Sexual Health Commissioning: Young People Ewan Jenkins Sexual Health Commissioning Manager Inner North West London PCTs NHS North West London is a partnership of NHS Brent, NHS Ealing, NHS Hammersmith & Fulham, NHS Harrow, NHS Hillingdon, NHS Hounslow, NHS Kensington & Chelsea and NHS Westminster.

Who Commissions What? Local Authorities Open access sexual and reproductive health services Sexual Health promotion and HIV Prevention HIV non-clinical care and support National Commissioning Board HIV treatment and care Sexual assault and referral centres (SARCs) Clinical Commissioning Groups Abortion services

Public Heath Outcomes Health improvement: Chlamydia diagnosis (15 – 24 year olds) Under 18 Conceptions People presenting with HIV at a late stage of infection Improving the wider determinants of health: Violent crime (including sexual violence)

Local Authority Commissioned Activities GUM and Contraception Targeted prevention Sex and Relationships Education Condom distribution

Local Authority Opportunities Better synergy between departments e.g. youth services, education Health and Wellbeing Board structures Tri-borough; coherent services across a wider footprint

Systemic Challenges Public health to be delivered from within a ring fenced grant Ability to directly influence commissioning of whole system e.g. abortion services Decision making processes working within a democratically accountable structure

Questions and Discussion Ewan Jenkins Sexual Health Commissioning Manager Inner North West London PCTs