Evaluation of a partnership between primary and secondary care providing an accessible Level 1 sexual health service in the community

Carmel Kelly, Jillian Johnston, Fiona Carey

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

Comprehensive testing for asymptomatic sexually transmitted infections in Northern Ireland has traditionally been provided by genitourinary medicine clinics. As patient demand for services has increased while budgets have remained limited, there has been increasing difficulty in accommodating this demand. In May 2013, the newly commissioned specialist Sexual Health service in the South Eastern Trust sought to pilot a new model of care working alongside a GP partnership of 12 practices. A training programme to enable GPs and practice nurses to deliver Level 1 sexual health care to heterosexual patients aged >16 years, in accordance with the standards of BASHH, was developed. A comprehensive care pathway and dedicated community health advisor supported this new model with close liaison between primary and secondary care. Testing for Chlamydia, gonorrhoea, HIV and syphilis was offered. The aims of the pilot were achieved, namely to provide accessible, cost-effective sexual health care within a framework of robust clinical governance. Furthermore, it uncovered a high positivity rate for Chlamydia, especially in young men attending their general practice, and demonstrated a high level of patient satisfaction. Moreover the capacity of secondary care to deliver Levels 2 and 3 services was increased.

Original languageEnglish
Pages (from-to)751-7
Number of pages7
JournalInternational Journal of STD & AIDS
Volume25
Issue number10
Early online date27 Jan 2014
DOIs
Publication statusPublished - Sep 2014

Keywords

  • Adult
  • Cooperative Behavior
  • Female
  • General Practice
  • Health Services Accessibility
  • Humans
  • Male
  • Mass Screening
  • Northern Ireland
  • Patient Acceptance of Health Care
  • Pilot Projects
  • Primary Health Care
  • Program Development
  • Program Evaluation
  • Reproductive Health
  • Secondary Care
  • Sexually Transmitted Diseases
  • Young Adult

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