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Sexual Health Improvement for Population and Patients HIT review of 2014-15

26 May 2015

Professor John Macleod, Director of the Sexual Health Improvement for Population and Patients Health Integration Team (SHIPP HIT), gives an update on their work in 2014-15.

The Sexual Health Improvement for Population and Patients (SHIPP) HIT works to promote evidence based sexual health improvement. We won bids to the NIHR Health Protection Research Unit and NIHR CLAHRC West to pilot centralised telephone-based management of chlamydia and gonorrhoea diagnosed in the community. This is being evaluated in 11 south Bristol practices.

Reducing late HIV diagnosis is a priority for SHIPP and we will submit an application to the NIHR Research for Patient Benefit programme. The audit project underpinning some of our work in this area was ‘highly commended’ at the 2015 annual conference of the British HIV Association. We have audited the PPI practice of sexual health services across Bristol, helping to ensure that patients’ views inform commissioning. This work has been presented at the NIHR INVOLVE conference.

Bristol City Council is updating the sexual health element of their Joint Strategic Needs Assessment to inform their commissioning strategy. In Bristol, North Somerset and South Gloucestershire (BNSSG) we are in the possibly unique position of having detailed independent local population based data on sexual health, collected as part of the Avon Longitudinal Study of Parents and Children – also known as Children of the 90s. Using local data to inform commissioning of local services is an important part of our impact.

Gene Feder and his team at the University of Bristol are looking at how primary care staff can recognise and respond to intimate partner violence. This work was one of 10 ‘impact case studies’ submitted by the School of Social and Community Medicine to the 2014 Research Excellence Framework (REF). The REF panel of independent experts judged this work as world leading. Funding from the Wellcome Trust and the Elizabeth Blackwell Institute has supported adaptation of this intervention in sexual health care settings. Funding from NIHR CLAHRC West will see it extended to other sites.

Patrick Horner’s work on non-gonococcal urethritis (NGU) and Mycoplasma genitalium has led to changes in the way this condition is treated in sexual health departments across BNSSG. He has submitted a proposal to the NIHR Health Services and Delivery research programme to pilot a ‘same day one stop shop’ HIV and sexually transmitted infection testing service, aimed at harder to reach men who have sex with men. Economic evaluation of chlamydia and gonorrhoea point of care testing in men with symptoms of NGU attending the Bristol Sexual Health Centre will be completed this summer.

SHIPP’s work has also informed the evidence summary supporting chlamydia screening produced by Public Health England, which is published on the National Chlamydia Screening Programme website.

Sexual Health Improvement for Population and Patients HIT review of 2014-15
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