for sexual health services cover 10 aspects of service provision, including guidance on service networks. Recommendations for detecting and managing sexually transmitted infections, contraceptive advice and provision, pregnancy testing and support, and abortion service provision are complemented by others on cross-cutting topics such as sexual health promotion, empowering and involving people who use services, identifying sexual health needs, access to services and the protection and use of sexual health information. Each standard offers an evidence-guided rationale, key interventions, implications for service planning, guidance on practice, and suggested audit indicators.

For providers, commissioners and service users.

Printed copies still available - please email enquiries@medfash.bma.org.uk. There is a charge for postage and packing on orders of 2 copies or more.

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Recommended standards for NHS HIV services

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Produced to support implementation of the previous national sexual health and HIV strategy. New standards are currently in development by the British HIV Association.

Publication Date: Jan 2003

Endorsed by the Department of Health, the British HIV Association and the National Association of NHS Providers of AIDS Care and Treatment.

The Recommended standards for NHS HIV services cover 12 aspects of service provision for people with HIV and offer guidance on managed service networks. Each standard offers an evidence-based rationale, key interventions, implications for service planning, guidance on practice and suggested audit indicators. Reading lists for supporting evidence, policy documents and professional guidelines are appended.

Find out more about the BHIVA new standards

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Networking for quality in HIV treatment and care

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Report of findings from a project to map and facilitate the development of HIV service networks in four parts of England.

Publication Date: Jan 2002

The report presented a series of recommendations arising from the project and a short list of learning points about facilitating factors and barriers to networking. With introductory sections describing the genesis of the project and the fast-changing policy context, the body of the report discussed the findings from interviews and workshops with service providers, users and commissioners in the South East (Surrey, Sussex and Kent), West and North Yorkshire, the West Midlands and the South West.

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Publication Enquiries

For bulk orders and other enquiries about ordering publications, please email enquiries@medfash.bma.org.uk


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