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LONDON SEXUAL HEALTH
TRANSFORMATION PROGRAMME
SERVICE USER ENGAGEMENT
Esther Dickie, Knowledge and Information Officer
Camden and Islington Public Health
LONDON SEXUAL HEALTH TRANSFORMATION
PROGRAMME
 Partnership of 29 boroughs to deliver a new joint commissioning
model for open access sexual health services across much of the
capital.
 Includes Genito-Urinary Medicine (GUM) and Sexual and
Reproductive Health (SRH) services.
 Aim is to lead the transformation of services to deliver improved
and cost effective public health outcomes, meet the increasing
demand and deliver better value.
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Engagement aims
Second wave of service user engagement to inform programme, to
gain greater insight into:
 What matters to residents and service users in receiving good
quality sexual health services
 The opportunities and challenges in increasing use of online GUM
services
 The opportunities and challenges in providing integrated GUM
and SRH services versus separated services.
 Effective methods in promoting information and service choice.
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Methodology
Online survey
• 2,200 responses 1,610 were London residents and sexual
health service users
Waiting room survey
• Responses from 376 GUM and SRH service users across four
services in Camden and Islington
Focus groups
• 11 focus groups with 98 participants from Camden and Islington
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Key findings
 Strong support for integrated GUM and SRH services
– 67% online survey respondents from London said they
would prefer integrated over separate services or had no
preference
– Women, 18-24 year olds and heterosexual respondents
had a higher preference for integrated contraceptive and
sexual health testing services
– Convenience of service being under one roof
– Suggestion for women only sessions
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Key findings (cont)
 Online testing
– 51% of online respondents would consider using self-sample
kits at home, and a further 27% were undecided
– More interest in using self sample among women than men,
and among heterosexual respondents than gay or lesbian
respondents.
– Some concerns around:
 Postal delivery (time delay and confidentiality concerns)
 Accuracy (including a lack of confidence in correctly
administering the test)
 Immediate post-diagnosis support
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What matters to service users?
 Ease of accessing service
– Being able to book appointments online or walk in
 Waiting times
– Increased availability of early morning and early evening
appointments
 Welcoming reception areas
 Fast access to test results
– Requests for same day, self-sample booths suggested to speed up
the process.
 Confidentiality:
– Privacy around reception areas
 Attitudes and expertise of staff:
– Non-judgemental
– Skills in facilitating open discussion around sexual practices
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What worked well?
 Good response rate to online survey
– Notices on electronic screens in waiting room areas
– Flyers
– Twitter
 Waiting room approach, able to get good number of
responses is short amount of time
 Focus group insights, added real depth to survey findings
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Key challenges and lessons learned
Breakdown of online survey responses of London residents by region, 2016
 Focus group recruitment
– Particularly men, and some
5%
(74)
BAME groups
12%
(195)
– Lead in time required to
33%
engage local VCS
(526)
NCL
organisations to support
NEL
14%
NWL Inner
recruitment
(225)
NWL Outer
 Number of survey answer options
SEL
SWL
– Small when broken down by
Other London
demographic factors
12%
15%
 Response rates at borough/sub(189)
(244)
10%
region level
(157)
Source: Pan London Online Sexual Health Survey 2016
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Questions?
[email protected]
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