1. c-card training

2. 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

3. 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

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

5. 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

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

7. 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.

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

10. 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.

11. 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

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

13. ‘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

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

15. 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 +

16. 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.

17. 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

18. Encounters

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

20. 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.

21. 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.

22. 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.

23. 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.

24. 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

25. 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?

26. 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

27. Demonstrations
Condoms
Femidoms
Dams
Lube
Chlamydia screening (15+)

28. 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?

29. 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!

30. Contact details Pharmacy Liaison Officer and Training Lead Josie Finch
Tel:
Senior Youth Engagement Practitioner
Eloise Brame
Tel:
Services Manager
Sian Haddon-Berry
Tel: