10
High Impact Changes for Genitourinary Medicine
48-hour Access
We were
commissioned by the Department of
Health to organise an expert reference
group, collate feedback, comments
and case studies from this group,
and draft a practical guide for the
Department of Health to refine and
publish (December 2006). The 10
High Impact Changes best practice
guide provides measures that can
be implemented quickly and on a scale
that will enable 48-hour access to
a local GUM service by March 2008.
Review
of primary care trust local delivery plans
2005-2008
Joint
report by Brook, fpa, Medical Foundation
for AIDS & Sexual Health, National
AIDS Trust and Terrence Higgins Trust.
Published January 2006.
This report of an
audit of 44 primary care trust (PCT)
local delivery plans (LDPs) from across
England suggests an alarming lack
of NHS planning to improve sexual
health. Despite the introduction of
specific targets to tackle poor sexual
health, up to half of PCTs in this
sample failed to mention plans to
improve some key areas. There was
only limited evidence of plans for
service redesign and improvement,
and only a third mentioned targeted
planned investment in sexual health,
despite the Government's additional
local funding for 2006/7 and 2007/8.
The report recommends the establishment
of sexual health improvement as a
top tier priority for the NHS.
Commissioned
and endorsed by the Department of
Health. Published March 2005.
A key tool to support
local delivery of commitments in the
public health White Paper and the
National strategy for sexual health
and HIV, 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,
performance managers and service users,
the recommended standards
are relevant to all settings providing
NHS-funded sexual health services,
including general practice, hospital
and community-based clinics, pharmacies,
and organisations in the voluntary
and independent sectors.
An essential
guide to HIV for GPs, practice nurses
and other members of the primary care
team.
By Dr Sara Madge, Dr Philippa Matthews,
Dr Surinder Singh and Dr Nick Theobald.
This 92-page, full-colour
booklet provides essential information
for GPs and the primary healthcare
team on the clinical diagnosis of
HIV (with photos); how to offer an
HIV test and give results; the side-effects
of antiretroviral therapy and how
to complement specialist care; primary
healthcare for people with HIV, including
reproductive health and immunisation;
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. Published
December 2004 (revised April 2005).
Printed copies are
available free on request to GPs and
primary care teams in England - click
here to order. Also available
as a downloadable
pdf file.
Recommended
standards for NHS HIV services
Endorsed
by the Department of Health, the British
HIV Association and the National Association
of NHS Providers of AIDS Care and
Treatment
A cornerstone
of the National Strategy for Sexual
Health and HIV, the new 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. The recommended
standards will serve as a tool for
planning and auditing service development,
a framework for commissioning and
a resource for partnership between
service users and providers. The House
of Commons Health Select Committee
has recommended their use by strategic
health authorities in the performance
management of trusts.
Networking
for quality in HIV treatment and care (report,
December 2002)
By
Oonagh O'Brien and Ruth Lowbury
A report
of findings from a project to map
and facilitate the development of
service networks in four parts of
England. The report presents 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
discusses 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. The learning from
this project has fed into our more
recent work on
standards and networks for NHS HIV
services.
