Transcript Achievements and challenges, Hong Tan
Improving Sexual Health in London: achievements and challenges Hong Tan London Sexual Health Programme Director London Sexual Health Forum 7
th
December 2011
Structure
Policy Performance Challenges Opportunities
Policy
Sexual Health =QUIPP =in-year savings =open access to treatment as prevention The total cost of sexual violence has fallen from 22.8bn in 2001 to 15.7bn in 2008
Unintended Pregnancies cost NHS in London £105m: If 9% choose LARC= c£106 Savings If 9% use condoms – c£93m savings £1 in contraception = £11 savings in NHS Costs If 9% use oral contraceptives = c£94m savings
Policy
police ???
???
education £££ health and social care Big Society ???
???
London Sexual Health Commissioning Board - Leading and Strengthening Sexual Health Commissioning in London
DPHs London Specialised Commissioning Board Cluster PCT Directors of Commissioning/ MDs London Sexual Health Commissioning Board Teen Pregnancy Leads London Sexual Health Programme NCSP- London London Sexual Health forum London Havens Strategic Board Chlamydia Screening Strategic Network London Contraception and Abortion Group, London LARC Network Pan London HIV Prevention Group Commissioning Network Pan London Procurement * FESHproNET: Further Education Sexual Health Network* 2012 Planning Group * Tariffs*
Sexual Health Network Subgroups
*Time limited
London Sexual Health Programme. 16th Floor, Portland House, Stag Place. London, SW1E 5RS. [email protected]
London Sexual Health Improvement - NHS London*
London Firsts
• • • •
Implementing London's Sexual Health Strategic Framework: Vision to improve Sexual Health with integrated Sexual Health services:
FIRSTS
Reducing
late diagnosis of HIV
– proposed as 1 of 3 national Sexual Health outcomes in the Public Health outcomes Framework Award –winning “Where is your line?”
Cannes Bronze Lion , 4 Blue Arrows British Advertising awards 2012 Olympic and Paralympic Games
– focus on Sexual Health and Young People:
Sex Factor
Workforce Higher Education Institutions, London PGDs
London Firsts
• • • • • • •
FIRSTS
Improving uptake and access to LARC
– more fitters trained than any SHA
PPE
toolkit London needs assessment for
Sexual Assault
(paediatric, adult reviews) London needs assessment on
HIV prevention
London
C-card scheme
and
sponsored condoms
London young
People’s Sexual Health showcases
MANY OTHERS!
Performance
Under 18 Conceptions • •
2009
first quarter
39.3 per 1000 2010
first quarter
37.9 per 1000
3.6% Lower
Abortion rate for women under 18
• •
2009
first quarter –
2010
first quarter
17.7 per 1000 16.6 per 1000
6.2% Decrease
Chlamydia Tests -15-24 years
• •
2009/2010 2010/2011
– –
29.84% 32.53%
tests pa tests pa 2.69% Increase
HIV late Diagnosis
• •
2008 53%
late diagnosis (C4 Count <350)
2009 51%
late diagnosis 2% Decrease
LARC Uptake
• •
2009/2010 – c46k
prescribed
2010/2011 – c51k
prescribed 10.8% Increase
Change: Challenges and Opportunities
•
Liberating the NHS, Revised operating framework for NHS- prioritised tariffs, localism, QIPP, New commissioning structures (GP commissioning consortia, Public Health Service, NHS Commissioning Board)
•
Public Health White paper
•
Social Care White paper
•
Others- Policies into the 21 st Century
Change: Challenges and Opportunities
• • • • • •
£20 billion savings Sexual Health delivers QIPP in-year Local authority commissioning- political drivers? Priority? Engage Local Authorities, wider determinants of health now Capped budget vs open access ? Lets work with DPHS, Local Authority Councillors on Health Improvement Board Now. No mandatory use of NHS tariffs – Let’s make tariffs live in 2012-2013 and show they are robust and improve Sexual Health Fragmentation of commissioning – NHS Commissioning Board (CCGs, specialised commissioning) vs PH England, Local Authorities – Let’s drive governance agenda in 2012-2013 London Sexual Health Commissioning Board Report to London SCG
Priorities for London Sexual Health Programme and Commissioning Board in 2012-2013
Implement Sexual Health Tariffs Strategic commissioning of the Havens Focus on reducing late diagnosis of HIV – HIV testing standard in Primary Care Opportunities for procurement efficiencies 2012 Olympic and Paralympic Games - Legacy Shaping transition
Conclusion
• • •
2012: focus on London for Sexual Health Many achievements and firsts because of YOU, US ALL Shape change – address challenges and opportunities LET’S SIEZE THE DAY LET’S BE BOLD!