Sorted! Commissioning sexual health services for young people

Isabel Oliver – Regional Epidemiologist & Regional Lead for Sexual Health, HPA Isabel Oliver – Regional Epidemiologist & Regional Lead for Sexual Health, HPA Jo Ferry – Regional Teenage Pregnancy Coordinator, GOSW Jo Ferry – Regional Teenage Pregnancy Coordinator, GOSW Katie Bacon – Youth Participation Worker – Vulnerable Groups, Devon County Council Katie Bacon – Youth Participation Worker – Vulnerable Groups, Devon County Council Devon young people – Tiqua, Natalie, Josh Devon young people – Tiqua, Natalie, Josh Rhiannon, TP Independent Advisory Group & Bristol young person Rhiannon, TP Independent Advisory Group & Bristol young person Emma Popham – You’re Welcome Lead, GOSE Emma Popham – You’re Welcome Lead, GOSE

Workshop outline Welcome and Introductions Welcome and Introductions Overview of young peoples sexual health in the South West. Overview of young peoples sexual health in the South West. Group work discussions Group work discussions Developing Young People-friendly services Developing Young People-friendly services ‘You’re Welcome’ presentation ‘You’re Welcome’ presentation Top 3 actions to take away Top 3 actions to take away

Aim of the workshop The aim of this workshop is to discuss how we can best commission sexual health services that meet the needs of young people to help reduce teenage conceptions and sexually transmitted infections.

Sorted! The South West picture for teenage conceptions and STIs in young people

Reduce Teenage Pregnancies by 50% between 1998 and % reduction against trajectory of 12.5% Interim target of 15% reductions by 2004 very challenging Teenage Pregnancy Strategy starts

A continuing priority: LAAs & Vital Signs Local Government National Indicator Set (NIS) and Vital Signs include under 18 conception rate and chlamydia prevalence in under 25s Local Government National Indicator Set (NIS) and Vital Signs include under 18 conception rate and chlamydia prevalence in under 25s 11 (out of 15) Local Area Agreements in the South West include NI 112 reducing under 18 conceptions 11 (out of 15) Local Area Agreements in the South West include NI 112 reducing under 18 conceptions

Sexual Health in the South West There was a 2.4% increase in the total number of new STIs diagnosed in genitourinary medicine clinics in the South West in 2007 compared to There was a 2.4% increase in the total number of new STIs diagnosed in genitourinary medicine clinics in the South West in 2007 compared to ,576 new STIs were diagnosed in the South West’s genitourinary medicine (GUM) clinics in 2007, an increase from 27,899 in ,576 new STIs were diagnosed in the South West’s genitourinary medicine (GUM) clinics in 2007, an increase from 27,899 in 2006

Young peoples SH in the SW In the South West the year age group accounted for: In the South West the year age group accounted for: 68% of all chlamydia diagnoses (5,890 of 8,638) 68% of all chlamydia diagnoses (5,890 of 8,638) 51% of all gonorrhoea diagnoses (390 of 764) 51% of all gonorrhoea diagnoses (390 of 764) 14% of all syphilis (21 of 148) 14% of all syphilis (21 of 148) 42% of all herpes (743 of 1,759) 42% of all herpes (743 of 1,759) 57% of all warts (3,887 of 6,825) 57% of all warts (3,887 of 6,825)

Teenage Pregnancy Progress to date: % decline in under 18 conception rate in the South West; 12.9% in England 16.3% decline in under 18 conception rate in the South West; 12.9% in England 13% decline in under 16 conception rate for 13% decline in under 16 conception rate for Under 18 rate at the lowest level for 20 years, but decline needs to accelerate Under 18 rate at the lowest level for 20 years, but decline needs to accelerate Increasing proportion of conceptions leading to abortion – 48.9% (50% in South West) Increasing proportion of conceptions leading to abortion – 48.9% (50% in South West)

Under-18 conception rates by region South West: Overall reduction of 13% since 1998

89% of LAs have declining rates but 11% are increasing If all areas were doing as well as the top quartile, the national reduction would be 27% and on trajectory for 2010 target

LAD1 Name2006 traffic light Torbay UARED Bristol UARED Wiltshire CountyRED Devon CountyAMBER/RED South Gloucestershire UAAMBER/RED Swindon UAAMBER/RED Plymouth UAAMBER/RED SomersetAMBER/RED Cornwall & IoSAMBER/RED Bath and NE Somerset UAAMBER/GREEN Poole UAAMBER/GREEN Dorset CountyGREEN GloucestershireGREEN Bournemouth UAGREEN North Somerset UAGREEN Traffic light rating for u18 conceptions, based on 2006p data

WARD HOTSPOT MAP

Tackling seasonal hotspots! Total under-18 conceptions by month, Source: ONS

TP Champion Strategic leadership SRE in schools and out of school settings Young people friendly Contraceptive services Strong messages to young people and partner agencies Workforce training on SRE Strong youth service things to do, places to go Targeted SRE work with young people at risk Strong use of local data Building aspirations and self esteem Supporting parents To discuss sex & relationships

Isabel Oliver Jo Ferry