Table of contents

Recommendations for Commissioning

Background papers: Lifestyle and wider determinants :: Sexual health :: Recommendations for Commissioning

• A needs assessment should be conducted to identify existing or new gaps in service provision.
• HIV is of particular concern with late diagnosis of HIV posing serious problems at individual and community level. This increases the risk of onward transmission and ultimately treatment costs. There is a need to improve HIV awareness training amongst secondary care medical disciplines to improve early diagnosis.
• As a large proportion of those affected by HIV in Medway are of black-African origin, it is important to review services to ensure that they are accessible to this population.
• Improve sexual health services delivered by GPs, in particular access to LARC, Chlamydia screening and referral for full STI screening.
• Improve chlamydia screening rates through core services to achieve the 2400/100,000 diagnosis rate.
• Reduce the number of women who have repeat abortions to the south East England average rate of 25.2%.
• Increase the uptake of LARC to achieve the South East average of 54/1,000.