c-card training

Group Agreement This is not a confidential space, think carefully before sharing personal information Take responsibility for your own learning Respect others levels of knowledge and be aware of equal airspace

c-card training The aim of todays training is to develop your confidence in using the c-card scheme and chlamydia screening By the end of the day you will be able to: Understand the rationale behind the c-card scheme Register a young person to the scheme Apply the Fraser guidelines and sign post young people Demonstrate the correct use of condoms/ femidoms/ dams Promote the scheme and encourage repeat encounters Support a young person to chlamydia screen

What is the c-card scheme? The c-card scheme is a confidential service which allows young people between 13-24 years old to access free condoms and speak with a trained professional about sex, relationships and sexual health

What is good about the scheme? Tried & tested scheme which started in London It is young people friendly! The card is colourful & anonymous There are a variety of condoms & lubes

Number of births 15-20 years (period 2009-2012) 382 births are to under 18 yr. olds. All figures 2009-2012 - Under 20 conception outcomes in Suffolk - April 2009 to October 2012 Public Health (January 2013)

Teenage Pregnancy 2014 in Suffolk There were 223 under 18 conceptions Suffolk has a conception rate of 17 per 1000 young women (15-17yrs old) compared to England rate of 22.

Suffolk Chlamydia Statistics for 2011 Rates per 100,000 people HPA figures 2011

Chlamydia Screening 2014 15-24 year olds Suffolk has a chlamydia diagnosis rate of 1,299 per 100,000 young people. 20% of young people were tested for chlamydia. 6% tested positive. England has a chlamydia diagnosis rate of 2,012 per 100,000 young people. 24% of young people were tested for chlamydia. 8% tested positive. The department of health recommended a chlamydia diagnosis rate of at least 2,300 per 100,000 young people. This is why we need pharmacies to support young people to screen in the community.

As a c-card provider You are…. You are NOT…. there to listen there to be non judgemental there to signpost there to provide free condoms/femidoms/dams there to encourage and support 15-24yr olds to screen for chlamydia You are NOT…. there to give advice there to diagnose STIs

Activity One: Sex Words In your groups brainstorm sex words Try to think of words which may be used by young people

‘Sexuality is who you fancy, gender is how you identify yourself’ we all make assumptions all the time try to be aware of the assumptions you are making, and the possible impact on others how we relate to others, what we say and how we say it, will determine their willingness to listen to us

Name? DOB? c-card registration Postcode? Safeguarding?

Safeguarding If there is a safeguarding issue you are required to follow your own organisation’s policy/pathway. If your organisation has no safeguarding policy/pathway you will only be able to provide the c-card for 18 years +

Fraser Guidelines What are the Fraser Guidelines? The ‘Fraser guidelines’ are also known as ‘Gillick competency’. They refer to a legal case which looked specifically at whether doctors should be able to give contraceptive advice or treatment to under 16-year-olds without parental consent. But since then, they have been more widely used to help assess whether a child has the maturity to make their own decisions and to understand the implications of those decisions.

You need to establish That the young person understands the advice being given That the young person cannot be convinced to involve their parents/carers or allow the medical practitioner to do so on their behalf That it is likely that the young person will begin or continue having intercourse with or without treatment/contraception That unless he or she receives treatment or contraception their physical or mental health (or both) is likely to suffer That the young person’s best interests require contraceptive advice, treatment or supplies to be given without parental consent

Encounters

Database Training When Registering a young person, log in and then click ‘Suffolk Register Young People’

Once you have clicked to confirm you can continue. Points to cover Once you have clicked to register a young person you will be presented with this ‘pop up’. It is a reminder of everything you need to cover when registering a young person. Once you have clicked to confirm you can continue.

Registration The ‘?’ next to Fraser Guidelines assessed is a prompt tool. By hovering over it you will see a list of the Guidelines as a reminder. Each section has a drop down with information which reflects the paper form.

Encounter You will see this screen after the registration page, or if you are recording an encounter. If you click on the subtitles e.g. Current Visit Details, you will be able to see information which was recorded at the young persons previous 3 visits. Once you click ‘OK’ you will then be taken back to the main page.

Searching for a YP To search for a young person who already has a card you can use either their barcode, surname or date of birth. To record an encounter, click on the green ‘CCard_Encounter (New)’. To see their details, click the blue line with their barcode, name & DOB. This will take you to their registration page where you can amend any details or issue a new card if they have lost theirs. To log out, click your name select ‘log out’ from the dropdown list.

Signposting to other services Signposting can be as easy as letting someone know about Sexual Health clinics It is also using the interactive map to show the location of other providers You don’t need to be an expert on other services, if you have any questions or you just aren’t sure, then contact us for support

Activity Two: Case Studies For each case study you need to think of the following questions: Would you sign them up to the c-card scheme? Would you chlamydia screen them? Would you have concerns? If so, what? What other questions would you be asking? Would you signpost them?

The Law & Sex The age of consent to any form of sexual activity is 16 for both men and women The law is not intended to prosecute mutually agreed teenage sexual activity between two young people of a similar age Sex with someone under 13 years old is statutory rape and must be reported

Demonstrations Condoms Femidoms Dams Lube Chlamydia screening (15+)

Activity Three: Promoting the Scheme The success of the scheme is in the young people returning… In your groups, discuss.. How would you describe the scheme? How would you promote returns to your pharmacy? Is it achievable? What obstacles may your organisations face? How can THT support you?

Conclusion - you don’t have to be an expert - don’t answer personal questions, it’s not about you - be aware of making assumptions - competency to consent to access condoms is fairly low - trust your own judgement We are here for you!

Contact details Pharmacy Liaison Officer and Training Lead Josie Finch josie.finch@tht.org.uk Tel: 01473 393103 Senior Youth Engagement Practitioner Eloise Brame eloise.brame@tht.org.uk Tel: 01473 393108 Services Manager Sian Haddon-Berry sian.haddon-berry@tht.org.uk Tel: 07765193996