Leeds Chlamydia Screening Programme

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Leeds Chlamydia Screening Programme A New
Perspective The Public Health Matrix
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• Sharon Foster
• Sexual Health Lead (NHS Leeds Public Health)
• Lisa Turner
• Health Improvement Specialist (Chlamydia)

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BACKGROUND where we were

• First wave established in 2003 based in GUM
• Small isolated Chlamydia screening office with 3
  staff
• 2005 Screening office hosted by the Contraception
  and Sexual Health Service but not integral to
  the service
• Lack of strategic influence making it difficult
  to increase screens
• Model not achieving target

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Time for Change

• Chlamydia GUM top priorities for the PCT
• Sexual Health Commissioning group developed
  everybody's business
• Director interest looking forward
• Chlamydia screening a must do and needs to be
  managed in a sustainable way. Focus agreed to be
  one of a Public Health Direction
• Access to key strategic partners, Primary Care,
  commissioning, PBC, Public Health Sexual Health
  Team within PCT

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New Model
Public Health team to lead on programme
development (February 2008) Chlamydia
Coordinator and Administrator transferred to
Public Health (April 2008) In need of
sustainable service to meet increasing clinical
demand (January 2009) Opportunity to re visit
Health Advisor role separate clinical and public
health functions (January 2009) CaSH service
provide clinical treatment for Chlamydia and
partner notification part of CaSH SLA (January
2009) Appointment of Health Improvement
Specialist for Chlamydia (June 2009)
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City of Leeds
NHS Leeds (Leeds PCT)
Prison
Public Health Directorate
GP
Sexual Health Team
Pharmacy
Leeds CSO
Workplace
Termination providers
Colleges
Media
Website
University
CASH
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Chlamydia Matrix led by Sexual Health Team

• SLA Development
• Contraception and Sexual Health service
• Pharmacy
• Prison
• Voluntary sector
• Termination providers
• Students
• Communication
• Website
• Media
• HPA ( HPV)
• Community Events
• Workplace LTHT
• Public Health intelligence team
• Primary care LES

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Operational matrix

• Two-weekly Chlamydia team meeting
• Weekly sexual health meeting with sexual health
  lead, consultant in public health and director in
  public health
• Eight weekly Chlamydia Steering Group
• Sexual health commissioning group
• CASH Performance management group

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Why has the Public Health approach worked.

• Target setting
• Resource allocation
• Access to key roles
• Dedicated capacity
• Skill mix within the team

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Why has the Public Health approach worked.

• Engagement with young people
• Able to influence budgets / SLAs commissioned by
  the PCT
• Accessed directorate partnerships outside of
  sexual health
• Public health environment allowed flexibility and
  innovation
• Leadership and accountability

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Yearly Chlamydia programme screens 2005-2009

• Click to add text

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Leeds target for 2008 / 2009, 22,195, Chlamydia
screens 17 of 15 24 year olds
We achieved 25,308 screens 2008/09
Leeds target for 2009 / 2010, 35,075, Chlamydia
screens 25 of 15 24 year olds
Leeds target for 2010 / 2011, 49,105, Chlamydia
screens 35 15 24 year olds
Targets can be reached through matrix working
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Chlamydia A new role

• Examples of good practice

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Health Improvement Specialist (Chlamydia)

• New role (1st June 2009)
• Non-clinical background youth community
  experience
• Part of Sexual Health Team in Public Health
• Work closely with the Chlamydia Coordinator, CSO
  administrator other Health Improvement
  Specialists in the team

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Role of health improvement specialist (Chlamydia)

• Promote opportunistic screening
• Identify new sites train staff
• Support existing sites
• Monitor and evaluate interventions
• Liaise with external agencies Primary Care
• Develop initiatives that engage YP in the uptake
  of opportunistic Chlamydia screening

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Chlamydia Screening hits Briggate
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• Chlamydia hits the high street!
• 3 events so far
• Over 300 tests at the events
• Media coverage
• Bluetooth machine to advertise
  Chlamydia screening

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Chlamydia in Public Health

• Work alongside neighbourhoods team to identify
  and target SOAs
• Use health informatics to prioritise new sites
• Co-train with H3 consortia Sexual Health Lead
  targeting and embedding Chlamydia screening into
  primary care (part of the LES)
• Co-ordination of bank Chlamydia health care staff

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Chlamydia in Public Health

• Influence Public Health programmes to include
  Chlamydia screening
• For example -
• encourage services that offer pregnancy testing
  C-card to include Chlamydia screening a
  holistic service

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Examples of good practice how is Chlamydia
screening promoted?

• Communication
• development of website Details where and how to
  get tested for Chlamydia
• on the radio
• Radio Aire adverts
• in the media
• Yorkshire post, student newspaper

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Examples of good practice how is Chlamydia
screening promoted?
Communication social media

• Using social media to promote Chlamydia
  screening and create awareness

All of our work is responsive to change in needs
of young people
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FACEBOOK - Very easy to form and
update Members can interact Share pictures
and post videos etc You can promote events
etc
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Bus stop campaigns advertising website free
Chlamydia postal kits Work closely with Design
for Health team within Public Health
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Leeds Chlamydia Screening Programme
Public Health Approach
Hold on to the basics
But change our tactics