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2010 BASHH NATIONAL RE-AUDIT ON SEXUAL HISTORY TAKING

2010 BASHH NATIONAL RE-AUDIT ON SEXUAL HISTORY TAKING. A Sullivan, H McClean, C Carne, S Tayal, D Daniels September 2010 . Case note audit against standards and recommendations in the BASHH 2006 National Guidelines – consultations requiring sexual history-taking.

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2010 BASHH NATIONAL RE-AUDIT ON SEXUAL HISTORY TAKING

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  1. 2010 BASHH NATIONAL RE-AUDIT ON SEXUAL HISTORY TAKING A Sullivan, H McClean, C Carne, S Tayal, D Daniels September 2010

  2. Case note audit against standards and recommendations in the BASHH 2006 National Guidelines – consultations requiring sexual history-taking. Comparisons made to the baseline 2008 National Audit of Sexual History taking http://www.bashh.org/documents/84/84.pdf

  3. Demographic data *from all 14 English BASHH regions and Scotland, Wales and Northern Ireland , about 60% of all GU clinics 

  4. Auditable outcome measure: • The proportion of new/rebooked patients asked about the gender of their last sexual partner (target >95%)

  5. Gender of the most recent sexual contact

  6. Auditable outcome measure: • The proportion of new/rebooked patients asked about condom use at the last sexual intercourse (target >95%)

  7. Vaginal sex and condom use – Heterosexual men and women

  8. Anal sex and condom use – all MSM

  9. Anal sex and condom use – female heterosexual cases* *includes only those cases with documented heterosexuality

  10. Auditable outcome measure: • New/rebooked patients should have comprehensive histories taken and legibly recorded (Target >90%) • GMC states: Wherever possible, you should offer a chaperone during an intimate examination

  11. Offer of chaperone and legibility *Scotland

  12. Auditable outcome: • An HIV risk assessment should be taken in all new/rebooked patients (>90%) • This is described in the Guidelines as having six components: three of these were re-audited

  13. HIV risk assessment

  14. The Guidelines indicate all individuals should be asked about ‘problems or symptoms of last sexual partner’

  15. Partner symptom/risk information

  16. Recommendations of 2008 Baseline Audit • Improve recording of the following areas of practice: • Offer of a chaperone • Condom usage • HIV risk assessment

  17. Comparison 2008 vs 2010 (%)

  18. Conclusions and next steps • Maintained high level of legibility - target met • Met target for recording sex of last partner • Improved in areas identified as being of concern from 2008 audit but fell short of target in all areas except for IVDU history in men • Regional Audit Chairs to identify clinics with significant improvements and any changes introduced and share best practice • Re-audit relevant key points at a local level

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