Ready, Steady,

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Ready, Steady, GO!
The Orange Handbook rewrite gets the Green
light.
Gill Bell Chris Faldon
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Remember 1980? Those were the days!
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State of the art technology!
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SHASTD meets Dept. Health

• June 2000 - Preliminary discussions were held at
  D.o.H.
• April 2001 - Health Adviser Working Party was
  set up in to respond to Sexual Health Strategy
  document.
• Summer 2001 Draft Strategy published
• October 2001 - Action plan submitted

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The working party

• Health Adviser Core roles
• Partner Notification
• Counselling
• Pre and Post test HIV Counselling
• Sexual Health Promotion
• Outreach/Community Links.

• Patrick French (Chair)
• George Kinghorn (MSSVD)
• Beng Goh (AGUM)
• Heather Wilson (SHASTD)
• Chris Faldon (SHASTD)
• Sandra Jarrett (SHASTD)
• Ronnie Seery (SHASTD)
• Tomas Campbell (BPS)
• Phillipa Matthews (GP)
• Shelley Mehigan (Primary Care Nurse)
• Sally Wellsteed (D.o.H)

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Health Advising The Strategy

• " The Department will ensure the role of sexual
  health advisers is developed and numbers
  increased"
• " The Department will identify a process of
  defining roles and responsibilities of health
  advisers
• " Improvements in partner notification within
  clinics and the community
• " The Department will identify a process for
  developing a Health Adviser qualification by
  2005"

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Action Plan

• Detailed recommendations for DoH produced.
• Grant of 39,000 awarded to produce - P/N
  guidelines - HA Manual
• Establish Education Training Working Party for
  health advisers

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The Manual for Health Adviser Practice

• Chris Faldon/ Gill Bell co-opted
• Steering group (Monthly since October 2001)
• Sandra Jarrett
• Kathryn Lee
• Dorinda Thirlby
• Heather Wilson

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The Manual

• Currently 31 chapters
• Theoretical frameworks
• Practical Guidelines
• Evidenced based
• Evaluation
• Ethical Legal issues

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Manual Content

• History of Health Advising
• Counselling
• HA process model
• Crisis intervention
• Counselling Supervision
• Psychosexual Counselling
• Working with interpreters
• STIs
• Legal issues

• Contraception
• Sexual assault
• HIV testing including results
• HIV positive role of Health Advising
• Worried well
• Hepatitis C
• Working with gay men/ Risk Reduction

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And yet there is more!

• Young people
• Termination of Pregnancy
• Health Adviser management
• Code of Conduct
• Partner Notification
• Ethics
• Research and audit
• Triage

• Information Technology
• Recall
• Mental Health
• Community Health Advising
• Outreach
• Health Promotion
• Working in prisons

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Partner Notification 1

• Provider referral
• Finding people
• Making contact
• Securing attendance
• Documentation
• Liaison with other clinics

• Interviews
• Setting the scene
• Gaining co-operation
• Data collection
• Follow-up interviews
• Documentation

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Partner Notification 2

• Evaluation of partner notification
• Process audit
• Outcome audit
• Ethical issues
• Legal issues

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Triage

• Rationale
• Principles
• Management
• Recommended maximun waiting times
• Evaluation
• Ethical issues

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Recall

• Reasons for recall
• Methods
• - Letters
• - Phonecalls
• - Visits
• - Email
• - Registered letters

• Recommended actions
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• Ethical issues

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Working in prisons

• Special features of prisons and prisoners
• HIV and STI transmission risks in prisons
• Ongoing care and support
• General Advice ie
• ie Getting information
• Partner notification
• Security issues
• Useful resources and organisations

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Ethics

• Key principles
• Autonomy
• Beneficence
• Non-maleficence
• Justice
• Confidentiality

• Framework
• Principles
• Consequences
• Personal ethics
• Professional ethics

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Guidelines for managing an ethical dilemma

• 10 point action plan
• ie - Identify all possible courses of action
• - Clarify your professional duties
• - Discuss with other members of team.
• - Avoid actions that breech the law
• - Seek a legal opinion if you, or the law,
  are not clear

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Outreach

• Rationale
• Hard to reach populations
• High risk of STI transmission
• Aims
• Risk reduction
• Improved access to services
• Service delivery
• Partner notification
• Research

• Setting up
• Making contact
• Evaluation
• Ethical issues

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The End?
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Over to you.