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Summary of Results

Health Topic:   Infectious diseases
Guidance:   Prevention of sexually transmitted infections and under 18 conceptions
Description:   The summary of the published public health guidance on Prevention of sexually transmitted infections and under 18 conceptions. It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Bradford Teaching Hospitals NHS Foundation Trust (2009) Clinical Audit Report. Implementation of NICE guidelines (PH3) on one to one interventions to reduce the transmission of STI's including HIV, and to reduce the rates of under 18 contraceptions, especially among vulnerable and at risk groups

Description: A retrospective review of 1969 case notes from the Trinity Centre was completed for the period between June and September 2009. The audit revealed that 100% of patients attending are having a complete sexual health assessment at initial consultation and 68% of patients had arrangements made for one to one structured discussions.

Practice appears to be in line with guidance Local

South West Public Health Observatory (2013) Sexual Health Balanced Scorecard

Description: The Sexual Health Balanced Scorecard provides a snapshot of sexual health at local level. Interactive maps and charts enable comparisons to be made regionally and nationally across a range of indicators relating to teenage pregnancy, abortions, contraception, sexually transmitted infections and other relevant issues.

Not graded Local

McClean H, et al. (2008) UK National Audit of chlamydial infection management in sexual health clinics. Case notes audit: information-giving, partner notification and follow-up. International J STD AIDS. 2008 Jul;19(7):473-6

Description: Results found only half of cases were reportedly given written information on chlamydia. Follow-up by 'phoning or texting (43%) was as common as follow-up in clinics (39%). About one-fourth of cases did not have follow up, with no recall for around 60% of these cases. Advice about partner notification (PN) was provided by a health adviser or other suitably trained health professional to 91% of cases, and the method of PN was documented for 92% of these cases.

Practice appears to be in line with guidance National

Tayal, S.C. et al (2010) Audit of partner notification for chlamydia infection in the genitourinary medicine clinic at the University Hospital of Hartlepool: 2004-2008. Int J STD AIDS. 2010 Jul;21(7):516-8.

Description: The aim of this study was to assess the performance of partner notification for chlamydia infection in the genitourinary medicine clinic at the University Hospital of Hartlepool from 2004-2008. Overall 1.37 partners were declared per index patient. For each chlamydia index patient 0.52 partners were screened (38% of declared partners). The number of index cases needed to interview to get a new positive chlamydia was 3.37 over the study period and varied from 6.74 in 2004 to 2.74 in 2008.

Practice appears not to be in line with guidance Local

Armstrong, H. et al (2012) An audit of partner notification for syphilis and HIV Int J STD AIDS. 2012 Nov;23(11):825-6.

Description: The authors audited Partner Notification outcomes for syphilis and HIV, over an 18-month period, at the Edinburgh GUM clinic. Follow-up information on testing was available for 58% of traceable syphilis contacts and 59% of traceable HIV contacts, though substantially larger percentages in each case, respectively 78% and 90%, were informed regarding their risk of exposure. The department achieved screening verification in 78% of identifiable syphilis contacts and 94% of identifiable HIV partners.

Practice appears to be in line with guidance Local

McClean H, et al (2013) Chlamydial partner notification in the British Association for Sexual Health and HIV (BASHH) 2011 UK national audit against the BASHH Medical Foundation for AIDS and Sexual Health Sexually Transmitted Infections Management Standards. Int J STD AIDS. 2012 Oct;23(10):748-52.

Description: This paper reports on chlamydial partner notification (PN) performance in the 2011 BASHH national audit against the British Association for Sexual Health and HIV Medical Foundation for AIDS Sexual Health Sexually Transmitted Infection Management Standards. There was wide regional variation in level 3 clinic PN performance, with 43% of clinics outside London meeting the ≥0.6 contacts seen per index standard, and 85% of clinics in London meeting the ≥0.4 standard.

Doubts about or mixed impact in practice Local

McClean, H. et al (2012) UK national audit against the key performance indicators in the British Association for Sexual Health and HIV Medical Foundation for AIDS and Sexual Health Sexually Transmitted Infections Management Standards Int J STD AIDS. 2012 Oct;23(10):742-7.

Description: A national audit of practice performance against key performance indicators for Sexual Health and HIV and management of Sexually Transmitted Infections was conducted in 2011. Excluding partner notification performance, the five lowest areas of performance for level 3 clinics were the STI/HIV risk assessment, care pathways linking care in level 2 clinics to local level 3 services, HIV test offer to patients with concern about STIs, information governance and receipt of chlamydial test results.

Not graded National

Department of Health Sexual Health and HIV Team (2007) Findings of the baseline review of contraceptive services London: Department of Health

Description: This is the report of a baseline review of contraceptive services in England based on a voluntary collection, 246 PCTs submitted a return, representing an 82% response rate. In relation to LARC uptake and the NICE guidance, only 5% of PCTs had undertaken a comprehensive audit of LARC methods in 2004/2005 with a further 31% indicating they had undertaken a limited or minimal level of audit. Twenty percent of PCTs stated they had local policies in place that could potentially restrict access.

Practice appears not to be in line with guidance National

NHS Information Centre for Health and Social Care (2008) NHS Contraceptive Services England 2007-08

Description: This bulletin contains information on NHS community contraception services on KT31 returns. Oral contraception remains the most popular form of contraception among women, accounting for 46% of female contraceptive use. Use of Long Acting Reversible Contraceptives (LARCs) continues to increase and now accounts for 23% of primary methods of contraception, compared to 21% the previous year and 18% in 2003-04. LARCs include: IUD, injectable contraception, implants and IUS.

Practice appears to be in line with guidance National

Health and Social Care Information Centre (2012) NHS Contraceptive Services: England, 2011/12. Community Contraceptive Clinics

Description: This annual report presents information on NHS community contraceptive clinics in England. In 2011/12, 1.3 million women attended NHS community contraceptive clinics, an increase of 9% on the previous year. The report found that prescriptions for Long Acting Reversible Contraceptives (LARCs) have increased from 0.7 million in 1997/98 to 1.3 million in 2011/12. Use of LARCs now accounts for 28% of primary methods of contraception among women who attended NHS community contraceptive clinics.

Not graded National

This page was last updated: 09 August 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.