PPE made easy Hong Tan London Sexual Health Programme Director 18 May 2011 The London Sexual Health Programme

Structure 1.Role of the London Sexual Health Programme 2.Context for PPE work 3.Why PPE is important for sexual health in London

1. Role of the London Sexual Health Programme Scale of problem Sexual Health is a Public Health Priority for London with: 2 in 5 diagnoses of HIV, infectious syphilis and gonorrhoea 1 in 5 diagnoses of genital Chlamydia and genital warts 1 in 4 diagnoses of genital herpes Over 2 in 5 of those living with HIV 1 in 4 of all abortions, 1 in 3 under-25 repeat abortions Teenage pregnancy rates have increased in 6 London boroughs

London Sexual Health Programme London Sexual Health Programme Pan London Procurement *time limited group Pan London Procurement *time limited group Chlamydia Screening Strategic Network Chlamydia Screening Strategic Network London Contraception and Abortion Group London Contraception and Abortion Group Commissioning Network Commissioning Network 2012 Planning Group 2012 Planning Group Teen Pregnancy NCSP- London Pan London HIV Prevention Group Sexual Health Network Subgroups Sexual Health Network Subgroups London Sexual Health Commissioning Board - Leading and Strengthening Sexual Health Commissioning in London Cluster PCT Directors of Commissioning / MDs Cluster PCT Directors of Commissioning / MDs London Specialized Commissioning Group London Specialized Commissioning Group Cluster PCT CEs Cluster PCT CEs London Sexual Health Commissioning Board London Sexual Health Commissioning Board London Sexual Health Programme. 16th Floor, Portland House, Stag Place. London, SW1E 5RS. London Havens Strategic Board London Havens Strategic Board London Sexual Health Improvement - NHS London London Sexual Health Improvement - NHS London FESHproNET: Further Education Sexual Health Network FESHproNET: Further Education Sexual Health Network Tariffs London Sexual Health forum London Sexual Health forum Public Health England London Health Improvement Board London Health Improvement Board

2. Context for PPE work The World Health Organisation defines sexual health as: ''the state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction and infirmity. Sexual health requires a positive, respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence. For sexual health to be attained and maintained, the sexual rights of all persons must be respected, protected and fulfilled.'' “I am more than a pillbox. I want to have a say in my health. I want to be listened to. This is my health” - Mike, person with HIV

3. Why PPE is important for sexual health in London Significant impact on health in every borough Sexual Health has a significant impact on health in every borough in London. The city is disproportionately affected by Sexual ill health. This is recognised in the Mayor's Health Inequalities Strategy (2009): London has particular challenges. The capital has the highest rates of new diagnoses of sexually transmitted infections such as Chlamydia, gonorrhoea and syphilis. London also accounts for 52% of the country’s known cases of HIV. As with other conditions and diseases, these London-specific problems disproportionately affect some of London’s poorest and most socially excluded groups.

3. Why PPE is important for sexual health in London (2) 3 million Londoners per year with sexual health needs £400m per year spent on sexual ill health in London PPE is about quality, innovation, productivity and prevention Nothing about us without us –understanding and meeting the needs of clients/users is cost effective. Doing it right once in the right place, right time, right cost CQUIN- Commissioning For Quality and Innovation PPI- Living Well London RSCG Patient and Public Involvement Strategy PPE in sexual and reproductive health and HIV/AIDS services in London: challenges and best practice (2010)

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