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Current services in relation to need

Background papers: children :: Teenage pregnancy :: Current services in relation to need

An integrated model of sexual health service delivery has been commissioned to improve access to contraceptive services and improve client journey.


• 22 Pharmacies offer free Emergency Hormonal Contraception across Medway
• Student Health Services run in 7 schools across the Medway area
• There are 8 CASH clinic venues across Medway, and 3 clinics are dedicated to young people to access without appointments.
• Outreach is used to support young people who are not accessing universal or targeted services.
• There is a sexual health nurse dedicated to meeting the needs of looked after children and young people.
• 13/17 secondary schools in receipt of PSHE Association quality assured RSE resources
• All SEN schools in receipt of PSHE Association quality assured RSE resources

Relationships and Sex Education

Whilst Personal, Health and Social Education (PHSE) including RSE was not made compulsory following its withdrawal from the Children's Bill in April 2010, Medway has remained committed to ensuring that young people have access to high quality, age appropriate RSE.

In 2013 Medway LA piloted an RSE project and worked with local secondary schools in Medway to develop a comprehensive series of lesson plans. This project evolved and now comprises a series of 12 PSHE Association quality assured lesson plans for years 7, 8, and 9.

In 2015 Medway LA built on established RSE work and developed a series of 6 PSHE Association quality assured lesson plans for the SEN schools. Alongside this, a series of 5 PSHE Association quality assured lesson plans were developed for Primary schools.

All schools involved in any of our RSE work receive access to the Medway Public Health Directorate for on-going support including training and all accompanying resources necessary for delivery. Our ambition is to create equity of access to high quality RSE for children and young people in Medway.

Contraceptive and Sexual Health Services

Significant investment has been placed on improving Medway's contraceptive and sexual health services. Progress includes:


• 7 educational establishments now have student health clinics providing school based sexual health services
• 22 pharmacies offering free emergency hormonal contraception
• The C Card Scheme has been reviewed for both registration and distribution of C Card and will be fully operational from 1st April 2014. The majority of registrations and distributions take place in educational and youth settings. Access points based in pharmacies have not been used as often as anticipated.

• A contraceptive and sexual health outreach nurse post funded by Public Health was piloted in 2012 for one year and this funding was extended for 2013/14. The aim of the post was to improve access to contraceptive and sexual health services for looked after children and young people. This role has now been folded into the outreach element of the contract.
• Alongside commissioning an integrated sexual health service, the local authority have refurbished a building to act as a hub for the new service. This will provide services outside working hours and will offer Saturday opening to increase accessibility.