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Supporting Contraceptive Choice Fiona Taylor

Supporting Contraceptive Choice Fiona Taylor. Navigate Health Background Awareness Training Co-ordination of LARC Training Update on Luton LARC Training Programme. Introduction to Navigate Health. Healthcare Management Consultancy established in 2008

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Supporting Contraceptive Choice Fiona Taylor

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  1. Supporting Contraceptive Choice Fiona Taylor

  2. Navigate Health • Background • Awareness Training • Co-ordination of LARC Training • Update on Luton LARC Training Programme

  3. Introduction to Navigate Health • Healthcare Management Consultancy established in 2008 • Development and delivery of therapy awareness training • Healthcare policy analysis and implementation support • Health Technology Appraisal management

  4. Unintended PregnanciesEngland and Wales-2009 • The UK has the worst teenage pregnancy record in Western Europe • 2nd only to the USA as worst developed country in the World • This despite free contraception for all • 189,100 abortions in 2009 • A fall of 3.2% over 2008 • Age standardised abortion rate is 17.5 per 1000 women aged 15-44 years • Highest abortion rate is 33 per 1000 women in aged 19-21 years Abortion Statistics England and Wales 2009.

  5. The National Picture • Unintended pregnancies in the UK • About 30%1 • 387,345 unintended pregnancies in England & Wales in 20052 • 179,728 live births • 157,262 terminations3 • 50,355 miscarriages • Repeat abortions • 32%4 • Per PCO • This equates to 2,582 unintended pregnancies per PCO and approximately £3.2 million each year* *Estimated using the relative proportions and associated costs of live birth, miscarriage References 1. NICE Clinical Guideline No. 30, Long-acting reversible contraception, October 2005; 2. Total NHS and NHS funded agency terminations. Department of Health Statistical Bulletin: Summary abortion Statistics, England & Wales: 2005; 3. Department of Health. Abortion Statistics, England and Wales 2005. www.dh.gov.uk/assetRoot/04/13/68/59/04136859.pdf4. Department of Health. The national strategy for sexual health and HIV. London: Department of Health, 2001

  6. Abortion RatesEast of England SHA-2009 Average Abortion Statistics, England and Wales 2009. Dept of Health.

  7. Abortion RatesEast of England SHA-2009 Average Abortion Statistics, England and Wales 2009. Dept of Health.

  8. Background • February 2008 Public Health minister announced additional resources for contraceptive services • 2009 Supporting Contraceptive Choices Awareness Training (Luton 9th September 2009) • 2010 Co-ordination of LARC fitter training • 2011 Supporting Contraception and STI Awareness Training (Luton 5th April 2011) • 2011 continuation of LARC fitter training support

  9. Awareness Training Programmes • Funded by the SHA from the CSR Review allocation • 1 meeting per PCT • Additional 4 meetings for non clinical healthcare professionals on current programme • Over 1000 delegates will be trained in each of the Awareness Training programmes

  10. Training Objectives • To provide a broad understanding of issues relating to people’s sexual health and wellbeing by: • Providing information on all methods of contraception • Discussing user eligibility for each method • Providing information and treatment options for all STIs • To enable participants to deliver sexual health services by promoting positive sexual health and well being through increased knowledge of contraceptive methods, STIs and STI prevention

  11. Feedback How would you rate the content of today’s programme in terms of its ability to meet your contraception/STI awareness needs? • In response to the above question: • 96% of delegates who attended the Luton Supporting Contraceptive Choices meeting rated the training Excellent or Very Good • 95% of delegates who attended the Luton Contraception and STI Awareness meeting rated the training Excellent or Very Good

  12. LARC Fitter Training Programme April 2010 – March 2012 • Established in response to increasing demand for LARC • Run to the same high standards as the Faculty and RCN • Supported by the Faculty • Awards a Certificate of Competence endorsed by NHS East of England • Database of all trainers built for each PCT

  13. LARC Fitter Training ProgrammeBackground • Database of current LARC fitters developed working in partnership with MSD and Bayer Schering • Training Needs Assessment undertaken by each PCT • Proposal for funding submitted to NHS East of England • Luton training commenced in May 2010

  14. Training Options • Option 1: Designated training centres either within the PCT or in neighbouring PCT to provide all of the LARC training requirement. Trainee will need to attend the centre for training and the centre will identify suitable patient for fitting • Option 2: Training to be provided by local PCT trainer who will visit practice/centres where training is required. Trainee will need to identify suitable patients and liaise with trainer on suitable dates. • Option 3: Training provided by trainer from another PCT at practice/centres where training is required. Trainee will need to identify suitable patients and liaise with trainer on suitable dates. • Option 4: Training provided by peripatetic trainer at practice/centre where training is required. Trainees to identify suitable patients. Ideally a number of trainees should be trained in one session to fully utilise the peripatetic trainers

  15. LARC Fitter Training ProgrammeProcess • All trainees have to meet the eligibility criteria • All trainees have to complete theory training, usually the Faculty online training modules • Practical training • Counselling • Model arm/model uterus training • Live patient training • All training conducted by Faculty registered trainers

  16. Why the Luton programme was such a success... • All trainees received the eligibility criteria before contact from Navigate Health • Shahin had spoken to all the trainers and clearly explained the programme and gained their support • Flexibility of training delivery • The Brook in Luton have been very supporting particularly with regard to arranging implant removal training

  17. Luton training To date: 13 SDI certificates issued 8 IUD/IUS certificates issued

  18. The Way Forward • All training places have been allocated • Database will be submitted to the PCT when the training is complete • Need to ensure new fitters are maintaining their competence • Future responsibility for sexual health will sit with Public Health.....

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