70 likes | 220 Views
Sexual Health Commissioning: Young People. Ewan Jenkins Sexual Health Commissioning Manager Inner North West London PCTs.
E N D
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 Ewan.Jenkins@inwl.nhs.uk 020 3350 4322